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assessment of cost trends and price differences …(评估成本趋势和价格差异u2026)
Assessment of Cost Trends and Price Differences for U. S. Hospitals
March 2011
Margaret E. Guerin-Calvert
Vice Chairman and Senior Managing Director
Guillermo Israilevich
Vice President
Compass Lexecon
1101 K Street NW, 8th Floor
Washington, DC 20005
Phone: 202.589.3450
1
Assessment of Cost Trends and Price Differences for U.S. Hospitals
“In a market with differentiated products [such as a hospital market], different price levels are
neither necessary, nor sufficient, to demonstrate the exercise of market power.”
2
– Federal Trade Commission Working Paper No. 294
Executive Summary
This paper is the second in a series examining issues that have a bearing on the development of
new and innovative healthcare delivery arrangements, such as Accountable Care Organizations
(“ACOs”), medical homes and other arrangements that require greater clinical and/or financial
integration among caregivers (hospitals and physicians).
The first paper, “A Critique of Recent Publications on Provider Market Power” (“Critique”),
examined claims made in two publications widely cited as support for limiting caregivers’
flexibility to develop or expand innovative delivery arrangements with exaggerated claims of
provider market power. These publications focused on differences in prices among hospitals in
two states, linking higher hospital prices to insurers directly to market power. Both ignored or
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