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Consolidating healthcare organizations

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One of the consequences of the Affordable Care Act (ACA) is that it has sparked a giant wave of hospital consolidation: 100 deals were completed in the sector in 2014 — up 14% from the previous year, according to Wall Street research firm Irving Levin Associates.What’s particularly notable about the recent spate of M&A is that it’s both “horizontal” and “vertical,” meaning hospitals aren’t just buying other hospitals, they’re picking up physician practices, rehabilitation facilities and other ancillary health care providers. Its aggressive M&A plan has turned it into the state’s largest employer, encompassing 18 hospitals, plus rehab centers, a medical research center, home-care services and hospice facilities.Also, click here to see the completed list of 2015 healthcare M&A. In a move to satisfy antitrust concerns, Walgreens Boots Alliance and Rite Aid have announced the all-cash sale of 865 Rite Aid stores to a smaller drugstore chain, Fred's Pharmacy, for 0 million.

An oligopoly is an industry structure in which market power is shared among a few large producers.Newcomers to Bermuda, including those from the United Kingdom, should note there is no equivalent in Bermuda to the UK's National Health Service (NHS), the publicly funded healthcare system, the largest and the oldest single-payer healthcare system in the world, able to function in the way it does because it is primarily funded through the general taxation system.The system provides healthcare to anyone legally resident in the United Kingdom, with most services free at the point of use.Health costs have been increasing in many countries and Bermuda has exhibited the same general trend.For more details on these findings see the Timeline below for 2014, October 28.Although some small producers may also operate in the market, a few large firms dominate.Though it’s possible that an oligopoly can be competitive and result in high output and low cost, most often market dominance leads to higher prices, less innovation and a loss of social welfare.The economics of the consolidation are supported by the Accountable Care Act, which rewards scale over competition.Benefits are standardized, premiums are de facto price-controlled and margins have compressed to commodity levels.These organizations tie reimbursement amounts to improvements in quality and reductions in the total cost of care — in essence forcing providers into accepting risk-based payments.Getting bigger, the thinking goes, could help them weather that change.