The Integration and De-Integration of Physicians and Hospitals Over Time

Rice University’s Baker Institute for Public Policy, Center for Health and Biosciences brings you a study that examines trends in physician-hospital integration over time.

The Affordable Care Act and changing economic conditions have encouraged an increase in the integration of physicians with hospitals. Current research has focused on the overall trend of tighter integration, but it has not examined the more granular level of how hospitals transition between integration levels. The objective of the study is to examine trends in physician-hospital integration over time. We used the 2008-2013 American Hospital Association annual survey data to designate four forms of integration based on the type of contractual relationship a hospital has with physicians. We examined overall changes in the number and percentage of hospitals engaged in varying forms of physician-hospital integration and the transitions between these integration levels by hospitals over time.

Read the full paper here: CHB-pub-PHITrends-012417

Authors

Marah Short, M.A.

Associate Director, Center for Health and Biosciences

Vivian Ho, Ph.D.

James A. Baker III Institute Chair in Health Economics, and Director, Center for Health and Biosciences

Ayse McCracken, MBA, CPA

President, eNNOVATE Health Ventures

© 2017 by the James A. Baker III Institute for Public Policy of Rice University

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