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Hospital Expansion vertical integration

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Hospital Expansion vertical integration

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  • July 4, 2024
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  • 2023/2024
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Hospital Expansion




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Hospital Expansion

Vertical Integration

In healthcare systems, vertical integration often occurs due to combining a different

supply chain level, such as when health care plans combine with pharmacy benefits managers

or when physician's practice is acquired by hospitals. This integration shifts the way patients

pay and receive health care services. Vertical integration promotes healthcare economic

efficiencies, thus significantly reducing the costs and impacting the quality of care, such as

health care plans acquiring pharmacy benefits managers. Recently, vertical integration of

hospitals and physicians affects the quality of care, and spending has become especially

important (Baker et al., 2014). Evidence indicates that vertical integration is linked to higher

performance, particularly on the quality of care measures, hence improved quality outcomes.

However, not all mergers yield the same outcomes; some can lead to higher costs and

anticompetitive behaviors, thus evaluating mergers should be on a base-to-base approach.

There is an indication of higher hospital spending and higher prices associated with

physician’s practices owned by hospitals. According to Bion (2019), “Physician groups

owned by large hospital systems were more than 50% more expensive than those owned

exclusively by physicians.”

Other Revenue Services

Health care facilities can boost their revenues by providing other services, such as

wellness programs. Promoting wellness is one of the ways to improve profitability; the

approach will increase patient satisfaction and reduce readmissions in the hospitals. Wellness

promotions help the patients and ensure that staff provides exceptional service at significantly

reduced costs. Healthy employees decrease absence and improve patient care, particularly by

projecting a positive image. Telehealth services and wearable devices is another way

hospitals can expand their revenue continuum of care, especially for managing chronic

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