Although not the only factor, government payment reform initiatives in the Affordable Care Act (ACA) are widely perceived as driving health care market consolidation. Perhaps more significantly than mergers between hospitals, the ACA has created new interest in mergers across service lines (as reported here, here, and here). Hospitals, physician groups, outpatient centers, post-acute providers, and even insurance carriers are combining with each other in all sorts of ways and at an accelerating pace. Depending on who you talk to in government, this activity is (1) paving the ...
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