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Mergers and Marginal Costs: New Evidence on Hospital Buyer Power / Stuart Craig, Matthew Grennan, Ashley Swanson.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Craig, Stuart.
Contributor:
National Bureau of Economic Research.
Grennan, Matthew.
Swanson, Ashley.
Series:
Working Paper Series (National Bureau of Economic Research) no. w24926.
NBER working paper series no. w24926
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Other Title:
Mergers and Marginal Costs
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2018.
Summary:
We estimate the effects of horizontal mergers on marginal cost efficiencies - an ubiquitous merger justification - using data containing supply purchase orders from a large sample of US hospitals 2009-2015. The data provide a level of detail that has been difficult to observe previously, and a variety of product categories that allows us to examine economic mechanisms underlying "buyer power." We find that merger target hospitals save on average $176 thousand (or 1.5 percent) annually, driven by geographically local efficiencies in price negotiations for high-tech "physician preference items." We find only mixed evidence on savings by acquirers.
Notes:
Print version record
August 2018.

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