Industrial Organization Physician Compensation Supply of Medical Services

The rise of the health systems

Health systems have been touted by some to be a cure to many of our health care systems ills by providing integrated, high quality care. Others claim that health systems are just a way for providers to big up prices through more bargaining power. Either way, it is not entirely clear to what extent health systems are becoming a permanent feature of medical care in the US and how this has changed over time.

To answer this question, a paper by Kimmey et al. (2021) use data from the AHRQ Compendium of US Health Systems to answer this question. They find physicians are increasingly becoming part of larger health systems.

The average change in the share of physicians in systems across MSAs from 2016 to2018 was 8.8 percentage points at the MSA level; the median change was 7.4 percentage points (data not shown). These figures are less than the national change in the share of physicians in systems from 2016 to 2018 (11 percentage points), in part because many of the largest MSAs had a change that was larger than 8.8 percentage points

The authors note that consolidation occurs most frequently in the Northeast and Midwest.

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