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Policy Options to Address Consolidation in Healthcare Provider Markets
AEI
2025.02.11
American healthcare has become increasingly consolidated over the past few decades. Health systems are acquiring hospitals, hospitals are acquiring physician practices, physician practices are pairing up, and cross-market mergers, in which providers combine across geographic market boundaries, are becoming more common. Too often, the result is to tamp down on competition and drive up costs.

A new report by an expert Working Group. Ensuring Access, Affordability, and Quality in the Age of Healthcare Consolidation: Lessons Learned and Insights for the Future looks at the forces driving provider consolidation, the framework in place to regulate anticompetitive practices, and opportunities to prevent the harms sometimes associated with consolidation.

The report builds on a convening held in Washington, DC in May 2024 that brought together 17 health policy experts to consider the status of consolidation among healthcare providers, the challenges it poses to healthcare, and the legal, regulatory, and policy frameworks that can influence its impact. While any policy reforms are certain to face resistance and court challenges prior to implementation, the Working Group report emphasizes the importance of taking action to foster a more competitive healthcare marketplace that better serves the public interest.