Economies of scale in non-revenue producing cost centers: implications for hospital mergers.
This paper uses semiparametric methods to estimate the magnitude of economies of scale in 14 non-revenue producing cost centers in hospitals. There are substantial economies of scale in small hospitals, but economies are exhausted in hospitals with over 10,000 discharges annually. In recent hospital mergers challenged by federal antitrust agencies, one or both hospitals had over 10,000 discharges, suggesting that efficiency gains in non-revenue producing cost centers will be small, and could easily be offset by nominal price increases.
Dranove
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Northwestern University, Kellogg Graduate School of Management, Evanston, IL 60208, USA.
D016363:Antitrust Laws; D003361:Cost Allocation; D003362:Cost-Benefit Analysis / Q000379:methods*; D003627:Data Interpretation, Statistical; D017598:Efficiency, Organizational / Q000191:economics*; D005377:Financial Management, Hospital / Q000706:statistics & numerical data*; D006273:Health Facility Merger / Q000191:economics* / Q000331:legislation & jurisprudence; D017059:Models, Econometric; D010351:Patient Discharge / Q000191:economics; D014481:United States