Simulating Hospital Merger Simulations

Author(s):  
David J. Balan ◽  
Keith Brand
Keyword(s):  
Nature ◽  
1999 ◽  
Vol 401 (6756) ◽  
pp. 842-842
Author(s):  
Michael P. Stryker ◽  
Allan Basbaum ◽  
Tony DeFranco ◽  
Ira Herskowitz ◽  
Keith Yamamoto

2012 ◽  
Vol 7 (3) ◽  
pp. 363-381 ◽  
Author(s):  
Marco Varkevisser ◽  
Frederik T. Schut

AbstractIn markets where hospitals are expected to compete, preventive merger control aims to prohibit anticompetitive mergers. In the hospital industry, however, the standard method for defining the relevant market (SSNIP) is difficult to apply and alternative approaches have proven inaccurate. Experiences from the United States show that courts, by identifying overly broad geographic markets, have underestimated the anticompetitive effects of hospital mergers. We examine how geographic hospital markets are defined in Germany and the Netherlands where market-oriented reforms have created room for hospital competition. For each country, we discuss a landmark case where definition of the geographic market played a decisive role. Our findings indicate that defining geographic hospital markets in both countries is less complicated than in the United States, where antitrust analysis must take managed care organisations into account. We also find that different methods result in much more stringent hospital merger control in Germany than in the Netherlands. Given the uncertainties in defining hospital markets, the German competition authority seems to be inclined to avoid the risk of being too permissive; the opposite holds for the Dutch competition authority. We argue that for society the costs of being too permissive with regard to hospital mergers may be larger than the costs of being too stringent.


Nature ◽  
10.1038/44680 ◽  
1999 ◽  
Vol 401 (6756) ◽  
pp. 842-842
Author(s):  
J. Michael Bishop

Organization ◽  
2020 ◽  
pp. 135050842096202 ◽  
Author(s):  
Nicolas Bencherki ◽  
Kasper Trolle Elmholdt

Different perspectives on organizations have alternatively sorted them on the side of the social / human / linguistic or that of the material / non-human / technical, reducing the question of what an organization may be to attempts to (re)connect these two realms. Literature adopting a relational view, however, has offered a way out of this opposition, by embracing the multiplicity of beings that may make up organizations. We extend this approach by engaging with French philosopher Étienne Souriau’s discussion of modes of existence to suggest that organizations are “synaptic,” which means they exist in the passages between modes, as they articulate the actions of entities existing under different modalities. By analyzing the case of a hospital merger in Denmark, we show that this work of articulation amounts to organizing, and that viewing organizations as synaptic recognizes not only their ontic pluralism, but also their existential pluralism. By doing so, our study contributes to relational understandings of what organizing means and provides a sensitivity to the politics involved in deciding who or what may exist within organizations.


2017 ◽  
Vol 48 (4) ◽  
pp. 1068-1102 ◽  
Author(s):  
Christopher Garmon

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