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The Fragmentation of U.S. Health CareCauses and Solutions$
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Einer Elhauge

Print publication date: 2010

Print ISBN-13: 9780195390131

Published to Oxford Scholarship Online: May 2010

DOI: 10.1093/acprof:oso/9780195390131.001.0001

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Competition Policy and Organizational Fragmentation in Health Care

Competition Policy and Organizational Fragmentation in Health Care

(p.115) 6 Competition Policy and Organizational Fragmentation in Health Care
The Fragmentation of U.S. Health Care

Thomas Greaney

Oxford University Press

This chapter traces the path of competition law in health care and explains its chicken-and-egg relationship with provider organizational arrangements. It explores a central puzzle for future health care policy: Why have market forces failed to counteract organizational fragmentation? Answering this question requires an understanding of how competition policy is inexorably linked to the organizational architecture of health care and how the fragmentation that bedevils those arrangements has undermined its success. The chapter concludes with a negative assessment of recent consumer-driven approaches, finding them likely to increase fragmentation and incapable of delivering the benefits of competition.

Keywords:   health care competition, competition law, health care policy, organizational fragmentation, competition policy

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