Association between hospital-physician vertical integration and medication adherence rates.
Jonathan S LevinSwad KomanduriChristopher M WhaleyPublished in: Health services research (2022)
While there were no average changes in adherence following vertical integration of PCPs, health equity worsened, with significant declines in adherence for Black, Asian, Hispanic, and Native American patients, patients over 80 years old, and patients with greater comorbidities. These findings suggest that integration may reduce clinicians' incentives to compete based on the quality of care delivered. Given the price increases associated with integration, integration may be a net welfare loss.
Keyphrases
- end stage renal disease
- healthcare
- newly diagnosed
- chronic kidney disease
- ejection fraction
- prognostic factors
- peritoneal dialysis
- primary care
- emergency department
- type diabetes
- quality improvement
- patient reported outcomes
- adipose tissue
- metabolic syndrome
- risk assessment
- smoking cessation
- hiv infected
- health information
- social media
- weight loss
- drug induced
- patient reported
- human health
- antiretroviral therapy