Changes in Quality of Health Care Delivery after Vertical Integration

Health Serv Res. 2015 Aug;50(4):1043-68. doi: 10.1111/1475-6773.12274. Epub 2014 Dec 22.

Abstract

Objectives: To fill an empirical gap in the literature by examining changes in quality of care measures occurring when multispecialty clinic systems were acquired by hospital-owned, vertically integrated health care delivery systems in the Twin Cities area.

Data sources/study setting: Administrative data for health plan enrollees attributed to treatment and control clinic systems, merged with U.S. Census data.

Study design: We compared changes in quality measures for health plan enrollees in the acquired clinics to enrollees in nine control groups using a differences-in-differences model. Our dataset spans 2 years prior to and 4 years after the acquisitions. We estimated probit models with errors clustered within enrollees.

Data collection/extraction methods: Data were assembled by the health plan's informatics team.

Principal findings: Vertical integration is associated with increased rates of colorectal and cervical cancer screening and more appropriate emergency department use. The probability of ambulatory care-sensitive admissions increased when the acquisition caused disruption in admitting patterns.

Conclusions: Moving a clinic system into a vertically integrated delivery system resulted in limited increases in quality of care indicators. Caution is warranted when the acquisition causes disruption in referral patterns.

Keywords: Vertical integration; provider consolidation; quality of care.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Delivery of Health Care, Integrated / organization & administration*
  • Delivery of Health Care, Integrated / statistics & numerical data*
  • Early Detection of Cancer / statistics & numerical data
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Patient Admission / statistics & numerical data
  • Quality Indicators, Health Care / statistics & numerical data
  • Quality of Health Care / statistics & numerical data*
  • Socioeconomic Factors
  • United States
  • Young Adult