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Home Financial Markets

Hospital Mergers Need Patient Involvement

All mergers must balance financial returns with clinical outcomes.

Daily Remedy by Daily Remedy
December 21, 2023
in Financial Markets
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Hospital Mergers Need Patient Involvement

Tim Gouw

In healthcare, there is an open secret behind the executives who make crucial decisions to engage in a healthcare system merger. They’re rife with conflicts of interest. Corporate culture, shareholder incentives, and the financial value of healthcare mergers all play a role in shaping the corporate culture of executives in healthcare. This culture defines the administrative system that oversees patient care.

The incentive structures within this system are less than fully altruistic, though you wouldn’t know it by the rhetoric espoused. Whenever we hear of hospital systems and health plans engaging in mergers, we’re usually filled with aspirational truisms that never prove to be true. They claim such actions will improve the patient experience or help providers connect with patients. However, it is important to remain grounded in reality and know how to hold these companies accountable for their claims. Remember, all that glitters is not gold. And you don’t want to be the one stuck with the fool’s gold.

As a patient, immerse yourself in learning the culture of the healthcare system in which you receive care. The culture within an organization greatly influences the decision-making process and the values that guide those decisions. Healthcare executives who lead the organization have the power to shape the quality of patient care.

However, as patients, it’s difficult to see if the system through which you’re experiencing healthcare is serving your medical needs.

One way to assess corporate culture is to examine the incentives that healthcare executives receive. Shareholder incentives can heavily influence the decision-making process, as executives may be driven to prioritize short-term financial gain over long-term patient well-being. This can lead to decisions that may not be in the best interest of patients.

Shareholders often prioritize financial gains and increased market value over other considerations, such as patient care quality or access to services. This can create a situation where the primary focus of a merger is to generate profit, rather than improve healthcare outcomes.

Healthcare mergers that lead to increased consolidation and reduced competition may be good for a health system’s bottom line. However, potential limitations on patient choice may lead to worse patient outcomes that adversely affect the accessibility and affordability of healthcare, particularly for vulnerable populations.

It is important to closely examine the incentives that drive healthcare mergers and critically assess their potential impact on patient care. By understanding the financial motivations behind these mergers, we can better advocate for policies that prioritize patient well-being and ensure that healthcare executives are accountable for the decisions they make.

One of the main goals of healthcare mergers is to increase efficiency and reduce costs. By consolidating resources and streamlining operations, healthcare organizations aim to achieve economies of scale. This, in turn, can lead to improved financial performance and profitability. Sometimes this can be good for patient care; other times, less so.

While financial gains are a crucial aspect of any business, we must also consider the potential consequences of prioritizing profits in the healthcare sector. The pursuit of financial value should not come at the expense of patient care quality and accessibility.

It is essential to assess the true financial value of healthcare mergers by looking beyond short-term gains and scrutinizing their long-term impact on patient outcomes. Understanding the relationship between financial value and patient well-being is paramount. Often that perspective is best appreciated by the patients affected. As a result, patients should be consulted and involved whenever a hospital merger takes place.

In order to navigate the complex world of healthcare mergers successfully, healthcare executives should involve patients. Such a collaborative approach will produce a more effective integration strategy. These collaborative strategies will help mitigate risks, maximize benefits, and ensure a smooth transition for all stakeholders involved, both in the short-term and long-term.

So if your health system is undergoing or recently went through a merger, as a patient, examine the process through the following factors:

Were there clearly defined strategic objectives?

Before initiating a merger, healthcare executives should clearly define the strategic objectives they hope to achieve. This includes identifying specific goals, such as expanding services, improving patient care, or entering new markets. By having a clear vision, executives can align their actions and decisions with these objectives.

Did leadership conduct thorough and transparent due diligence?

A comprehensive due diligence process is crucial to assessing the potential risks and rewards of a merger. This involves thoroughly evaluating the financial health, operational efficiency, and cultural compatibility of the target organization. Gathering accurate and relevant data will enable executives to make informed decisions and better understand the long-term implications of the merger.

Was there a detailed integration plan that included all stakeholders?

The merger process requires a well-planned integration strategy. Key elements of this plan include efficient alignment of systems and processes, effective communication with employees and stakeholders, and establishing a unified corporate culture. Developing a detailed integration plan will help healthcare executives navigate the complexities of merging organizations and ensure a seamless transition.

Did leadership prioritize patient care and clinical outcomes?

Leadership plays a critical role in guiding and managing change during a merger. Healthcare executives must provide clear direction, communicate openly and transparently with patients, and actively manage any change that disrupts the balance between financial returns and patient outcomes. By prioritizing effective leadership and long-term patient outcomes, executives can reduce uncertainty and foster a positive transition experience.

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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

In this episode of the Daily Remedy Podcast, Dr. Jeffrey Singer discusses his book 'Your Body, Your Health Care,' emphasizing the importance of patient autonomy in healthcare decisions. He explores historical cases that shaped medical ethics, the contradictions in harm reduction policies, and the role of the FDA in drug approval processes. Dr. Singer critiques government regulations that infringe on individual autonomy and advocates for a healthcare system that respects patients as autonomous adults. The conversation highlights the need for a shift in how healthcare policies are formulated, focusing on individual rights and self-medication.

Chapters

00:00 Introduction to Dr. Jeffrey Singer and His Book
01:11 The Importance of Patient Autonomy
10:29 Contradictions in Harm Reduction Policies
20:48 The Role of the FDA in Drug Approval
30:21 Certificate of Need Laws and Their Impact
39:59 The Legacy of Patient Autonomy and the Hippocratic Oath
Your Body, Your Health Care: A Conversation with Dr. Jeffrey Singer
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