{"id":663,"date":"2019-04-15T14:25:17","date_gmt":"2019-04-15T18:25:17","guid":{"rendered":"https:\/\/digital.hbs.edu\/platform-mhcdsolutions\/submission\/how-large-academic-medical-centers-can-address-the-issue-of-market-competition-without-seeming-entrenched-or-blatantly-self"},"modified":"2019-04-15T14:25:17","modified_gmt":"2019-04-15T18:25:17","slug":"more-competition-as-the-cure-to-health-system-cost-quality-problems-how-do-large-system-players-respond-without-sounding-ridiculous","status":"publish","type":"hck-submission","link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/more-competition-as-the-cure-to-health-system-cost-quality-problems-how-do-large-system-players-respond-without-sounding-ridiculous\/","title":{"rendered":"More Competition as the \u201cCure\u201d to Health System Cost\/Quality Problems: How Do Large System Players Respond (without sounding ridiculous)?"},"content":{"rendered":"<p>How does a large academic medical center navigate questions about whether more competition in its market would improve quality and reduce costs?\u00a0 In particular, how does the system effectively raise concerns about facilities that enter a market to serve mostly commercial patients, leaving Medicaid and uninsured patients to seek care in emergency departments?\u00a0 \u00a0Regulators are tired of hearing the arguments about how healthcare is &#8220;different&#8221; from other sectors in terms of the economics of competitive markets, and many states have repealed antiquated &#8220;certificate of need&#8221; legislation and other state-level market controls on new entrants.\u00a0 Is it possible for a large academic medical center to address the competition issue in a balanced manner that is not vehemently defending the status quo or otherwise coming across as blatantly self-serving?\u00a0 What is the proper role of regulators in ensuring that new facilities and providers agree to serve Medicaid and other low income patients?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>How does a large academic medical center address the issue of market competition without coming across as blatantly self-serving or desperately clinging to the status quo? <\/p>\n","protected":false},"author":12236,"featured_media":664,"comment_status":"open","ping_status":"closed","template":"","categories":[436,387,5,50,433],"class_list":["post-663","hck-submission","type-hck-submission","status-publish","has-post-thumbnail","hentry","category-big-picture","category-communication","category-concentration","category-healthcare-industry","category-organizational-growth","hck-taxonomy-organization-healthcare-system","hck-taxonomy-industry-health","hck-taxonomy-country-united-states"],"connected_submission_link":"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/conversation\/mhcd-solutions\/","yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>More Competition as the \u201cCure\u201d to Health System Cost\/Quality Problems: How Do Large System Players Respond (without sounding ridiculous)? - Managing Health Care Delivery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/d3.harvard.edu\/platform-mhcdsolutions\/submission\/more-competition-as-the-cure-to-health-system-cost-quality-problems-how-do-large-system-players-respond-without-sounding-ridiculous\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"More Competition as the \u201cCure\u201d to Health System Cost\/Quality Problems: How Do Large System Players Respond (without sounding ridiculous)? 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