The costs of mergers and acquisitions in the U.S. Health care sector

Important trends are emerging from evidence of health care industry concentration in the United States. Some of these are the durable consumer concerns-cost, choice, and access-which have received attention throughout the introduction of managed care. But with the intensified industry concentration, these have been joined by concerns about pricing power, control and quality, integrity of the health system and health policy- making, and clashing institutional mandates. Such trends are particularly evident in the hospital and pharmaceutical industries.