When acquired hospitals are nearby the acquiring system — within 30 miles or less — the AHA found expense per adjusted admission declined 2.8 percent compared to nonmerging hospitals with similar characteristics. For merging hospitals that are further apart, the AHA study finds the decline in expense is 1.5 percent, but not statistically significant.
The previous version of the AHA study did not take proximity into effect. It found mergers in general were associated with a 2.5 percent reduction in operating expense per admission, with average merger-related annual savings of $5.8 million.
The studies also examined the effect of mergers on quality, but quality data was inconclusive in both studies.
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