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In Preparation or Response: Examining Health Care Coalitions Amid a Changing Economic and Political Landscape

Published online by Cambridge University Press:  06 November 2015

Mark E. Dornauer
Mark E. Dornauer*
Affiliation:
Office of the Assistant Secretary for Preparedness and Response via GAP Solutions, Inc, Arlington, Virginia.
*
Correspondence and reprint requests to Mark Dornauer, MBE, 1201 N. Fillmore St., #810, Arlington, VA 22201 (e-mail: [email protected]).
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Abstract

The Office of the Assistant Secretary for Preparedness and Response within the US Department of Health and Human Services leads the nation in preparing for, responding to, and recovering from the adverse health effects of public health emergencies, in part through formal collaborations between hospitals, health systems, community health centers, public health departments, and community organizations via health care coalitions (HCCs). HCCs endeavor to meet the medical surge demands inherent to disasters and to improve health outcomes before, during, and after public health emergencies. Nevertheless, significant changes in health economics and policy can impact the operations, capabilities, and scope of HCCs. Specifically, hospital consolidation and the Affordable Care Act (ACA) are altering the national health care landscape, as well as the emergency preparedness sector, and are challenging HCCs to adapt to large-scale, industry-wide transformations. This article examines HCCs in the context of the developments of hospital consolidation and the ACA in order to facilitate future discourse regarding the strategy and policy of HCCs amid a changing economic and political landscape. (Disaster Med Public Health Preparedness. 2015;9:698–703)

Keywords

health policyhealth care economics and organizationshealth care coalitionsgovernmentemergency preparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 6 , December 2015 , pp. 698 - 703
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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References

1. Lurie, N. U.S. Public Health Response to the Ebola Outbreak (Statement of Nicole Lurie, MD, MSPH, Assistant Secretary for Preparedness and Response). Written Testimony House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations (November 18, 2014).Google Scholar
2. US Department of Health and Human Services, Assistant Secretary for Preparedness and Response. From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in Our Communities. http://www.phe.gov/Preparedness/planning/hpp/Documents/hpp-healthcare-coalitions.pdf. Published December 2012. Accessed August 8, 2014.Google Scholar
3. US Department of Health and Human Services, Assistant Secretary for Preparedness and Response. National Health Security Strategy and Implementation Plan. http://www.phe.gov/Preparedness/planning/authority/nhss/Documents/nhss-ip.pdf. Published December 2014. Accessed January 2015.Google Scholar
4. Dixon Hughes Goodman LLP, DHG Healthcare. What Hospital Executives Should Be Considering In Hospital Mergers And Acquisitions. http://www2.dhgllp.com/res_pubs/Hospital-Mergers-and-Acquisitions.pdf. Published 2013. Accessed August 10, 2014.Google Scholar
5. Connor, R, Dowd, B, Radcliff, T. Which types of hospital mergers save consumers money? Health Affairs. 1997;6(16):62-74. doi:10.1377/hlthaff.16.6.62.CrossRefGoogle Scholar
6. Cutler, D, Morton, F. Hospitals, market share, and consolidation. JAMA. 2013;310(18):1964-1970.Google Scholar
7. Dafny, L. Estimation and identification of merger effects: an application to hospital mergers. J Law Econ. 2009;52(3):523-550. doi:10.1086/649602.Google Scholar
8. Creswell, J, Abelsen, R. New laws and rising costs create a surge of supersized hospitals. The New York Times. http://www.nytimes.com/2013/08/13/business/bigger-hospitals-may-lead-to-bigger-bills-for-patients.html?pagewanted=all&_r=0. Published August 12, 2013. Accessed August 14, 2014.Google Scholar
9. Economies of scale and scope. The Economist. http://www.economist.com/node/12446567. Published October 20, 2008. Accessed August 8, 2014.Google Scholar
10. Gaynor, M. Health Care Industry Consolidation [Statement Before the Committee on Ways and Means Health Subcommittee, United States House of Representatives]. http://waysandmeans.house.gov/uploadedfiles/gaynor_testimony_9-9-11_final.pdf. September 9, 2011. Accessed October 2, 2014.Google Scholar
11. Birkmeyer, J, Stukel, T, Siewers, A, et al. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349(22):2117-2127. doi:10.1056/NEJMsa035205.Google Scholar
12. Federal Trade Commission. ProMedica Health System, Inc., a corporation, In the Matter of. https://www.ftc.gov/enforcement/cases-proceedings/101-0167/promedica-health-system-inc-corporation-matter. Last updated June 25, 2012. Accessed August 4, 2015.Google Scholar
13. US Department of Health and Human Services, Assistant Secretary for Planning and Evaluation. Health Insurance Marketplace 2015 Open Enrollment Period: March Enrollment Report. http://aspe.hhs.gov/health/reports/2015/MarketPlaceEnrollment/Mar2015/ib_2015mar_enrollment.pdf. Published March 10, 2015. Accessed August 4, 2015.Google Scholar
14. Sharpe, L. U.S. Uninsured Rate Rises Before Health Exchanges Open. Gallup. http://www.gallup.com/poll/165557/uninsured-rate-peaks-health-exchanges-open.aspx. Published October 24, 2013. Accessed February 9, 2015.Google Scholar
15. Levy, J. In U.S., Uninsured Rate Sinks to 12.9%. http://www.gallup.com/poll/180425/uninsured-rate-sinks.aspx. Published January 7, 2015. Accessed August 16, 2015.Google Scholar
16. Lurie, N. The inextricable relationship of emergency care, national health security/preparedness and health care reform. Ann Emerg Med. 2013;62(5):509-510.Google Scholar
17. Barr, P. Hospitals & health networks. The boomer challenge. http://www.hhnmag.com/display/HHN-news-article.dhtml?dcrPath=/templatedata/HF_Common/NewsArticle/data/HHN/Magazine/2014/Jan/cover-story-baby-boomers. Published January 14, 2014. Accessed November 9, 2014.Google Scholar
18. Congressional Budget Office. Letter to the Honorable Nancy Pelosi. http://www.cbo.gov/sites/default/files/cbofiles/ftpdocs/113xx/doc11379/amendreconprop.pdf. Published March 20, 2010. Accessed October 10, 2014.Google Scholar
19. Kaiser Family Foundation. Status of State Action on the Medicaid Expansion Decision. http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/. As of August 2015. Accessed August 16, 2015.Google Scholar
20. Definitions. Johns Hopkins Bloomberg School of Public Health website. http://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-primary-care-policy-center/definitions.html. Accessed February 9, 2015.Google Scholar
21. US Department of Health and Human Services, Health Resources and Services Administration Health Center Program. Bureau of Primary Health Care. http://bphc.hrsa.gov/about/healthcenterfactsheet.pdf. Published August 2015. Accessed August 16, 2015.Google Scholar
22. National Association of County & City Health Officials. 2013 National Profile of Local Health Departments. http://www.naccho,org/topics/infrastructure/profile/upload/2013-National-profile-of-Local-Health-Deparments-report.pdf. Published January 2014. Accessed September 18, 2014.Google Scholar
23. Policymaking, Regulation & Strategy, Health IT Rules and Regulations. Healthit.gov website. http://www.healthit.gov/policy-researchers-implementers/health-it-legislation-and-regulations. Published September 25, 2014. Accessed August 19, 2015.Google Scholar
24. DeSalvo, K, Lurie, N, Finne, K, et al. Using Medicare data to identify individuals who are electricity dependent to improve disaster preparedness and response. Am J Public Health. 2014;7(104):1160-1164. doi: 10.2105/AJPH.2014.302009.Google Scholar