Journal of Healthcare Management - January/February 2013 - (Page 15)

Post-acute care and Vertical Integration after the Patient Protection and affordable care act Patrick D. Shay, doctoral candidate, Virginia Commonwealth University, Richmond, and Stephen S. Mick, PhD, FACHE, professor, Department of Health Administration, Virginia Commonwealth University E X E C U t i V E S U M M a r Y The anticipated changes resulting from the passage of the Patient Protection and affordable care act—including the proposed adoption of bundled payment systems and the promotion of accountable care organizations—have generated considerable controversy as U.S. healthcare industry observers debate whether such changes will motivate vertical integration activity. Using examples of accountable care organizations and bundled payment systems in the american post-acute healthcare sector, this article applies economic and sociological perspectives from organization theory to predict that as acute care organizations vary in the degree to which they experience environmental uncertainty, asset specificity, and network embeddedness, their motivation to integrate post-acute care services will also vary, resulting in a spectrum of integrative behavior. for more information on the concepts in this article, please contact mr. Shay at shayp@vcu.edu. 15

Table of Contents for the Digital Edition of Journal of Healthcare Management - January/February 2013

Journal of Healthcare Management
Interview
Reform
Integrated Health Systems
Post-Acute Care and Vertical Integration After the Patient Protection and Affordable Care Act
Challenges and Facilitators of Community Clinical Oncology Program Participation: A Qualitative Study
The Application of Hospitality Elements in Hospitals
Thirty-Day Readmission Rates as a Measure of Quality: Causes of Readmission After Orthopedic Surgeries and Accuracy of Administrative Data
Abstract from the Academy of Management

Journal of Healthcare Management - January/February 2013