如今,医疗改革给合并上的压力再加一码。奥巴马方案一方面要求医院在技术方面下重金,另一方面却不管政府在医疗费用上日销月铄。医院将越来越能显示出政府公共事业机构的建设质量。小医院可能会努力满足需求,大公司将会尽力提高医疗条件,此外,富国银行的盖里?利伯曼还说,现在正是兼并交涉的大好时机。信用市场为医疗集团集资提供的有利的条件。由于经济危机,有相当数量的非营利性医院待售。社区保健医院对泰尼特保健的收购是正在酝酿中的一笔最大的买卖:并购后的公司将产生220亿美元的年收入,仅次于美国医院社团。除此之外,还有大量的小型并购正在进行中。去年一年中,先锋卫生系统公司它在底特律、芝加哥、亚利桑那州均收购了医院,它于上月申请首次公开募股,并很有可能用一部分或者全部的募股资金来收购更多的医院。
Big hospital operators must still grapple with Obamacares new requirements. And in somecases, growing larger brings its own challenges. Vicki Bryan of Gimme Credit, a bond-researchfirm, worries that Vanguards shopping spree have left itwith excessive borrowings. Another worry is that although there are many benefits to beingbig, realising them takes time. HCAs recently improved earnings, Ms Bryan contends, are largelydue to changes in accounting and billing models. Tenet says Community has boosted revenueby keeping patients in hospital unnecessarily; Community denies this vehemently.
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