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. 2025 May 1;8(5):e2516188.
doi: 10.1001/jamanetworkopen.2025.16188.

Negotiated Prices for Care at Independent and System-Affiliated Rural Hospitals

Cody Lendon Mullens  1   2 , Mitchell Mead  3   4 , James D Lee  2   5 , Janice C Probst  6 , Justin B Dimick  1   3 , Andrew M Ibrahim  1   3
Affiliations

Negotiated Prices for Care at Independent and System-Affiliated Rural Hospitals

Cody Lendon Mullens et al. JAMA Netw Open. .
No abstract available

Plain language summary

This cohort study assesses whether negotiated prices for procedural and imaging services differ at independent vs system-affiliated rural hospitals.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Dimick reported having owner’s equity in ArborMetrix Inc outside the submitted work. Dr Ibrahim reported receiving grants from the Agency for Healthcare Research and Quality (AHRQ) and grants from the National Institutes of Health/National Institute of Diabetes and Digestive and Kidney Diseases during the conduct of the study. No other disclosures were reported.

References

    1. Center for Healthcare Quality and Payment Reform. The Crisis in Rural Healthcare. Accessed January 5, 2025. http://www.ruralhospitals.org.
    1. Mullens CL, Mead M, Kalata S, Nathan H, Ibrahim AM. Evaluation of prices for surgical procedures within and outside hospital networks in the US. JAMA Netw Open. 2023;6(2):e2255849. doi:10.1001/jamanetworkopen.2022.55849 - DOI - PMC - PubMed
    1. Chang JY, Martin K. Commercial inpatient hospital price growth driven by system affiliation and nonprofit-status hospitals. Health Aff Sch. 2024;2(11):qxae140. doi:10.1093/haschl/qxae140 - DOI - PMC - PubMed
    1. Bai G, Yehia F, Chen W, Anderson GF. Varying trends in the financial viability of US rural hospitals, 2011–17: study examines the financial viability of 1,004 US rural hospitals that had consistent rural status in 2011–17. Health Aff (Millwood). 2020;39(6):942-948. doi:10.1377/hlthaff.2019.01545 - DOI - PubMed
    1. O’Hanlon CE, Kranz AM, DeYoreo M, Mahmud A, Damberg CL, Timbie J. Access, quality, and financial performance of rural hospitals following health system affiliation. Health Aff (Millwood). 2019;38(12):2095-2104. doi:10.1377/hlthaff.2019.00918 - DOI - PMC - PubMed