Mississippi Today
Gov. Tate Reeves’ top political donors received $1.4 billion in state contracts from his agencies
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Gov. Tate Reeves’ top campaign contributors netted $1.4 billion in state contracts or grants from agencies the governor oversees, a Mississippi Today investigation found.
Of the 88 individual or corporate donors who have given Reeves’ campaigns at least $50,000, Mississippi Today identified 15 donors whose companies received a total of $1.4 billion in state contracts or grants since he took office in 2020.
The investigation reveals how private companies, whose executives routinely donate large sums to politicians, can rake in hundreds of millions in Mississippi taxpayer funds while having the ear of powerful elected officials.
Reeves, one of the most prolific political fundraisers in state history, has set numerous annual and office-specific campaign donation records. But he’s been criticized by Republican and Democratic opponents as transactional — a politician who helps those who directly help him.
The $1.4 billion total in state contracts identified by Mississippi Today does not include dozens of additional contracts the Reeves donors have received from state agencies not led by the governor. For example, the Mississippi Department of Transportation awarded the governor’s top donors at least $552 million since 2020.
The total also doesn’t include millions in incentives and tax breaks many of his top donors have received, and it doesn’t include any state contracts that Reeves donors who have given less than $50,000 may have received.
READ MORE: How we reported our investigation into state contracts awarded to Gov. Tate Reeves’ top donors
Unlike many other states, Mississippi has no general “pay-to-play” prohibition, restrictions or special reporting requirements for campaign contributions from people or companies doing business with state government.
In fact, it’s common for owners or executives of companies that reap millions of dollars a year from Mississippi taxpayers to be among the largest donors to the state’s top public officials.
And it’s not just Reeves.
The governor’s campaign has accused his Democratic challenger Brandon Presley, who has served 15 years on the Public Service Commission, of illegally accepting campaign contributions from companies that had business before the commission. One company highlighted in Reeves’ public complaints gave Presley at least $16,500 in campaign donations.
Presley did vote to grant the company approval for a project, but he and others — including one of his Republican colleagues on the commission — maintain accepting the contributions did not violate state law.
READ MORE: Solar company’s donations to Brandon Presley appear legal. But should he have accepted them?
Examples of donors whose companies received state contracts
Centene
The second largest campaign donor to Reeves is also the single largest state contract recipient — and one that recently had to settle a lawsuit claiming it overcharged state agencies.
Centene, a St. Louis-based health care company that ranks 25th on the Forbes list of top 500 companies, is the nation’s largest Medicaid managed care company. Through its subsidiary company Magnolia Health, it is the recipient of a $1.2 billion managed care contract.
Centene LLC has contributed $318,000 during Reeves’ political campaigns, including a single check for $100,000 in 2023. The Centene PAC has contributed another $44,000 over the course of Reeves’ career.
In 2022, Centene was among three companies selected by Reeves’ Division of Medicaid to continue to provide managed care services to Medicaid patients. The contracts were awarded through a blind bidding process. It is estimated the total cost of the latest Centene contract is around $1.2 billion, though those numbers are fluid based on various factors, such as the number of people enrolled in Medicaid.
Magnolia, the Centene subsidiary, has a long relationship with the Mississippi Medicaid program. Since 2017, Magnolia has received state contracts totaling more than $9 billion. Those contracts were awarded before Reeves was governor, though they came while he was lieutenant governor and serving as the presiding officer of the Senate.
Centene received its most recent contract extension after settling a lawsuit filed in 2021 by the state of Mississippi. That settlement — $55 million — came after state Auditor Shad White and Attorney General Lynn Fitch accused another Centene company of overcharging the state for prescription drugs for Medicaid patients.
In 2022, after the Centene lawsuit settlement, Republican state Rep. Becky Currie of Brookhaven offered and passed a House amendment that would have prohibited Centene from receiving another state contract. While the amendment passed the House, it died later in the legislative process.
“I am doing away with doing business with the company who took $55 million of our money that was supposed to be spent on the poor, the sick, the elderly, the mentally ill, the disabled,” Currie said of the Centene contract at the time. “Last year in 2021, Centene brought in a $126 billion profit. They are in other states, that’s not just from us. But that’s all taxpayers’ money. They don’t make anything, they don’t take care of anybody, they don’t do anything, they just get taxpayers’ money from states.”
Centene officials did not respond to requests for comment.
READ MORE: See who has donated to Tate Reeves from 2003-2023
Rob Wells and YoungWilliams
Rob Wells, the CEO of Ridgeland-based YoungWilliams law firm that receives one of the state’s largest contracts, has contributed at least $173,500 individually to Reeves going back through his political career.
Since Reeves was elected governor, the Mississippi Department of Human Services, which Reeves oversees directly, awarded YoungWilliams a $135 million state contract to collect child support payments.
In late 2020, Mississippi Today published a story revealing Wells’ contributions to Reeves and other politicians as well as questions about YoungWiliams’ contract with the state. After the article was published, Wells stopped donating individually to Reeves. But he has still found a way to get his personal political contributions to the governor.
Wells donated $120,000 to a newly formed political action committee called the MS Build PAC, according to records filed with the Secretary of State. The PAC has since diverted at least $80,000 of its funds to Reeves’ campaign.
And before Reeves’ governorship, when the Department of Human Services was overseen by former Gov. Phil Bryant, YoungWilliams had received a $58 million state contract.
Reeves was presiding over the Senate as lieutenant governor when legislation was passed to allow the child support program to be privatized, thus opening the door for the contracts received by YoungWiliams.
According to the Transparency Mississippi web page, the latest YoungWilliams contract was awarded through a competitive bidding process.
Wells did not respond to requests for comment.
Neil Forbes and Horne LLP
Neil Forbes, one of Reeves’ top political donors, is the managing partner of Horne LLP, a Ridgeland-based accounting firm that has dozens of contracts with numerous state agencies.
Since Reeves was elected governor, Horne has received at least $13 million in contracts from agencies Reeves directly oversees.
When COVID-19 gripped the state and gutted the economy, the Mississippi Department of Employment Services was overrun with unemployment requests. The federal government had appropriated millions to Mississippi and other states to supplement their own existing unemployment funds. With tens of thousands of Mississippians out of work and a huge pot of money available to assist them, the state’s employment agency needed help.
In April 2020, Forbes, on behalf of Horne, signed a $10 million contract with MDES to establish a call center and workflows to help the state with the surge of unemployment requests. Forbes signed a second contract with MDES in April 2021 that was worth $2.2 million for the same purpose.
In both cases, Reeves signed emergency orders allowing the state’s employment agency to enter into no-bid, emergency contracts with Horne. Outside those two COVID-related contracts, Horne also received an additional $455,000 in state contracts from other agencies Reeves oversees.
Forbes, who was made a managing partner of Horne in 2021, had never donated to Reeves’ campaigns before the massive COVID-era contracts came. But on Aug. 25, 2021, Forbes cut Reeves a first campaign check for $2,500. The next month, in September 2021, Forbes wrote Reeves a $10,000 check. In two separate checks in 2022, Forbes wrote another $20,000 to the governor.
Then in February of 2023, just two weeks after Presley announced he would challenge Reeves’ bid for reelection, Forbes wrote Reeves a $25,000 check.
While Forbes began writing checks to the governor, so did his wife. Avery Forbes wrote Reeves a $5,000 check in July 2022 — also her first to the governor. And on April 27, 2023, she wrote Reeves a $25,000 check.
In total, the Forbeses, who had never given to Reeves before Neil Forbes became managing partner at Horne in 2021, have given the governor’s campaign $87,500 in contributions.
Neil Forbes did not respond to requests for comment.
Covington Civil & Environmental
Covington Civil and Environmental, an engineering consultant firm with offices in Gulfport and Mobile, is one of Reeves’ largest donors.
The company has donated more than $66,000 to his campaigns. Company officials and related LLC’s have also given thousands more to Reeves.
Covington, despite having little experience at the time in environmental restoration, garnered contracts worth $36 million from former Gov. Phil Bryant’s administration from the state’s $2.2 billion settlement over the Deepwater Horizon oil disaster in 2010.
Under Reeves’ administration, Covington has gotten $792,000 in contracts, including a $500,000 no-bid contract from Reeves’ Department of Finance and Administration to help supervise the state’s federally funded broadband internet expansion efforts.
Covington did not respond to requests for comment.
Other states limit political donations from contractors
Some states, including California, Connecticut, Hawaii, Kentucky, New Jersey, Ohio, South Carolina and West Virginia, have prohibitions or strict limits on campaign donations by government contractors to politicians. Others, including Maryland, New Mexico, Pennsylvania and Rhode Island have special campaign donation reporting requirements for companies and their officers who contribute to candidates.
In the early 2000s, numerous states and large cities considered or enacted pay-to-play restrictions or prohibitions. Often these were in reaction to scandals or corruption.
But since the 2010 U.S. Supreme Court Citizens United ruling, there has been less of a push for such limitations. In that case the high court held First Amendment freedom of speech prohibits the government from restricting independent expenditures by corporations on behalf of political campaigns. Some state courts followed suit. For example, in Colorado, a constitutional amendment passed by voters prohibiting sole-source state contractors and their families from contributing to campaigns was struck down as unconstitutional by the state’s Supreme Court.
Reform supporters say unregulated political contributions present a real danger of corruption, or at least the appearance of corruption, in government contracting. Opponents of such laws say prohibitions or restrictions on campaign contributions by government contractors limit their freedom of speech.
Mississippi’s campaign finance, lobbying and ethics laws and reporting requirements are notably weak, and contained in a piecemeal patchwork of confusing — and some conflicting — laws passed over many years. But even if Mississippi had stricter campaign finance laws, it’s unclear who might enforce them.
The secretary of state’s office and Ethics Commission have for years said they lack enforcement or investigative authority. The secretary of state’s office is responsible for receiving campaign finance reports but serves mainly as a repository, with no real investigative or enforcement authority. The Ethics Commission, after some changes to laws in recent years, appears to have some authority, but it’s unclear.
“It’s a mess,” state Ethics Commission Director Tom Hood said recently of Mississippi’s campaign finance laws. “Changes (to the law) have been made multiple times over multiple years, and it’s like trying to put together a jigsaw puzzle that doesn’t fit.”
Attorney General Lynn Fitch, as the state’s top law officer, runs the only state agency with clear authority to investigate and prosecute campaign finance violations. But Fitch, like her recent predecessors, has shown little interest in investigating or prosecuting complaints and enforcing campaign finance laws.
Mississippi attorney general actions on campaign finances or lobbying over the years have been so rare that, when they do happen, they bring outcry of selective enforcement.
Most often, campaign finance violations go unchecked, leaving the state political system open to the corrosive influence of special interest money.
Mississippi’s system also lacks transparency. For instance, unlike all neighboring states, Mississippi’s campaign finance reports are not electronically searchable. They are PDF files, and some politicians still submit hand-written reports. One in recent years submitted hers in calligraphy.
Mississippi allows politicians (except some judges) to take unlimited campaign contributions from individuals, LLCs and PACs. While there is a $1,000-a-year limit on corporate donations, this is easily sidestepped by corporate officers or lobbyists donating large amounts.
State lawmakers for many years have been loath to enact meaningful reform, transparency or oversight of the intersection of politics and money. This leaves the door wide open for corruption.
Numerous complaints about Mississippi money in politics
This year’s statewide campaign cycle has seen numerous complaints about alleged campaign finance violations, in several races besides the gubernatorial one. Earlier this year, out-of-state dark money groups pumped more than $1.4 million into the Republican primary race for Mississippi lieutenant governor, in support of unsuccessful GOP candidate Chris McDaniel. Incumbent Lt. Gov. Delbert Hosemann filed legal complaints with the AG’s office.
There have been other questions about Public Service Commission candidate campaign finances this election cycle. PSC candidates face stricter campaign finance laws, enacted by state lawmakers years ago after past scandals and corruption with the utility regulating authority. PSC candidates are prohibited from taking contributions from officers of public utilities whose rates the commission sets.
The Magnolia Tribune in June questioned a donation to gubernatorial candidate Presley from a regulated utility. Presley returned the $500 donation, saying it was mistakenly accepted. The publication also questioned donations to Presley and Central District Public Service Commissioner Brent Bailey from a law firm that represents the PSC, with its fees paid by Entergy, a regulated power company.
Both Bailey and Presley have denied their questioned contributions fall under the PSC campaign finance prohibition. A solar company that donated to Presley is threatening to sue Reeves over ads he is running saying its donations to Presley were illegal.
In the Southern District PSC race, challenger Wayne Carr — who defeated incumbent Republican Commissioner Dane Maxwell in the primary — claimed Maxwell took $18,000 in illegal contributions from PSC-regulated utilities or affiliates and failed to report thousands in campaign spending. Maxwell denied any wrongdoing, but returned some of the donations, saying he unknowingly accepted some he shouldn’t have.
The complaints of legally questionable spending and reporting prompted calls for Fitch to investigate, and for reform in state campaign finance laws.
Both incumbent Republicans Hosemann and Secretary of State Michael Watson have vowed to push campaign finance reform in the 2024 Legislature. Presley has made such reform a main plank in his platform during his 2023 gubernatorial campaign.
One area that will likely be debated by lawmakers is what elected official or agency would investigate and enforce campaign finance complaints and regulations. In numerous other states, ethics commissions or special commissions oversee such operations. In some states, elected officials such as secretaries of state have such responsibility.
Hood recently said he’s not pushing lawmakers for large increases in funding or authority for the Mississippi’s Ethics Commission. But he would like for laws and responsibilities to be clearer, particularly with campaign finance issues.
“Somebody needs to have clear authority and responsibility to enforce the law — that would be a good first step,” Hood said.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
If Tate Reeves calls a tax cut special session, Senate has the option to do nothing
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An illness is spreading through the Mississippi Capitol: special session fever.
Speculation is rampant that Gov. Tate Reeves will call a special session if the Senate does not acquiesce to his and the House leadership’s wishes to eliminate the state personal income tax.
Reeves and House leaders are fond of claiming that the about 30% of general fund revenue lost by eliminating the income tax can be offset by growth in other state tax revenue.
House leaders can produce fancy charts showing that the average annual 3% growth rate in state revenue collections can more than offset the revenue lost from a phase out of the income tax.
What is lost in the fancy charts is that the historical 3% growth rate in state revenue includes growth in the personal income tax, which is the second largest source of state revenue. Any growth rate will entail much less revenue if it does not include a 3% growth in the income tax, which would be eliminated if the governor and House leaders have their way. This is important because historically speaking, as state revenue grows so does the cost of providing services, from pay to state employees, to health care costs, to transportation costs, to utility costs and so on.
This does not even include the fact that historically speaking, many state entities providing services have been underfunded by the Legislature, ranging from education to health care, to law enforcement, to transportation. Again, the list goes on and on.
And don’t forget a looming $25 billion shortfall in the state’s Public Employee Retirement System that could create chaos at some point.
But should the Senate not agree to the elimination of the income tax and Reeves calls a special session, there will be tremendous pressure on the Senate leadership, particularly Lt. Gov. Delbert Hosemann, the chamber’s presiding officer.
Generally speaking, a special session will provide more advantages for the eliminate-the-income-tax crowd.
First off, it will be two against one. When the governor and one chamber of the Legislature are on the same page, it is often more difficult for the other chamber to prevail.
The Mississippi Constitution gives the governor sole authority to call a special session and set an agenda. But the Legislature does have discretion in how that agenda is carried out.
And the Legislature always has the option to do nothing during the special session. Simply adjourn and go home is an option.
But the state constitution also says if one chamber is in session, the other house cannot remain out of session for more than three days.
In other words, theoretically, the House and governor working together could keep the Senate in session all year.
In theory, senators could say they are not going to yield to the governor’s wishes and adjourn the special session. But if the House remained in session, the Senate would have to come back in three days. The Senate could then adjourn again, but be forced to come back if the House stubbornly remained in session.
The process could continue all year.
But in the real world, there does not appear to be a mechanism — constitutionally speaking — to force the Senate to come back. The Mississippi Constitution does say members can be “compelled” to attend a session in order to have a quorum, but many experts say that language would not be relevant to make an entire chamber return to session after members had voted to adjourn.
In the past, one chamber has failed to return to the Capitol and suffered no consequences after the other remained in session for more than three days.
As a side note, the Mississippi Constitution does give the governor the authority to end a special session should the two chambers not agree on adjournment. In the early 2000s, then-Gov. Ronnie Musgrove ended a special session when the House and Senate could not agree on a plan to redraw the state’s U.S. House districts to adhere to population shifts found by the U.S. Census.
But would Reeves want to end the special session without approval of his cherished income tax elimination plan?
Probably not.
In 2002 there famously was an 82-day special session to consider proposals to provide businesses more protection from lawsuits. No effort was made to adjourn that session. It just dragged on until the House finally agreed to a significant portion of the Senate plan to provide more lawsuit protection.
In 1969, a special session lasted most of the summer when the Legislature finally agreed to a proposal of then-Gov. John Bell Williams to opt into the federal Medicaid program.
In both those instances, those wanting something passed — Medicaid in the 1960s and lawsuit protections in the 2000s — finally prevailed.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
On this day in 1898
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Feb. 22, 1898
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Frazier Baker, the first Black postmaster of the small town of Lake City, South Carolina, and his baby daughter, Julia, were killed, and his wife and three other daughters were injured when a lynch mob attacked.
When President William McKinley appointed Baker the previous year, local whites began to attack Baker’s abilities. Postal inspectors determined the accusations were unfounded, but that didn’t halt those determined to destroy him.
Hundreds of whites set fire to the post office, where the Bakers lived, and reportedly fired up to 100 bullets into their home. Outraged citizens in town wrote a resolution describing the attack and 25 years of “lawlessness” and “bloody butchery” in the area.
Crusading journalist Ida B. Wells wrote the White House about the attack, noting that the family was now in the Black hospital in Charleston “and when they recover sufficiently to be discharged, they) have no dollar with which to buy food, shelter or raiment.
McKinley ordered an investigation that led to charges against 13 men, but no one was ever convicted. The family left South Carolina for Boston, and later that year, the first nationwide civil rights organization in the U.S., the National Afro-American Council, was formed.
In 2019, the Lake City post office was renamed to honor Frazier Baker.
“We, as a family, are glad that the recognition of this painful event finally happened,” his great-niece, Dr. Fostenia Baker said. “It’s long overdue.”
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
Mississippi Today
Memorial Health System takes over Biloxi hospital, what will change?
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by Justin Glowacki with contributions from Rasheed Ambrose, Javion Henry, McKenna Klamm, Matt Martin and Aidan Tarrant
BILOXI – On Feb. 1, Memorial Health System officially took over Merit Health Biloxi, solidifying its position as the dominant healthcare provider in the region. According to Fitch Ratings, Memorial now controls more than 85% of the local health care market.
This isn’t Memorial’s first hospital acquisition. In 2019, it took over Stone County Hospital and expanded services. Memorial considers that transition a success and expects similar results in Biloxi.
However, health care experts caution that when one provider dominates a market, it can lead to higher prices and fewer options for patients.
Expanding specialty care and services
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One of the biggest benefits of the acquisition, according to Kristian Spear, the new administrator of Memorial Hospital Biloxi, will be access to Memorial’s referral network.
By joining Memorial’s network, Biloxi patients will have access to more services, over 40 specialties and over 100 clinics.
“Everything that you can get at Gulfport, you will have access to here through the referral system,” Spear said.
One of the first improvements will be the reopening of the Radiation Oncology Clinic at Cedar Lake, which previously shut down due to “availability shortages,” though hospital administration did not expand on what that entailed.
“In the next few months, the community will see a difference,” Spear said. “We’re going to bring resources here that they haven’t had.”
Beyond specialty care, Memorial is also expanding hospital services and increasing capacity. Angela Benda, director of quality and performance improvement at Memorial Hospital Biloxi, said the hospital is focused on growth.
“We’re a 153-bed hospital, and we average a census of right now about 30 to 40 a day. It’s not that much, and so, the plan is just to grow and give more services,” Benda said. “So, we’re going to expand on the fifth floor, open up more beds, more admissions, more surgeries, more provider presence, especially around the specialties like cardiology and OB-GYN and just a few others like that.”
For patient Kenneth Pritchett, a Biloxi resident for over 30 years, those changes couldn’t come soon enough.
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Pritchett, who was diagnosed with congestive heart failure, received treatment at Merit Health Biloxi. He currently sees a cardiologist in Cedar Lake, a 15-minute drive on the interstate. He says having a cardiologist in Biloxi would make a difference.
“Yes, it’d be very helpful if it was closer,” Pritchett said. “That’d be right across the track instead of going on the interstate.”
Beyond specialty services and expanded capacity, Memorial is upgrading medical equipment and renovating the hospital to improve both function and appearance. As far as a timeline for these changes, Memorial said, “We are taking time to assess the needs and will make adjustments that make sense for patient care and employee workflow as time and budget allow.”
Unanswered questions: insurance and staffing
As Memorial Health System takes over Merit Health Biloxi, two major questions remain:
- Will patients still be covered under the same insurance plans?
- Will current hospital staff keep their jobs?
Insurance Concerns
Memorial has not finalized agreements with all insurance providers and has not provided a timeline for when those agreements will be in place.
In a statement, the hospital said:
“Memorial recommends that patients contact their insurance provider to get their specific coverage questions answered. However, patients should always seek to get the care they need, and Memorial will work through the financial process with the payers and the patients afterward.”
We asked Memorial Health System how the insurance agreements were handled after it acquired Stone County Hospital. They said they had “no additional input.”
What about hospital staff?
According to Spear, Merit Health Biloxi had around 500 employees.
“A lot of the employees here have worked here for many, many years. They’re very loyal. I want to continue that, and I want them to come to me when they have any concerns, questions, and I want to work with this team together,” Spear said.
She explained that there will be a 90-day transitional period where all employees are integrated into Memorial Health System’s software.
“Employees are not going to notice much of a difference. They’re still going to come to work. They’re going to do their day-to-day job. Over the next few months, we will probably do some transitioning of their computer system. But that’s not going to be right away.”
The transition to new ownership also means Memorial will evaluate how the hospital is operated and determine if changes need to be made.
“As we get it and assess the different workflows and the different policies, there will be some changes to that over time. Just it’s going to take time to get in here and figure that out.”
During this 90-day period, Erin Rosetti, Communications Manager at Memorial Health System said, “Biloxi employees in good standing will transition to Memorial at the same pay rate and equivalent job title.”
Kent Nicaud, President and CEO of Memorial Health System, said in a statement that the hospital is committed to “supporting our staff and ensuring they are aligned with the long-term vision of our health system.”
What research says about hospital consolidations
While Memorial is promising improvements, larger trends in hospital mergers raise important questions.
Research published by the Rand Corporation, a nonprofit, nonpartisan research organization, found that research into hospital consolidations reported increased prices anywhere from 3.9% to 65%, even among nonprofit hospitals.
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The impact on patient care is mixed. Some studies suggest merging hospitals can streamline services and improve efficiency. Others indicate mergers reduce competition, which can drive up costs without necessarily improving care.
When asked about potential changes to the cost of care, hospital leaders declined to comment until after negations with insurance companies are finalized, but did clarify Memorial’s “prices are set.”
“We have a proven record of being able to go into institutions and transform them,” said Angie Juzang, Vice President of Marketing and Community Relations at Memorial Health System.
When Memorial acquired Stone County Hospital, it expanded the emergency room to provide 24/7 emergency room coverage and renovated the interior.
When asked whether prices increased after the Stone County acquisition, Memorial responded:
“Our presence has expanded access to health care for everyone in Stone County and the surrounding communities. We are providing quality healthcare, regardless of a patient’s ability to pay.”
The response did not directly address whether prices went up — leaving the question unanswered.
The bigger picture: Hospital consolidations on the rise
According to health care consulting firm Kaufman Hall, hospital mergers and acquisitions are returning to pre-pandemic levels and are expected to increase through 2025.
Hospitals are seeking stronger financial partnerships to help expand services and remain stable in an uncertain health care market.
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Source: Kaufman Hall M&A Review
Proponents of hospital consolidations argue mergers help hospitals operate more efficiently by:
- Sharing resources.
- Reducing overhead costs.
- Negotiating better supply pricing.
However, opponents warn few competitors in a market can:
- Reduce incentives to lower prices.
- Slow wage increases for hospital staff.
- Lessen the pressure to improve services.
Leemore Dafny, PhD, a professor at Harvard and former deputy director for health care and antitrust at the Federal Trade Commission’s Bureau of Economics, has studied hospital consolidations extensively.
In testimony before Congress, she warned: “When rivals merge, prices increase, and there’s scant evidence of improvements in the quality of care that patients receive. There is also a fair amount of evidence that quality of care decreases.”
Meanwhile, an American Hospital Association analysis found consolidations lead to a 3.3% reduction in annual operating expenses and a 3.7% reduction in revenue per patient.
This article first appeared on Mississippi Today and is republished here under a Creative Commons license.
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