Series of buildings "eating" smaller buildings The same week the report was released, word came that a coalition of stakeholders and a stage regulatory agency had helped block the state’s largest hospital system from an expansion plan.

In a new study, researchers linked the growth of vertical integration with price increases for care in Massachusetts.

The study in Health Affairs noted that vertical integration—where physicians consolidate their services—has been seen as a way to integrate care and create efficiencies. In practice, though, several studies have shown that integration, especially with large health systems, is often linked with higher cost care.

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