Hospital Consolidation in Washington State

Abstract

This study examines the impact of hospital consolidations in Washington State using a qualitative research approach. Seven in-depth interviews were conducted with medical professionals who have firsthand experience with or insights into hospital mergers. Common themes emerged across these interviews, highlighting significant concerns related to the loss of patient-centered care, increased prioritization of investor profits, cultural shifts within institutions, staff reductions, unchecked expansion, and the erosion of physician and community governance. Based on the insights gathered, the study concludes with policy recommendations aimed at mitigating these impacts, including strengthening merger oversight, mandating financial and pricing transparency, reinforcing clinical autonomy, and preventing harmful vertical integration.