Skip to Main Content
Brown University
School of Public Health Brown University

Center for Advancing Health Policy through Research

Search Menu

Site Navigation

  • Home
  • About
  • Research
    • Traditional Medicare
    • Medicare Advantage
    • Markets and Consolidation
    • State Policies to Enhance Competition and Affordability
    • Research Unplugged
    • Working Papers
  • Policy Tools
    • Hospital Payment Cap Simulator
    • Newsletters & Research Summaries
    • Policy Briefs
    • Public Comments
    • Testimonies & Briefings
  • Events and Programs
    • Launch Events (Providence x DC)
    • Policy Discussions
    • Health Data Science Summer Fellowship Program
    • Seminar Series
  • People
    • Leadership
    • Faculty and Staff
    • Trainees
    • Center Spotlight
  • CAHPR in the Media
  • Work with us
Search
Center for Advancing Health Policy through Research

Higher Costs, Less Competition: The Rise of Vertical Integration in the U.S. Health Care System

Brown 2026 logo

This event is proud to be a part of the Brown 2026 intitiative

Learn more

Higher Costs, Less Competition: The Rise of Vertical Integration in the U.S. Health Care System

About the Event

In recent years, the U.S. healthcare system has experienced a significant increase in vertical integration, including hospitals acquiring physician practices, health systems expanding into outpatient services, and private equity firms driving vertical integration across various sectors. These trends have contributed to changes in the organization and delivery of care, with implications for healthcare spending, access, and quality. Vertical integration has raised questions about its impact on competition and costs, particularly in markets with concentrated hospital ownership. 

The corporatization of physician practice markets, driven by integration and investment, has introduced new dynamics into healthcare, including shifts in provider autonomy and operational priorities. Researchers at the Brown University School of Public Health’s Center for Advancing Health Policy through Research (CAHPR) are studying these trends to better understand their effects on spending, access, and quality. Ongoing research aims to provide evidence on how these changes shape the healthcare landscape and their implications for patients and providers.

Key Topics Explored

  • The growing prevalence of vertical integration and its impact on market competition
  • How integration affects healthcare costs, provider autonomy, and access to care
  • Policy strategies to address challenges posed by vertical integration and consolidation
https://www.youtube.com/embed/eotYiOWW6w8
Ashish Jha
1 of 8

Opening address by Dr. Ashish K. Jha, Dean of the Brown University School of Public Health

Jonathan Kanter
2 of 8

Jonathan Kanter delivering the keynote address

Elizabeth Warren
3 of 8

Virtual keynote address by US Senator Elizabeth Warren

The panelists
4 of 8

Left to right: Erin Fuse Brown, Christopher Whaley, Hayden Rooke-Ley, Aditi Sen, and Conor Sheehey

Aditi Sen and Conor Sheehey
5 of 8

Aditi Sen (left) and Conor Sheehey (right)

Panelist
6 of 8

Left to right: Erin Fuse Brown, Christopher Whaley, and Hayden Rooke-Ley

Attendees
7 of 8

Event attendees at the National Press Club

left to right: Jonathan Kanter, Marco Fernandez, and Hayden Rooke-Ley
8 of 8

left to right: Jonathan Kanter, Marco Fernandez, and Hayden Rooke-Ley

Welcome Remarks

Dr. Ashish K. Jha, Dean of the Brown University School of Public Health

Visit Page

Keynote Speakers

Jonathan Kanter, former Assistant Attorney General for the Antitrust Division of the U.S. Department of Justice

Visit Page

Elizabeth Warren, U.S. Senator for Massachusetts (virtual keynote)

Visit Page

Panelists

Dr. Christopher Whaley, Associate Professor of Health Services, Policy and Practice, Brown University School of Public Health

Visit Page

Hayden Rooke-Ley, Policy Fellow at the Brown University School of Public Health

Visit Page

Aditi Sen, Chief, Health Policy Studies Unit, Congressional Budget Office

Visit Page

Conor Sheehey, Director, Leavitt Partners

Visit Page

Moderator

Erin Fuse Brown, Professor of Health Services, Policy and Practice, Brown University School of Public Health

Visit Page
Brown 2026 logo

This event is proud to be a part of the Brown 2026 intitiative

Learn more
Brown University School of Public Health
Providence RI 02903 401-863-3375 public_health@brown.edu

Quick Navigation

  • Newsletter
  • Visit Brown
  • Campus Map

Footer Navigation

  • Accessibility
  • Careers at Brown
Give To Brown

© Brown University

School of Public Health Brown University
For You
Search Menu

Mobile Site Navigation

    Mobile Site Navigation

    • Home
    • About
    • Research
      • Traditional Medicare
      • Medicare Advantage
      • Markets and Consolidation
      • State Policies to Enhance Competition and Affordability
      • Research Unplugged
      • Working Papers
    • Policy Tools
      • Hospital Payment Cap Simulator
      • Newsletters & Research Summaries
      • Policy Briefs
      • Public Comments
      • Testimonies & Briefings
    • Events and Programs
      • Launch Events (Providence x DC)
      • Policy Discussions
      • Health Data Science Summer Fellowship Program
      • Seminar Series
    • People
      • Leadership
      • Faculty and Staff
      • Trainees
      • Center Spotlight
    • CAHPR in the Media
    • Work with us
All of Brown.edu People
Advanced Search
Close Search

Higher Costs, Less Competition: The Rise of Vertical Integration in the U.S. Health Care System