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Center for Advancing Health Policy through Research

Markets and Competition

Over 70% of U.S. physicians are now employed by corporate entities, health systems, or private equity–backed firms. These shifts are reshaping how care is delivered, priced, and accessed.

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Our Markets & Competition Portfolio

Dive into our work on markets and competition — from academic research to policy briefs and real-world commentary.

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Have a question or want to get in touch with us?

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Markets and Competition

Over 70% of U.S. physicians are now employed by corporate entities, health systems, or private equity–backed firms. These shifts are reshaping how care is delivered, priced, and accessed.

About the Markets and Competition Lab

The Markets and Competition Lab examines how evolving ownership models and financial incentives influence health care prices, quality, and market structure. Ongoing projects span private equity investment, vertical integration, hospital price regulation, and insurer market dynamics. Our research bridges economics, law, and policy to identify strategies that maintain a competitive and equitable health care system.

The Big Questions

  • How can states and the federal government control health care spending without compromising access?
  • What are the trends in the corporatization of medicine, and who are the main financial players?
  • How do ownership changes affect quality, workforce stability, and patient outcomes?
  • What policies can effectively address rising health care consolidation?

Featured Work

Recent Publications

  • Commercial Insurers Paid More For Procedures At Hospital Outpatient Departments Than At Ambulatory Surgical Centers
  • Hospital- And Private Equity–Affiliated Specialty Physicians Negotiate Higher Prices Than Independent Physicians
  • Pharmaceutical Wholesalers — Under-the-Radar Middlemen?
  • Growth of Hospital Affiliations in California: Impact on Hospital Charges and Quality

Events & Policy Discussions

  • Roundtable: Profit Over Quality: Examining the Effects of Private Equity on Veteran Healthcare
  • Higher Costs, Less Competition: The Rise of Vertical Integration in the U.S. Health Care System
  • Understanding Site-Neutral Payment Policies – A Potential Path to Reduce Healthcare Costs
  • Private Equity Investments in Physician Practices in Maryland

Visualizing the Impact of the Hospital Payment Caps

The Hospital Payment Cap Simulator provides anyone from policymakers to researchers with insights into how much state employee plans across the US could save from hospital payment caps and the impact on commercial hospital operating margins.

Explore the tool

From Statehouses to Capitol Hill

Turning Evidence Into Policy

  • Our Work in Federal Policy
  • Our Work in State Policy

Experts

  • Chris Whaley

    Christopher M. Whaley Ph.D.

    Markets and Competition Lab Lead, Associate Professor of Health Services, Policy & Practice
    christopher_whaley@brown.edu
  • arnold

    Daniel Arnold Ph.D.

    Senior Research Scientist
    daniel_arnold@brown.edu
  • Jason Buxbaum

    Jason Buxbaum Ph.D., MHSA

    Assistant Professor of Health Services, Policy & Practice
    jason_buxbaum@brown.edu
  • Roslyn C. Murray

    Roslyn C. Murray Ph.D., MPP

    Assistant Professor of Health Services, Policy & Practice
    roslyn_murray@brown.edu
  • Singh

    Yashaswini Singh Ph.D.

    Assistant Professor of Health Services, Policy & Practice
    yashaswini_singh@brown.edu

Recent News

show all markets & Competition news
Axios

Medicaid autism therapy boom triggers crackdown

March 16, 2026
By Maya Goldman
Read Article
WHYY

Delaware lawmakers try again to cap the state’s excessive hospital costs

March 15, 2026
By Sarah Mueller
Read Article
Bloomberg Law

Merchant Cash Advances Surface in Health-Care Bankruptcies

March 13, 2026
By Angelica Serrano-Roman
Read Article
The Economist

Two Very Different States Take Aim at Soaring Hospital Price

March 12, 2026
But are price controls the answer?
Read Article
Bloomberg

How a Die-Hard Libertarian Is Negotiating Lower Health-Care Costs

March 10, 2026
By Rowan Moore Gerety
Read Article
NC Health News

A new perk for state workers: free surgery

March 9, 2026
by Michelle Crouch and Charlotte Ledger
Read Article

Our funders:

Arnold Ventures logo

Commonwealth Fund logo

NIHCM Foundation logo

Patient Rights Advocate

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Our Markets & Competition Portfolio

Dive into our work on markets and competition — from academic research to policy briefs and real-world commentary.

View all
CAHPR logo

Have a question or want to get in touch with us?

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

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