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Employer Consolidation and Wages: Evidence from Hospitals

Elena Prager, Matt Schmitt

American Economic Review · 2021 · Volume 111 · Issue 2

DOI: 10.1257/aer.20190690

Abstract

We test whether wage growth slows following employer consolidation by examining hospital mergers. We find evidence of reduced wage growth in cases where both (i) the increase in concentration induced by the merger is large and (ii) workers' skills are industry-specific. In all other cases, we fail to reject zero wage effects. We consider alternative explanations and find that the observed patterns are unlikely to be explained by merger-related changes besides labor market power. Wage growth slowdowns are attenuated in markets with strong labor unions, and wage growth does not decline after out-of-market mergers that leave local employer concentration unchanged.

Keywords

Mergers, Acquisitions, Restructuring, Voting, Proxy Contests, Corporate Governance, Analysis of Health Care Markets, Time Allocation and Labor Supply, Human Capital, Skills, Occupational Choice, Labor Productivity, Wage Level and Structure, Wage Differentials, Monopsony, Segmented Labor Markets, Other Spatial Production and Pricing Analysis

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