All ETDs from UAB

Advisory Committee Chair

Christy H Lemak

Advisory Committee Members

Nir Menachemi

Larry Hearld

Nataliya Ivankova

Bisakha Sen

Document Type


Date of Award


Degree Name by School

Doctor of Philosophy (PhD) School of Health Professions


The purpose of this dissertation was to examine the antecedents and outcomes of hospital vertical integration into Sub-Acute Care (SAC). Using a sequential quanqual mixed methods design, we examined why hospitals adopt a vertical integration strategy and the relationship this strategy has to performance. Findings from this dissertation are important to hospital administrators as they seek to find ways to respond to the changing payment structures established during the Affordable Care Act. The results of this dissertation suggest that not all market and organizational factors are associated with vertical integration strategies toward SAC. They also suggest that vertical integration into SAC may enable organizations to better manage some types of patients as they transition to from acute care to SAC. Lastly, our findings also suggest that organizations that choose to vertically integrate into SAC do not experience better financial performance. The findings of this study are of significant interest to policymakers and practitioners as they seek to improve outcomes for patients who transition between acute care and SAC.



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