HospSysDigest2015

SANOFI / MANAGED CARE DIGEST SERIES

WHERE INFORMATION BECOMES INTELLIGENCE

™

HOSPITALS/SYSTEMS DIGEST 2015

INTRODUCT ION

The

hospital

segment profiles the 5,214

acute-care hospitals operating across the nation,

and tracks demographic data by geographic

region, size, ownership type and multihospital

system (MHS) affiliation. Utilization measures for

these facilities highlight the effects of patient

care coordination efforts and other factors.

The Digest examines financial measures as well,

such as operating expenses and cost ratios at

hospitals. This segment also features Medicare

reimbursement rates by chronic disease category.

Hospital pharmaceutical costs and retail

pharmacy metrics provide additional context,

and prescription activity is tracked across a

broad range of therapeutic classes.

The

multihospital system

and

integrated system

segments provide demographic, utilization,

financial and pharmacy data on hospital chains

and the multitude of providers participating

in these systems. Detailed demographic and

utilization data are provided on the 20 largest

MHSs, along with medical and pharmacy data on

health maintenance organizations (HMOs) owned

by an MHS. Given the importance of system

integration to health care reform initiatives, this

section includes data that identify the initiators

of, and provider units operating within, these

important networks. Selected integrated systems

and the facilities they encompass are profiled,

and system and nonsystem hospitals in the most

populated metropolitan statistical areas (MSAs)

are juxtaposed to provide additional information

on the effects of system affiliation.

The

medical group practice

portion of the

Hospitals/Systems Digest

features a key set of

demographic, utilization and pharmacy service

measures on practices with at least five full-time-

equivalent physicians, including those affiliated

with integrated systems. Twelve common

specialties are reviewed, and practices are often

broken out by size, visits per week, affiliation and

geography. The medical and pharmacy services

provided by these practices, such as imaging,

laboratory and surgical offerings, are likewise

discussed in detail in this section.

Backgrounders

at the beginning of each section

of the

Hospitals/Systems Digest

define the health

care segment under examination

bringing focus

on the forces effecting change in that sector of

the industry.

Key takeaways

at the conclusion

of most pages explore the larger context of the

data and their potential implications.

Spotlights

accountable care organizations, quality measures

and even specific markets provide even more

in-depth undestanding of crucial topics.

For this 10th edition—as in previous years—

authoritative

Managed Care Digest Series

data distinguish the

Hospitals/Systems Digest

Long-term trends of key industry measures appear

throughout, leveraging the Series’ historical

data to provide greater perspective. Further,

patient-level data explore the effects of chronic

disease, not only on the patients themselves, but

also on the hospitals, systems, physicians, health

plans and other providers who are managing

the care of these individuals. Moreover, the

Hospitals/Systems Digest

examines important

industry trends and disease-state metrics at the

regional, state or local levels, enabling insight into

how health care is managed and delivered in

specific geographies. Accordingly, readers of this

Digest will find extensive data on specific hospital

chains, integrated systems, managed care

organizations and individual institutions.

Sanofi is pleased to present volume 10 of the

Hospitals/Systems Digest

, the first report in the

Sanofi

Managed Care Digest Series

for 2015. Since 1987, the focus of the

Managed Care Digest Series

has been on helping health care organizations develop strategies, control costs and assess value. In 2015,

the

Managed Care Digest Series

remains a trusted source for the most reliable health care data and

progressive analysis, including detailed diagnosis-related, chronic disease-specific patient claims, hospital

discharges and electronic medical records. These data and analysis reflect patient engagement with

ongoing transformations in the health care industry. At this crucial time, the

Managed Care Digest Series

maintains its commitment to leading the health care discussion.

The

Hospitals/Systems Digest

for 2015 provides an extensive overview of the evolving

hospital

market,

including comprehensive data on the more than 5,200 short-term, acute-care, nonfederal facilities

operating in the U.S. Yet this Digest considers the broader context of these facilities, too, focusing on the

coordinated operations of

multihospital systems

and

highly integrated systems,

along with the central

role of

medical group practices

and accountable care organizations that operate in these networks. The

Hospitals/Systems Digest

is organized into these four separate provider segments, each of which includes

four subsets of data elements: demographics, utilization, financials and pharmacy.