Page 37 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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37
HOSPI TALS IN INTEGRATED SYSTEMS
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
4–6
3.6%
(12)
7–10
12.7%
(42)
11–20
24.5%
(81)
21+
59.1%
(195)
Number of Systems With More Than 20 Provider Units Expands
LONG-TERM TREND
Provider Unit Ownership Increases Among Integrated Systems
Data source: IMS Health © 2013
DEMOGRAPHICS
• Highly integrated systems showed a propensity
to own facilities, with the number of owned units
rising for all but four facility types and the number
of contracted units falling in seven categories.
• The total number of physician practice provider
units owned by or contracted to highly
integrated systems grew by 8.7% between 2011
and 2012, the highest growth, by provider unit.
• The number of highly integrated systems was
essentially unchanged between 2001 (330)
and 2012 (332), but the number of systems with
21 or more provider units grew by 21.5% in this
time, to 237 systems in 2012 from 195 in 2001.
• The portion of systems with between seven and
20 provider units fell to 24.7% in 2012 from 37.2%
in 2001. Meanwhile, 3.9% of systems owned or
contracted with fewer than seven provider units
in 2012, up fractionally from 3.6% 11 years earlier.
OWNED AND CONTRACTED provider UNITS IN highly INTEGRATED HEALTH SYSTEMS
Contracted Units
Owned Units
All Units
Facility type
2011
2012
%
Change 2011
2012
%
Change 2011
2012
%
Change
Physician Practice
1
3,364 3,672
9.2% 7,828 8,492
8.5% 11,192 12,164
8.7%
Hospital
2
753
752 –0.1
1,969 1,985
0.8
2,722 2,737
0.6
Home Health Agency
193
192 –0.5
409
422
3.2
602
614
2.0
Nursing Home
373
370 –0.8
467
466 –0.2
840
836 –0.5
FOSC
3
190
188 –1.1
483
496
2.7
673
684
1.6
HMO/PPO
32
34
6.3
113
107 –5.3
145
141 –2.8
Rehabilitation Center
203
190 –6.4
347
345 –0.6
550
535 –2.7
DIC
4
194
210
8.2
1,024 1,113
8.7
1,218 1,323
8.6
Hospice
50
50
0.0
89
93
4.5
139
143
2.9
Mental Health Center
59
57 –3.4
114
114
0.0
173
171 –1.2
Dialysis Center
93
86 –7.5
94
102
8.5
187
188
0.5
Cancer Center
122
131
7.4
501
526
5.0
623
657
5.5
Other
5
2,251 2,352
4.5
3,041 3,181
4.6
5,292 5,533
4.6
TOTAL
7,877 8,284
5.2% 16,479 17,442 5.8% 24,356 25,726 5.6%
1
“Physician practice” includes medical group practices, individual physician offices with fewer than three physicians, independent physician
associations, physician practice management groups, physician hospital organizations and management service organizations.
2
Hospital data are based on only short-term, acute-care, nonfederal hospitals.
3
Freestanding outpatient surgery center
4
Diagnostic imaging center
5
“Other” includes, but is not limited to, assisted living, board and care, corporate offices, labs and pharmacies.
6
These data are based on the number of unique facilities in the 330 systems in 2001 and the 332 systems in 2012.
highly integrated health systems by number of provider units
2012
6
2001
6
4–6
3.9%
(13)
7–10
5.4%
(18)
11–20
19.3%
(64)
21+
71.4%
(237)
