Page 44 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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HOSPI TALS IN INTEGRATED SYSTEMS
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
• Allina Hospitals and Clinics was named
one of 32 Pioneer accountable care
organizations (ACOs) to participate in the
pilot program conducted by the Centers for
Medicare and Medicaid Services (CMS).
1
• By leveraging its existing infrastructure (Allina
already had ties with 16 hospitals and 50
medical groups, among other providers), the
Allina Medicare ACO will work to coordinate
care for its patients and aim to reduce costs.
Data source: IMS Health © 2013
UT I L I ZAT ION
Average occupancy for 20 selected integrated systems and their facilities
Headquarters
Location
Occupancy
Overall MSA
Integrated health system
2010
2011
2010
2011
Advocate Health Care
Oak Brook, IL
63.0%
62.5%
64.3% 64.2%
Allina Hospitals and Clinics
Minneapolis, MN
46.1
47.4
53.3
53.7
Banner Health
Phoenix, AZ
52.3
53.7
59.7
59.0
Baylor Health Care System
Dallas, TX
45.2
45.8
47.7
49.1
BJC HealthCare
Saint Louis, MO
66.8
69.7
63.3
59.6
Carle Foundation Hospital
Urbana, IL
70.0
78.2
60.8
64.9
Carolinas HealthCare System
Charlotte, NC
56.8
56.4
67.8
67.7
Department of Health Services
Los Angeles, CA
57.9
61.1
54.6
55.0
Detroit Medical Center
Detroit, MI
67.7
60.9
60.0
53.5
Geisinger Health System
Danville, PA
73.5
70.1
61.3
56.2
HCA Houston Division
Houston, TX
55.8
55.6
50.4
50.7
Henry Ford Health System
Detroit, MI
63.7
68.5
60.0
53.5
Legacy Health System
Portland, OR
64.5
62.6
61.3
58.6
Ministry Health Care
Milwaukee, WI
62.1
57.7
58.9
55.1
Presbyterian Healthcare Services
Albuquerque, NM 53.9
51.4
62.8
60.7
Sentara Healthcare
Norfolk, VA
71.0
68.3
74.8
69.6
Sharp HealthCare
San Diego, CA
62.3
63.1
65.3
66.6
Sutter Health
Sacramento, CA
50.8
49.3
56.6
61.7
Temple University Health System Philadelphia, PA
81.5
68.8
68.7
58.1
Tenet South Florida Health System Fort Lauderdale, FL
66.3
62.4
71.6
60.6
Occupancy Rates Fall at Majority of Profiled Integrated Systems
• For 12 of the 20 integrated systems profiled,
mean occupancy fell between 2010 and 2011;
moreover, occupancy rates dropped in 13 of
the MSAs where these systems were located.
• This drop in occupancy was most substantial
for Temple University Health System. Between
2010 and 2011, occupancy at Temple facilities
declined to 68.8% from 81.5% the year prior.
Allina Hospitals and Clinics System Profile, 2011
Integrated health system
# of Licensed
Hospitals
# of Medical
Group
Practices
# of FTEs
Total Patient
Revenue
(Millions)
Total Operating
Expenses
(Millions)
Allina Hospitals and Clinics
16
50
12,711
$7,235.6
$2,518.4
1
CMS. (2012). Pioneer Accountable Care Organization Model: General Fact Sheet. Retrieved from
2
Leavitt Partners (2012). Growth and Dispersion of Accountable Care Organizations: June 2012 Update. Retrieved from
Key Takeaway
Although physician groups are playing a larger role, hospital systems have formed the majority of
Medicare and non-Medicare ACOs to date.
2
Among private ACOs, a wide range of risk-based
payment models is being tested, and it remains to be seen which—if any—ACOs are able to
successfully manage utilization and meet both quality and cost-effectiveness goals.
Allina Harnesses Current Partnerships to Form Medicare Pioneer ACO
ACO SPOTLIGHT
