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SANOFI / MANAGED CARE DIGEST SERIES® / WHERE INFORMATION BECOMES INTELLIGENCE.™ HOSPITALS/SYSTEMS DIGEST 2013
INTRODUCT ION
The hospital segment profiles the more than
5,200 acute-care hospitals operating nationwide,
and includes demographic data broken out by
geographic region, size, ownership type and
multihospital system (MHS) affiliation. Hospital
utilization measures provide insight into how
patient care is being coordinated, while financial
metrics delve into facility operating expenses
and cost ratios. Medicare reimbursement rates
by chronic disease category highlight the
fundamental importance of this key payer, while
hospital pharmaceutical and retail pharmacy
measures track prescription activity across a
range of therapeutic classes.
The multihospital system and integrated system
segments provide demographic, utilization,
financial and pharmacy data on hospital chains
and various providers at the core of these hospital
systems. Demographic and utilization data on
the 20 largest MHSs are profiled in considerable
detail, along with demographic and utilization
data (medical and pharmacy) on the health
maintenance organizations (HMOs) owned by
MHSs and the MHSs that own HMOs. Integrated
system data identify the initiators of and provider
units operating within these networks,
as well as on medical and pharmacy utilization
in the hospitals and HMOs belonging to such
systems. Selected integrated systems and their
facilities are profiled, and system and nonsystem
hospitals in the most populated metropolitan
statistical areas (MSAs) are frequently compared.
The medical group practice portion of the
Hospitals/Systems Digest features a crucial set of
demographic, utilization and pharmacy service
statistics on those groups with at least five full-time
equivalent physicians, including those affiliated
with integrated systems. Data in this section are
compared across a dozen common specialties
and are often broken out by group size, affiliation
and geography. The medical and pharmacy
services provided by these groups, including
imaging, laboratory and surgical offerings, are also
featured prominently in this segment.
Backgrounders at the outset of each section of
the Hospitals/Systems Digest define the health
care component under examination and provide
insight into the crucial transformations affecting
that sector of the industry. Key takeaways at the
conclusion of most pages explore potential future
implications of the data under scrutiny. Spotlights
on accountable care organizations, quality
measures and patient-centered medical homes
provide insight into some of the novel elements of
coordinated care models.
Yet superior data continue to be the hallmark
of the Hospitals/Systems Digest in particular and
the Managed Care Digest Series® in general.
Long-term trends of key industry measures—
tracked across decades—are featured
throughout this Digest, lending historical context
to the topic at hand. Robust patient-level data
that chart the significant impact of chronic
disease likewise appear throughout, and provide
keen insight into how hospitals, physicians, health
plans and other providers are treating patients
with these various diseases. Important industry
trends and disease state metrics are often
investigated at the regional, state or local level
to bring greater attention to how health care
is managed and operated in various markets.
And where their impact is most notable, hospital
chains, systems and individual institutions are
profiled in extraordinary detail.
Sanofi is pleased to present volume 8 of the Hospitals/Systems Digest, the first report in the
Sanofi Managed Care Digest Series® for 2013–2014. 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 2013, the Managed Care Digest Series® continues to be 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. As reform implementation
moves forward in the health care industry, the Managed Care Digest Series ® remains steadfast in its
commitment to leading the health care discussion.
The Hospitals/Systems Digest for 2013–2014 provides a detailed record of the constantly evolving
hospital market, including data analyses of the more than 5,200 short-term, acute-care, nonfederal
facilities operating in the U.S. These facilities are viewed within the context of the increasing influence
of multihospital systems and highly integrated systems, along with the critical role of medical group
practices that operate in these networks. The Hospitals/Systems Digest is organized into these four
separate provider segments, each of which includes four distinctive subsections of data elements:
demographics, utilization, financials and pharmacy.
INTRODUCT ION