Page 50 - 2013 Hospitals/Systems Digest US.NMH.13.02.007
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50
HOSPI TALS/SYSTEMS WI TH MEDICAL GROUP PRACT ICES
HOSPITALS/SYSTEMS DIGEST 2013
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
Practices With 20 or More Physicians Boost Total Practice Count
• The total number of medical group practices
grew to 12,937 from 12,838, led by a 3.5%
increase in the number of medical group
practices with 20 or more full-time equivalent
(FTE) physicians between 2011 and 2012.
• Of the 170,717 physicians practicing in groups
in 2012 (up from 168,793 in 2011), nearly half
(49.2%) belonged to groups with 20 or more
FTE physicians. Still, such groups accounted for
a disproportionate 11.9% of all groups in 2012.
Key Takeaway
The PCMH model—in which the primary care physician acts as the patient’s medical coordinator—
shows promise as a means to better manage patient care among multiple settings, specialties
and patient conditions, and to improve outcomes. The results of the FQHC APCP demonstration
should provide additional information on the overall feasibility of this model of care.
Data source: Centers for Medicare and Medicaid Services © 2013
• In June 2011, the Department of Health and
Human Services launched the Federally
Qualified Health Center Advanced Primary Care
Practice (FQHC APCP) demonstration project.
• This project gave $42 million to 500 community
health centers that use the patient-centered
medical home (PCMH) model to coordinate
care for 200,000 Medicare beneficiaries.
3
DEMOGRAPHICS
MEDICAL GROUP PRACTICES WITH FIVE OR MORE FTE PHYSICIANS
1
Number of Medical
Group Practices
Number of Physicians
in Medical
Group Practices
Percentage of Medical
Group Practices
2
SIZE (# of FTE Physicians)
2011
2012
2011
2012
2011
2012
5–6
5,671
5,665
30,578
30,544
44.2%
43.8%
7–9
3,263
3,283
25,295
25,482
25.4
25.4
10–14
1,783
1,806
20,187
20,425
13.9
14.0
15–19
628
638
10,207
10,349
4.9
4.9
20 or More
1,493
1,545
82,526
83,917
11.6
11.9
AFFILIATION
Corporate
5,469
5,524
88,576
88,628
42.6%
42.7%
Independent
7,369
7,413
80,217
82,089
57.4
57.3
SPECIALTY COMPOSITION
Single Specialty
7,159
7,188
65,718
65,041
55.8%
55.6%
Multispecialty
5,679
5,749
103,075
105,676
44.2
44.4
TOTAL
12,838
12,937
168,793
170,717
100.0% 100.0%
1
Numbers and percentages reflect group practices located only in the 50 states and the District of Columbia. Data are effective as of
midyear 2012.
2
Percentages may not sum to 100% due to rounding.
3
U.S. Department of Health and Human Services. (2011). New Affordable Care Act Support to Improve Care Coordination for Nearly 200,000 People
with Medicare. Retrieved from
TOP STATES RANKED BY NUMBER OF FQHC APCPs, 2012
0
19
38
57
76
70
25
25
21
20
20
19
18
16
16
16
Number of APCPs
California Illinois
New
Mexico
Penn-
sylvania
Missouri
Ohio Florida North
Carolina
Michigan Wash-
ington
West
Virginia
PCMH SPOTLIGHT
Federal Demonstration Project Tests PCMH Care Model With 500 Community Centers
Data source: IMS Health © 2013
