51
HOSPI TALS/SYSTEMS WI TH MEDICAL GROUP PRACT ICES
SANOFI / MANAGED CARE DIGEST SERIES
®
/ WHERE INFORMATION BECOMES INTELLIGENCE.
™
HOSPITALS/SYSTEMS DIGEST 2013
Key Takeaway
The Medicare Shared Savings Program—an Affordable Care Act quality-based payment initiative
that grants qualifying providers a share of Medicare savings—mandates that participating
accountable care organizations (ACOs) must be able to manage care for at least 5,000 assigned
Medicare beneficiaries. Should this program be successful in its goals and undergo further
expansion, integrated systems will be greatly incentivized to align with large medical groups.
System Integration Among Medical Groups Continues in 2012
• The total number of medical group practices in
integrated systems rose another 3.5% in 2012, to
3,594 from 3,472 in 2011. Since 2006 (3,072), the
number of system-tied groups has climbed 17.0%.
• The numbers of groups in systems rose regardless
of size between 2011 and 2012, but integration
growth was greatest for groups with 10 to 14
(5.6%) and 20 or more (7.4%) FTE physicians.
Data source: IMS Health © 2013
• Between 2010 and 2012, the overall
percentage of medical groups in integrated
health systems expanded by nearly two
percentage points, to 27.8% from 26.1%.
• The portion of medical groups in integrated
systems grew the fastest in the Pacific region:
between 2010 (25.5%) and 2012 (32.0%), this
measure expanded by 6.5 percentage points.
DEMOGRAPHICS
MEDICAL GROUP PRACTICES IN INTEGRATED HEALTH SYSTEMS
Medical Group Practices in Systems
Medical Group Practices Not in Systems
Number of Groups
Avg. # of Physicians
Number of Groups
Avg. # of Physicians
SIZE (# of FTE Physicians)
2011
2012
2011
2012
2011
2012
2011
2012
5–6
1,292
1,305
5.4
5.4
4,379
4,360
5.4
5.4
7–9
795
821
7.7
7.8
2,468
2,462
7.8
7.8
10–14
504
532
11.2
11.2
1,279
1,274
11.4
11.4
15–19
230
237
16.3
16.2
398
401
16.2
16.2
20 or More
651
699
61.3
60.2
842
846
50.7
49.5
SPECIALTY COMPOSITION
Single Specialty
1,576
1,600
10.8
10.2
5,583
5,588
8.7
8.7
Multispecialty
1,896
1,994
23.9
24.6
3,783
3,755
15.3
15.1
TOTAL/AVERAGE
3,472
3,594
18.0
18.2
9,366
9,343
11.4
11.3
0%
13%
26%
39%
52%
Percentage of Groups
Pacific Mountain West North
Central
East North
Central
South
Central
New
England
Mid-Atlantic South
Atlantic
Total
25.5%
29.4%
32.0%
20.2%
20.5%
20.1%
41.7%
42.8%
43.5%
38.4%
38.9%
39.1%
17.8%
18.5%
19.0% 19.6%
17.9%
18.1%
–21.6%–
22.2%
21.6%
22.1%
22.2%
26.1%
27.0%
27.8%
2010
2011
2012
PERCENTAGE OF MEDICAL GROUP PRACTICES IN INTEGRATED HEALTH SYSTEMS, BY REGION
Share of Physician Groups in Systems Grows Sharply in the Pacific Region
I...,41,42,43,44,45,46,47,48,49,50 52,53,54,55,56,57,58,59,60,61,...IV