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Research & Reports

Searching in Market Access (2001)

Jacksonville | Florida | 2017 | Market Overview (Event Driven)

Florida’s most traditional healthcare market, Jacksonville health systems continue to rely on hospital construction and physician affiliation to increase clout against payers and gain patient volume. While each health system has pending construction plans, the market is becoming more accepting of ACOs and narrow networks, with multiple agreements between leading health systems and major insurers. As the market reaches a saturation point for hospitals, local health systems are working more closely with physicians to create clinically integrated networks, which increase care coordination and population health management capabilities, allowing the health systems to work with insurers on value-based contracts. Should the current arrangements between health systems/physicians and insurers improve outcomes and the organizations’ bottom lines, it could encourage greater acceptance of narrow networks and risk-based contracting.

Questions Answered in This Report:

  • Jacksonville health systems are expanding their footprints through construction while also affiliating with hospitals outside the market. Which alliances were formed with players outside the market, and how could these partnerships translate into increased population health management? Which health systems have plans to expand in Jacksonville's suburbs? How are health systems increasing clinical integration and value-based care?

  • Physician groups in Jacksonville have been very active in forming ACOs and increasing clinical integration Which physician groups are participating in ACO initiatives? How are physician groups increasing clinical integration and shifting to value-based care? How have recently passed state laws increased prescription access in the Jacksonville market?

  • Aetna's narrow network commercial offering with Baptist Health, St. Vincent's HealthCare, and Flagler Hospital could be a signal that health systems are ready to become more involved with payers. Which health systems have worked with Florida Blue and Aetna on narrow networks? Which insurers have been the most active at pursing ACO and value-based contracts with providers? What insures left the public health exchange and which ones are offering plans in 2017?

Scope:

Market Includes: Jacksonville, which includes the counties of Baker, Clay, Duval, Nassau, and St. Johns

Primary Research: Analysis of Decision Resources Group data, local and state news and industry reports and interviews with local healthcare executives.