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Research & Reports

Searching in Market Access (2078)

Saint Thomas Health | 2017 | PowerProfile

Each OCGN PowerProfile explores the degree to which an organization bears financial risk for clinical quality and patient outcomes, displays the characteristics of integrated healthcare delivery, and demonstrates commitment to overall population health. Leveraging proprietary data drawn from the ACO-contract level, PowerProfiles provide insight into the accountable-care strategies of organized customer groups, including integrated delivery networks and physician organizations as well as new stakeholders such as employers and drug retailers. Key takeaways, implications for pharmaceutical companies and payers, and predictions round out each profile.

Questions Answered in This Report:

  • Integration is increasing as organizations prepare to take on risk. Which IDNs, health systems, and physician organizations are already taking on risk in commercial or Medicare contracts? Which entities have launched a health plan, made an acquisition, employed a significant number of physicians, implemented a clinical integration program, or moved toward a systemwide formulary? What population health management tools and strategies do these organizations use?

  • Each PowerProfile includes a snapshot of the market or markets in which the profiled entity operates. How far along is the market on the road from fee-for-service to fee-for-value? How active is the market in terms of ACOs, medical homes, and bundled payments? How does the market compare with the nation in terms of ACO penetration and number of ACO lives? What are the major therapeutic opportunities?

Scope:

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