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Cape Coral/Fort Myers, FL Market Overview
HealthLeaders Interstudy, Oct 2011
Feeling the effects of recession, the region’s dominant health system, Lee Memorial Health System, has consolidated services and facilities. Those moves have paid off and the system appears to be on solid financial footing, but the prospect of Medicaid reimbursement cuts carry serious implications for hospitals in the region. Health systems and physicians, while closely affiliated, have yet to adopt innovative care delivery models. However, with a major insurer pushing a patient-centered medical home initiative and healthcare reform measures that favor such care delivery models, there could be some movement in that direction among Cape Coral-Fort Myers providers.
Questions answered in this report:
The health system in the area is highly consolidated, with Lee Memorial Health System accounting for more than 90 percent inpatient discharges. Which hospital is seeking approval for a 200,000-square-foot addition? Which demographic factors are helping area health systems mitigate higher uncompensated care costs and a high level of uninsurance? What are the prospects for provider reimbursements under the state’s Medicaid program?
The moderately consolidated Cape Coral-Fort Myers physician sector continues to face challenges because of a struggling economy. Does the market have a shortage of physicians? Are physicians adopting healthcare information/technology such as electronic medical records and e-prescribing technology? Are retail-based clinics a competitive threat for area physicians?
A struggling economy doesn’t bode well for commercial health plan enrollment growth and the health plan sector of the Cape Coral-Fort Myers market faces considerable challenges. Which health plan has launched a two-year patient-centered medical home pilot project? What will the repercussions of federal healthcare reform be for plans conducting business in the area? How many people are expected to enroll in the state’s high-risk insurance pool?
Metrics:
- Key market indicators and leading organizations among health systems, physicians and health plans
- Health systems’ market share
- Income, revenue, enrollment and pharmacy spend for leading health plans
- Demographics
Scope:
Cape Coral-Fort Myers, which includes Lee County
Primary Research:
Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives
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