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Colorado Springs, CO Market Overview
HealthLeaders Interstudy, June 2011
Although Colorado Springs has a relatively active and healthy population, its economy is under the weather. With the exception of the military and science and technology related sectors, unemployment remains high and businesses are still feeling the recession, leading them to downscale or drop medical and prescription drug coverage for employees. The situation has insurers looking for ways to keep small businesses from dropping insurance altogether. Meanwhile, Colorado Springs’ largest hospital may finally have its ownership status resolved this fall after years of debate. Residents are poised to decide in November whether Memorial Health System should remain a city-owned entity or convert to an independent nonprofit.
Questions answered in this report:
The two-county Colorado Springs market is highly consolidated but lacks integration, with hospitals occupying their own niche separate from physicians. Are there any payment bundling initiatives getting under way in the market? Is patient volume recovering in the Colorado Springs market? Which health system has formed a partnership with a leading oncology practice?
With the exception of two large multispecialty physician groups, most physicians in Colorado Springs have historically preferred to practice independently and admit patients to both hospitals. Which health system has expressed an interest in acquiring physician groups? Does Colorado Springs have a shortage of physicians? Which physician group reached an agreement with Kaiser Foundation Health Plans that led to its return to the insurer’s provider network?
The region continues to feel the effects of recession, and premium increases in the double-digit percentages have prompted some employers to scale back benefits, and in some cases, drop employee coverage altogether. Which product types have the best prospects for enrollment growth? Which managed care organization dominates the small-group segment in Colorado? Which MCOs are participating in a large patient-centered medical home program?
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:
Colorado Springs, which includes the counties of El Paso and Teller in Colorado
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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