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Southern New Jersey Market Overview
HealthLeaders Interstudy, Dec 2011, Pages: 34
The southern New Jersey region balances the stable economy of Philadelphia with the needs of its major city, Camden, which consistently ranks among the poorest cities in the country. This dynamic has been exacerbated by the rising costs of healthcare and a stalled economy, and local businesses are struggling to retain coverage for their employees. We expect to see greater specialization of medical care as hospitals form partnerships with key entities in surrounding areas. There will also be greater care coordination as New Jersey’s Medicaid program launches medical homes and a leading insurer creates new payment models.
Questions Answered in This Report
Hospitals continue to form key partnerships with facilities in surrounding areas including Philadelphia, Wilmington, Del., and New Jersey. Which local health system is building a four-year medical school in the market? Which health system is affiliating with a highly regarded orthopedic practice based in Philadelphia, and which hospital recently joined a Philly-based neuroscience network? Which local health system established new billing requirements for patients at the point of service or before arrival?
Hospitals have had difficulty recruiting physicians, owing in part to the success of physicians’ investment in ambulatory surgery centers. Which insurer is looking to cap out-of-network payments to ambulatory surgery centers? When is New Jersey’s Medicaid medical-home pilot set to begin? What local cancer-care group adopted use of clinical guidelines established by University of Pittsburgh Medical Center oncologists?
Overall commercial membership has been shrinking, mainly from the loss of small businesses. Which health plan in the market dropped its effort to convert to for-profit status? Which insurer grew through acquisition? What kind of payment-reform projects is Horizon Blue Cross of New Jersey looking to pilot? What percentage of New Jersey’s small businesses provide healthcare for their workers?
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: Southern New Jersey, which includes the counties of Burlington, Camden and Gloucester
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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