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Spokane, WA Market Overview
HealthLeaders Interstudy, July 2011, Pages: 44
The provider segment of the Spokane healthcare market is roiling with change as its two health systems consolidate rapidly and form competing integrated delivery systems. Physician groups, worried about the financial toll of healthcare reform in the form of reimbursement cuts and inability to afford the cost of implementing electronic medical record technology are looking for health system partners to help them absorb those costs. There also is movement among providers toward development of reimbursement models that would produce shared savings for providers in exchange for improved efficiency and outcomes. Managed care organizations have not seen a large decline in enrollment, but continued premium increases could hamper enrollment growth. Small groups are seeking to redesign their plans to try to reduce the rate increases that remained in the double-digit percentages this year.
Questions Answered in this Report
Competition between the region’s two health systems continues to heat up as both look to expand their physician networks in hope of bolstering patient volumes and laying the foundation for integrated patient care systems. While health systems look to acquire physician groups, which specialties are they focusing on? Which health system is working on a coordinated patient care system with a managed care organization?
Spokane’s physician groups are undergoing rapid consolidation. Which medical group is participating in patient-centered medical home programs? What steps are being taken to address potential physician shortages in the Spokane market?
Managed care organizations in Spokane serve a generally healthy population and, despite persistent high unemployment, have not seen a large decline in enrollment. Which plan designs are becoming increasingly popular in the local market? Which MCOs lead the market in terms of enrollment? Which MCOs are participating in PCMH or coordinated patient care programs?
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: Spokane, which includes Spokane 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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