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Wilmington, DE Market Overview

HealthLeaders Interstudy, April 2011, Pages: 43


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Christiana Care Health System and Nemours Delaware Valley/Alfred I. DuPont Hospital for Children are expanding capacity while working overtime to strengthen the partnerships they have with physicians in an effort to secure valuable referrals. A proposed affiliation between Blue Cross Blue Shield of Delaware and dominant Pennsylvania insurer Highmark Blue Cross Blue Shield would allow the local Blue plan to strengthen investments in technology and operate more efficiently. This alliance is not a certainty, however, because it must be approved by Delaware officials. We expect employers will continue shifting higher costs to workers through consumer-driven health plans. We also expect to see greater demands for emergency services as cuts to Medicaid benefits seem inevitable and unemployment remains high.

Questions answered in this report:

Inpatient discharges are dominated heavily by market leader and Wilmington-based nonprofit Christiana Care Health System. Which health system in mid-2010 launched two initiatives aimed to connect its broad group of community physicians to its health information technology? Which organization recently completed installation of a closed-loop medication system? Which health system’s service area could see a boost from the federal Base Relocation and Closure starting in 2011? Which hospital is participating in a multistate program that shares real-time pediatric outcomes data?

As insurers increasingly demand better quality and outcomes for their reimbursement dollars, physician relationships will be important for large health systems to maintain. How many physicians are aligned with local health systems? What legislative action will likely propel an accountable care model in the state?

Enrollment and premiums are holding steady in Wilmington. Are consumer-driven health plans growing in this market? Which health plan launched a yearlong pilot for black and Hispanic asthma patients in Delaware’s Medicaid program? What changes were recently made to healthcare services and prescription drugs for enrollees in the State of Delaware Group Health Plan?

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:
Wilmington, which includes the counties of New Castle, Del.; Cecil, Md.; Salem, N.J.

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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