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Lexington, KY Market Overview

HealthLeaders Interstudy, Dec 2011, Pages: 46


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A tough economy continues to affect nearly all facets of the Lexington healthcare industry. Still, the region’s health system sector, which largely held back from expansion as recently as one year ago, is in growth mode as UK HealthCare, Saint Joseph Health System and Baptist Healthcare System add facilities and services. Employers meanwhile, continue to shift a larger portion of health insurance cost to employees, and that trend points to continued growth of consumer-directed health plan enrollment and potential for adoption of worksite clinics and other measures to reduce long-term costs.

Questions Answered in This Report

Hospital-related construction projects are back in full swing in the local area, as health systems seek to boost patient volume. Which for-profit health system acquired Clark Regional Medical Center in mid-2010? Which health systems have formed strategic alliances and are exploring integrated care initiatives? Which health system plans to open quick-care clinics in Wal-Marts throughout the state?

Leading area health systems continue to acquire area doctors, while many independent practices join The Physicians’ Network, which arranges managed care contracts for its members. What is physician supply like in central Kentucky? Are pay-for-performance programs prevalent in the area? Which medical group has launched its own health plan?

A persistently high uninsured rate indicates that commercial health insurance enrollment growth will be a challenge. How common are consumer-driven health plans in Lexington? Which insurer is working on a provider/payor accountable care organization? Was legislation passed in 2010 that affects health plan coverage requirements?

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: Lexington, which includes the counties of Bourbon, Clark and Fayette, Jessamine, Scott and Woodford

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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