- Language: English
- 130 Pages
- Published: April 2012
- Region: Global
Cleveland, OH Market Overview
- Published: March 2011
- Region: North America
- HealthLeaders Interstudy
Cleveland healthcare is based on the bedrock of health systems, particularly the Cleveland Clinic. The Clinic and historical rival University Hospitals are winding down large capital investments that include new hospitals and major outpatient facilities. Health systems in the market have also invested in electronic medical records and clinical integration with physicians. Whether or not accountable care organizations eventually deliver on promises of better quality care with more efficient cost, the pending reform has touched every aspect of the northeast Ohio healthcare market. These actions could precipitate a renewed competition among Greater Cleveland's major players and more consolidation. Moving beyond leveraging better contracts and more referrals, ACOs promise to give high-performing healthcare entities financial incentive for providing quality, integrated care. With northeast Ohio settling into a quasi-permanent recession, the opportunity for an enhanced revenue stream is not one that can be passed up.
Questions answered in this report:
Providers in this market have the upper hand in negotiations with health plans. What geographic areas of the metro area are health systems targeting? Are hospitals duplicating services that others already provide? What impact might ACOs have on provider consolidation? What medical facility construction projects are planned or underway?
A large number of physicians in this market are employed by a health system. How are hospitals trying to increase integration with physicians, even those not employed by a health system? What health plans are involved with pay-for-performance in this market? How might greater clinical integration among providers impact drug prescribing?
Health plans typically make sure certain sought-after medical facilities are in their provider networks. What is a big exception to this rule? What health plan design is prominent in this market? Who are the top health plans? What carrier is a major managed Medicaid player? What carriers stand to benefit if healthcare reform initiatives prompt a shift back toward the HMO plan design?
- 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
Cleveland, which includes Cuyahoga, Geauga, Lake, Lorain, Medina, Portage and Summit counties
Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives SHOW LESS READ MORE >
- Cleveland Clinic
- Cleveland Clinic Community Physician Partnership
- Medical Mutual of Ohio
- Summa Health Network
- Summa Health System
- University Hospitals
- University Hospitals Physician Services
- WellPoint (Anthem Blue Cross and Blue Shield of Ohio)