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Dallas, TX Market Overview
HealthLeaders Interstudy, April 2011
Health systems in the Dallas market are in expansion mode as they build new hospitals in suburban areas, expand a variety of facilities and develop specialty centers to compete for patients in the growing Metroplex. Health systems also are employing more physicians through affiliated nonprofit organizations as they prepare to form accountable care organizations. The state has proposed moving most fee-for-service Medicaid members into managed care, while a large reduction in Medicaid reimbursement rates for providers is likely in 2011 as the Texas Legislature attempts to solve a budget crisis. The uninsured rate of 25 percent in the Dallas market reflects the unaffordability of health insurance coverage for many small employers. Large, cost-conscious employers are shifting more health insurance costs to workers and showing interest in value-based health benefits.
Questions answered in this report:
Three nonprofit health systems in the Dallas market opened a total of four hospitals in joint ventures with physicians in 2010. Cancer care has more visibility in Dallas with one medical center’s designation as a top cancer facility by the National Cancer Institute and a leading health system’s major new cancer center. Which nonprofit systems opened hospitals in joint ventures in 2010, and where are they located? Which medical center received NCI designation in 2010? Which system opened a major cancer outpatient center in 2011 and is slated to open a cancer hospital in 2013?
More physicians are opting for employment with health systems as they face declining reimbursement and the expense of adopting electronic medical record systems. Which large, multispecialty physician group was acquired by Texas Health Resources? Which health system added about 50 employed physicians in the past year? Approximately what percentage of physicians are employed in Dallas County?
Health plans in the Dallas market are exploring ways to reduce medical costs, such as care coordination, disease management and wellness programs. Which health plan is offering narrow networks? Which health plans are positioned for enrollment increases as contractors for the new Healthy Texas reinsurance program? Which insurers are involved with patient-centered medical homes?
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:
Dallas, which includes the counties of Collin, Dallas, Delta, Denton, Ellis, Hunt, Johnson, Kaufman, Parker, Rockwall, Tarrant and Wise
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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