Las Vegas, NV Market Overview
HealthLeaders Interstudy, December 2011, Pages: 49
Employers are on the offensive and health systems on the defensive as Las Vegas struggles with low-quality, high-cost healthcare and the area itself struggles with high unemployment. Slow to embrace healthcare reform or innovative payment models, health systems have come under increasing pressure from the media, legislature and large employers.
Key events on the provider side include large hospital losses, as the payer mix shifted from private payers to public payers and non-payers. Much of Las Vegas healthcare will continue to be provided by out-of-state corporations as a growing number of local physicians join large corporate practices. On the payer side, three new HMOs entered the market, seeing an opportunity as lower-priced HMO plans become more attractive in a down economy. The state moved to replace its PPO with a CDHP PPO that has high deductibles and pared-down benefits. And a group of self-funded employer and union benefit plans is highly likely to narrow its network in 2011 to include only the most efficient and safe hospitals.
Questions Answered in This Report
Las Vegas hospitals racked up large losses in 2009. Which hospitals had large negative operating margins? Which health system bucked the trend and remained profitable? Why are almost all hospitals in the market for-profit? Which hospital is the only locally run hospital in the market? What is the county’s plan to bolster its public safety-net hospital? Which renowned out-of-state health system is opening facilities in Las Vegas?
Primary care is becoming highly consolidated. Which companies are acquiring physician groups? Why aren’t local health systems employing physicians? Which specialty services are highly consolidated? How will this consolidation affect networks, contracts and prescribing habits? Why does Las Vegas have a shortage of providers?
Las Vegas remains an HMO town. Which health plan dominates HMO business? Which health plans entered the HMO market over the past year? In what way is the market changing that could lead to more competition among insurers? Which self-funded health plans are trying to force transparency, quality improvement and payment reform? How are they doing this?
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: Las Vegas, which includes Clark County
Primary Research: Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives
Market
Management Summary
Health Systems & Hospital
Physicians
Health Plans
Medicaid/Medicare/Uninsured
Pharmacy
Legislation
Employers
Demographics & Statistics
- CIGNA HealthCare
- Health Services Coalition
- HealthCare Partners of Nevada
- Southwest Medical Associates
- St. Rose Dominican Hospitals
- Sunrise Health
- The Valley Health System
- UnitedHealth Group
- University Health System
- University Medical Center of Southern Nevada
- WellPoint
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