Omaha, NE Market Overview
HealthLeaders Interstudy, January 2011, Pages: 51
Omaha continues to fare better than most U.S. cities, with one of the more robust metro economies, low unemployment and comparatively low uncompensated healthcare costs. Health systems and physicians, which already have the market heft to pass on the costs of continual expansions, are consolidating their power by creating large accountable care organizations. If their efforts at forming narrow networks for at-risk contracting are successful, it could drastically change the healthcare landscape locally. But conservative Omaha is not known for being an early adopter of reforms, and smaller networks or reimbursements that reward quality rather than volume will not happen overnight. In any case, payers will continue to be at a disadvantage, with employers lacking any vehicle such as a health coalition through which to consolidate their own power. Expect them to continue to control costs through a particularly high adoption rate of consumer-directed health plans and strong wellness programs.
Questions Answered in This Report
The recession has not slowed hospital construction and expansion in Omaha. Which health systems opened new hospitals in 2010? How will the new facilities affect competition and market share? Which two health systems are the first rivals in the country to come together to form a large accountable care organization? How will it be organized to provide at-risk contracting?
Physicians in Omaha have both the stability of hospital system employment and the profit potential of major investments. Which specialty hospitals are physician-owned? Which physicians opened a new general hospital in 2010? How are physician-hospital organizations preparing to become accountable care organizations? What programs do these PHOs have to influence healthcare quality and pharmaceutical utilization among members? Which practice groups have been recognized as Level III patient-centered medical homes?
Insurers in the Omaha market increased commercial enrollment over the past year. What factors account for enrollment growth? How are the largest insurers doing financially? Which insurer won a new state contract for managed Medicaid? Which health plan has launched a medical-home pilot? Which health plan covers Nebraska state and Omaha city employees?
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:
Omaha, which includes the counties of Cass, Douglas, Sarpy, Saunders and Washington in Nebraska; Harrison, Mills and Pottawattamie in Iowa
Primary Research:
Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives
Omaha Market
Market Indicators
Leading Organizations
Market Stage
Management Summary
Outlook
Health Systems and Hospitals
Physicians
Health Plans
Medicaid/Medicare/Uninsured
Pharmacy
Legislation
Employers
Health Systems & Hospitals
Alegent Health
Description
News and Analysis
The Nebraska Medical Center
Description
News and Analysis
Methodist Health System
Description
News and Analysis
Other Health Systems and Hospitals
Physicians
UniNet Healthcare Network
UNMC Physicians
Creighton Medical Associates
Alegent Health Clinic
Additional Physician Organizations
Health Plans
UnitedHealth Group
Blue Cross and Blue Shield of Nebraska
Coventry Health Care
Medicaid/Medicare/ Uninsured
Medicaid
Medicare
Uninsured
Pharmacy
Legislation
Employers
Demographics & Statistics
- Alegent Health
- Alegent Health Clinic
- Blue Cross and Blue Shield of Nebraska
- Coventry Health Care
- Creighton Medical Associates
- Methodist Health System
- Methodist Physicians Clinic
- The Nebraska Medical Center
- UnitedHealth Group
- UNMC Physicians
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