Phoenix, AZ Market Overview
HealthLeaders Interstudy, May 2011, Pages: 55
Leading health systems in the Phoenix market continue to expand existing facilities or open new ones, despite flattening population growth, the dwindling of the physician supply and the imminent expansion of the state’s uninsured population due to Gov. Jan Brewer’s plan to reduce enrollment in Arizona’s Medicaid program by about 136,000. Health systems and other healthcare providers are lobbying Brewer to avoid these cuts by imposing taxes on healthcare providers and health plans that would result in federal matching funds. Managed care plans in the area can expect another underwhelming year for commercial enrollment. The best opportunity for membership gains appears to be in Medicare Advantage plans.
Questions Answered in this Report
Banner Health has a large market share lead in the moderately consolidated health system sector in Phoenix. Are hospitals facing rising or falling Medicaid reimbursement rates in 2011? Is the state’s flattening population having an effect on area hospitals? Which areas of the Phoenix region are seeing hospital expansions?
The Phoenix area is made up of mostly small, independent physician practices, though some are banding together to strengthen their negotiating leverage. Are physicians receiving any help at the state or federal levels regarding the adoption of electronic medical records? What is the physician supply like? Does concierge care have a presence in the local area?
The Phoenix health plan market is moderately consolidated, with the top five plans in the area controlling approximately 70 percent of the market. What health plan announced the results of its accountable care organization pilot program in the market? How do pay-for-performance programs fare in the area? What insurer has been involved with developing medical homes in Arizona?
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:
Phoenix, which includes the counties of Maricopa and Pinal
Primary Research:
Analysis of HealthLeaders-InterStudy data, Billian’s HealthDATA, local and state news and industry reports and interviews with local healthcare executives
Phoenix 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
- Banner Health
-- Description
-- News and Analysis
- Catholic Healthcare West
-- Description
-- News and Analysis
- Scottsdale Healthcare
-- Description
-- News and Analysis
- Other Health Systems and Hospitals
Physicians
- Banner Physician Hospital Organization
- Mayo Clinic Arizona
- District Medical Group
- CIGNA Medical Group
- Additional Physician Organizations
Health Plans
- UnitedHealth Group (UnitedHealthcare)
- Blue Cross and Blue Shield of Arizona
- CIGNA HealthCare
- Aetna Health
Medicaid/Medicare/Uninsured
- Medicaid
- Medicare
- Uninsured
Pharmacy
Legislation
Employers
- Business Coalitions
Demographics & Statistics
- UnitedHealth Group
- Blue Cross Blue Shield of Arizona
- CIGNA HealthCare
- Aetna
- Banner Health Physician Hospital Organization
- Mayo Clinic Arizona
- District Medical Group
- CIGNA Medical Group
- Banner Health
- Scottsdale Healthcare
- Catholic Healthcare West
- Arizona Small Business Association
- Arizona Self-Insurers Association
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