The Transformation of the American Hospital: 2015–2020

  • ID: 3719516
  • Report
  • Region: United States
  • 120 Pages
  • Frost & Sullivan
1 of 3
Shifting Strategy from Patient Volume to Value-based Outcomes
The US hospital industry is in the midst of a major transformation of clinical and operational strategy, moving from a “heads to beds” provider-centric delivery system to a collaborative care continuum, with the patient at the epicenter of attention. Research analysis covers how reimbursement cuts and regulatory changes contribute towards the evolving role of hospital-based care in the United States. It examines the current financial status of US hospitals; the emerging partnership models between hospitals and ambulatory care providers; and the decentralization of diagnostic imaging and clinical laboratory services from within hospitals to free-standing service providers. A vision of care provision in 2020 and beyond ends the study.

Key Findings:

- The US hospital industry is in the midst of a major transformation of clinical and operational strategy, moving away from an era of a “heads to beds” provider-centric delivery system to a more collaborative care continuum, with the patient at the epicenter of attention.

- This paradigm shift has not come about as a result of one “big bang” industry catalyst or business action. It is the culmination of a multitude of political, social, economic, and cultural influencers. Moreover, the movement to a value-based model for hospitals has driven inpatient-day statistics down and increased outpatient procedures.

- Whole hospital revenue cycle algorithms are being re-evaluated and evolving to accept “bundled payments” and “shared risk” with suppliers, physicians, and payers alike.

- Massive consolidation of physical plants, markets, and primary care networks is underway. Whole new legal entities such as accountable care organizations (ACOs) are tethering hospitals to their healthcare ecosystem and organizational footprint.

- The way hospitals are reimbursed is also undergoing transformation, beginning with Medicare and Medicaid payments to virtually all third-party payors. Hospitals now are incentivized financially to meet targets for quality outcomes and for preventing readmissions.

- The purpose of this study is to articulate and illustrate these transformations and suggest where the hospital industry is headed in 2020 and beyond.
READ MORE
Note: Product cover images may vary from those shown
2 of 3
1. Executive Summary
  • Key Findings
2. Influencers Impacting US Hospital Transformation
  • Evolution of New Models of Care Delivery
  • Competitor Influence
  • Lean Innovations and Management Principals to be Key
  • Rise of Smart Hospitals
  • Building a Smart Hospital - Enterprise Connectivity
  • Building a Smart Hospital - Devices and Sensors
  • Building a Smart Hospital - Healthcare IT
  • Mapping the Transformation of Care Provision
  • Assessing the Vendor Opportunity Landscape
3. US Hospitals - Overview
  • US Hospitals - Snapshot of Current Status
  • What Keeps Hospital CEOs Awake at Night
  • Key Hospital Objectives
  • Challenges Posed by the Affordable Care Act (ACA)
  • Financial Status - For-profit Hospitals
  • Financial Status - Not-for-profit Hospitals
  • Hospital-owned Insurance Plans
  • Financial Status - Rural Hospitals
4. Consolidations and Acquisitions among Hospitals
  • Healthcare Spending Landscape in the United States
  • Hospital Consolidation Overview
  • Hospital Services Expansion
5. Accountable Care Organizations (ACOs)
  • Role of ACOs
  • CMS Stipulations for Medicare ACOs
  • ACO Quality Measures - 4 Key Domains
  • Role of ACOs in Chronic Disease Management
  • Accountable Care Organization - Infrastructure Landscape
  • Accountable Care Organization - Segment Landscape
  • Accountable Care Organization - Patient Coverage
  • Accountable Care Organization Model - Analysis
  • Changing Reimbursement Models
  • Types of Value-based Payments
  • Bundled Payments Landscape
6. Impact of Medicare on Hospitals
  • Inpatient Landscape by Payor
  • Hospital Reimbursement Landscape
  • Medicare Advantage (MA) Plans
7. Hospital Inpatient Volume Snapshot
  • Inpatient Statistics Analysis
  • Hospital Inpatient Volume Trends
  • Financial Impact of Hospital Consolidations
8. Hospital Outpatient Volume Snapshot
  • Outpatient Statistics Analysis
  • Ambulatory Surgical Center Trends
9. Synergies of Tomorrow - Evolving Partnerships Between Hospitals and Ambulatory Care Providers
  • Ambulatory Care Provider Model 1 - Retail Clinics
  • Future of Retail Clinics
  • Transition of Retail Clinics
  • Health Systems Partnerships With Retail Clinics
  • Ambulatory Care Provider Model 2 - Urgent Care Clinics
  • Health Systems Partnerships With Urgent Care Clinics
  • Ambulatory Care Provider Model 3 - Bridge Clinics
  • Ambulatory Care Model 4 - Virtualization of Primary Care
  • Ambulatory Care Model 5 - Telemedicine in Rural Hospitals
10. Current Therapeutic Service Lines Driving Hospital Revenues
  • Hospital Revenues by Key Specialties
  • Clinical Specialty Area 1 - Orthopedics
  • Clinical Specialty Area 2 - Cardiovascular Diseases (CVDs)
  • Clinical Specialty Area 2 - Emergence of TAVR
  • Clinical Specialty Area 2 - Emergence of TMVR
  • Clinical Specialty Area 3 - Behavioral Health
  • Clinical Specialty Area 4 - Long-term Care (LTC) Hospitals
  • Hospital Acquired Infections - A Major Hospital Challenge
  • Solution for HAIs - CMS Partnership for Patients Program
11. Focus on Future Technologies Enabling Hospitals
  • Future Technology 1 - Personalized Genetic Medicine
  • Future Technology 2 - 3D Printing
  • Future Technology 3 - Nano Medicine
12. Snapshot of Current and Future Trends in Medical Imaging
  • Summary of Medical Imaging Trends
  • Technical Reimbursements - Target of Medicare Cuts
  • Imaging Procedure Landscape
  • Imaging Centers - Facing a Tough Economic Environment
  • Joint Ventures - An Attractive New Model of Collaboration
  • Benefits of Joint Ventures
  • Replacement of Joint Ventures - Rise of Hybrid Models
  • Hybrid Partnership Models - Examples
13. Snapshot of Current and Future Trends in Clinical Laboratories
  • Summary of Clinical Laboratory Trends
  • Clinical Laboratories in the United States - Snapshot
  • Clinical Laboratories - Key Specialty Areas of Focus
  • Decentralization of Clinical Laboratory Testing
  • Hospitals and Independent Labs - Types of Partnerships
  • Independent Clinical Labs - Consolidation Trends
  • Point of Care Testing - The Next Big Thing
14. An Ideal Vision of the Future of Care Provision in the United States
  • Evolution of the Healthcare Landscape: 2010 - 2020
  • Key Healthcare Trends: 2016 - 2020
  • From Episodic to Managed Care
  • A Healthcare Utopia - Vision for 2020 and Beyond
  • Healthcare Innovation will Drive New Market Opportunities
  • Facilitating Continuum of Care Services
  • Role of Big Data
  • Creating Big Data Analytics Solutions
  • Legal Disclaimer
Note: Product cover images may vary from those shown
3 of 3

Loading
LOADING...

4 of 3
Note: Product cover images may vary from those shown
Adroll
adroll