Selling to Managed Care Organizations? Share Your Insight

For sales, marketing and business development directors, if your market includes health payers, take moment to participate in this very brief Managed Care Organization Vendor Sales Insight Leaders’ Survey from the Managed Care Information Center.

We are confident that the results will be of keen interest.

Your participation will only take a moment to answer two short questions. We will share the results with those who respond to the survey.

Please click on this link now: Managed Care Organization Vendor Sales Insight Leaders’ Survey

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Physician Turnover Increases; Competition, Pace of Turnover and Retirements Expected to Increasee

Medical groups reported an average turnover rate of 6.8 percent in 2012, according to the 8th annual Physician Retention Survey.

Likewise, there was turnover of 11.5 percent among advanced practice clinicians (APCs), which includes physician assistants and nurse practitioners, found the survey by Cejka Search and the American Medical Group Association (AMGA). Continue reading

A Glance Back: Boom Times For Growth of New IPAs Began to Slow Dramatically in 1999

Despite today’s somewhat ‘rosy’ outlook for physician organizations, the IPA equivalent of the Dot Com bust occurred in 2002 when only two new IPAs were formed, found Managed Care Information Center Research.

The peak year for IPA growth was 1994 when 174 new physician organizations formed, according to data for the National Directory of Physician Organizations Database. The year 1995 was close with 138 new IPAs formed, our analysts found.
Source: The National Directory of Physician Organizations Database. http://healthresourcesonline.healthrespubs.com/managed_care/23poe.htm

New Physician Organization Leadership Survey Seeks Insight – Opinion

The Managed Care Information Center periodically conducts our Physician Organization Leadership Survey to identify the issues, challenges and opportunities today for physician organizations.

We are seeking survey responses from those engaged in the management and administration of or who are members of such physician organizations as IPAs, PHOs and MSOs.

For your participation in this brief survey, we will send you free an executive summary of the analyzed results.

What are the ‘looming’ challenges? Any opportunities? What is the most pressing concern from your perspective?

The survey only takes a few moments. You do not have to identify yourself if you choose.

As you know, survey results are reported in the Managed Care Information Center reports, in our Managed Care Weekly Watch, as well as the MCIC Blog, Facebook and Twitter and are posted at our website.

To participate in this survey, go click on this link now: http://bit.ly/JhFn9o

If you are connected with executives of members of PHOs, IPA or MSOs, please let them know about this survey.

Members in Consumer-driven Health Plans Seen More Educated, Healthier, Wealthier

New findings of a study of members enrolled in consumer driven health plans has found that those individuals tend to have higher incomes, higher educational levels, and report better health behavior than do those in traditional health plans.

The report was produced by the nonpartisan Employee Benefit Research Institute (EBRI). The study examined trends over the 2005–2011 period.

Consumer-driven health plans (CDHPs) generally consist of high-deductible health plans (HDHP) with either a health reimbursement arrangement (HRA) or Health Savings Account (HSA).

As of 2011, some 21 million individuals, representing about 12 percent of the market, were either in a CDHP or an HSA-eligible health plan, the report said.

“Consumer-driven health plans are a growing presence in the health insurance market, so it’s important to understand how they differ from traditional health plans,” observed Paul Fronstin, author of the report and director of EBRI’s Health Research and Education Program.

He said it is “often assumed that CDHP enrollees are more likely to be young than those with traditional coverage, because they use less health care, on average. However, in most years, the survey found that CDHP enrollees were less likely than those with traditional coverage to be between the ages of 21 and 34.”

Other findings from the EBRI report include:

  • CDHP enrollees were roughly twice as likely as individuals with traditional coverage to have a college or post-graduate education. HDHP enrollees were also more likely than traditional-plan enrollees to have a college or graduate degree.
  • CDHP enrollees have consistently reported better health status than traditional-plan enrollees.
  • During the survey period, HDHP enrollees have been consistently less likely than those with traditional coverage to report that they smoke, but no recent differences were found in exercise rates, and differences were not found in obesity rates.

For more information following is a link to EBRI’s news release:

http://www.ebri.org/pdf/PR968.26Apr12.CDHPs.pdf

More Than 550 Thousand Physicians Now Belong To Physician Organizations – IPAs and PHOs

Some 303,959 primary care physicians are members of either an independent practice association or a physician hospital organization, according to our research for the National Directory of Physician Organizations Database.

Specialists account for 258,032 of the total physician organization membership, the research has found.

The research on the ‘niche’ physician organization market includes 2012 -2011 data.

There also has been both growth and consolidation in the physician organization market the Managed Care Information Center studies have found.

With their size, the physician organizations can and are becoming the driving force in helping their physician members adopt electronic health or medical records and investigate whether an accountable care organization should be in their future.

Today, there are 500 Independent Practice Associations (IPAs) that have been identified. Physician hospital organizations (PHOs) comprise 570 of the physician organizations while primary care networks number 85, the research has found. The database also includes information on 131 of the larger multi-specialty medical groups.

PHOs, IPAs, management service organizations (MSOs) and physician practice management companies (PPMCs) have been closely tracked and researched by the Managed Care Information Center in connection with the production of the National Directory of Physician Organizations Database on CD-Rom.

The database also contains business information on management services organizations and practice management companies.

Research Source:  The National Directory of Physician Organizations Database produced by the Managed Care Information Center https://www.healthresourcesonline.com/payer-provider-data/the-national-directory-of-physician-organizations-database-on-cd-rom.html

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