The Transformation of the American Hospital, Assessment to 2020
The Transformation of the American Hospital, Assessment to 2020
Focus Shifts from Patient Volumes to Value-based Outcomes and Collaborative Care
04-May-2016
North America
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Description
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.
RESEARCH: INFOGRAPHIC
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Table of Contents
Evolution of New Models of Care Delivery
Competitor Influence
- Pressure hospitals face
- Moving beyond acute care setting
- Re-structuring for consolidation
Lean Innovations and Management Principals to be Key
- Infrastructure
- Technology
- Financial
- Process Management
- People
Rise of Smart Hospitals
- Enterprise Connectivity
- Devices and Sensors
- Healthcare IT
Mapping the Transformation of Care Provision
- Assessing the Vendor Opportunity Landscape
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
Healthcare Spending Landscape in the United States
Hospital Consolidation Overview
Hospital Services Expansion
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
Inpatient Landscape by Payor
Hospital Reimbursement Landscape
Medicare Advantage (MA) Plans
Inpatient Statistics Analysis
Hospital Inpatient Volume Trends
Financial Impact of Hospital Consolidations
Outpatient Statistics Analysis
Ambulatory Surgical Center Trends
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
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
Personalized Genetic Medicine
Case Studies
3D Printing
Nano Medicine
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
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
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
Definitions of Key Terms
Value Proposition: Future of Your Company & Career
Global Perspective
Industry Convergence
360º Research Perspective
Implementation Excellence
Our Blue Ocean Strategy
- 1. Financial Status—For-profit Hospitals
- 2. Median Annual Revenue Growth, United States, 2013–2014
- 3. Median Annual Expenditure Growth, United States, 2012–2014
- 4. Rural Hospital Closures, United States, 2010–Q32015
- 5. Healthcare Spending, United States, 2013
- 6. Healthcare Spending by Payer, United States, 2013
- 7. Hospital Acquisition Deals, United States, 2006–2010
- 8. Hospital Acquisition Deals, United States, 2010–2014
- 9. Growth in ACOs, United States, 2011–Q12015
- 10. Growth in ACO Contracts, United States, 2011–2014
- 11. Breakup of ACOs by Ownership, United States, 2015
- 12. ACO Population Coverage, United States, 2011–2020
- 13. Reduction in Number of Pioneer ACOs, United States, 2012–2014
- 14. Patients Treated in Hospitals by Payer, United States, 2013
- 15. Medicare FFS Payments for Hospital Inpatient & Outpatient Services*, United States, 2005–2013
- 16. Medicare Spending Trends
- 17. Medicare Advantage Enrollees, United States, 2009–2015
- 18. Distribution of Enrollees, United States, 2015
- 19. Inpatient Admissions/1,000 Population, United States, 2005–2013
- 20. Inpatient Surgeries Performed, United States, 2005–2013
- 21. Inpatient Days/1,000 Population, United States, 2005–2013
- 22. Total Inpatient Days, United States, 2005–2013
- 23. Markup of Hospital Charges Above Costs For Medicare Services, United States, 2005–2012
- 24. Top 50 Hospitals in Terms of Markups
- 25. Outpatient Visits/1,000 Population, United States, 2005–2013
- 26. Total Outpatient Visits, United States, 2005–2013
- 27. Total Outpatient Surgeries, United States, 2005–2013
- 28. ASC Growth Trends, United States, 2008–2014
- 29. Number of Retail Clinics, United States, 2009–2021
- 30. Patients Visiting Retail Clinics, United States, 2013–2021
- 31. Retail Clinic Revenues, United States, 2013–2021
- 32. Urgent Care Clinic Ownership, United States, 2015
- 33. Virtual Doctor Consultations*, United States, 2015–2020
- 34. Hospital Revenues by Key Specialties
- 35. Increasing Annual CMS Spending on Hip and Knee Bundles, United States, 2016–2020
- 36. Incidence of Aortic Stenosis, United States, 2015–2025
- 37. Incidence of Severe Mitral Regurgitation, United States, 2015–2025
- 38. Clinical Specialty Area 3—Behavioural Health
- 39. Rising Costs of LTC
- 40. Percentage Split of Medicaid Spending on LTC, United States, 2005–2013
- 41. Clinical Specialty Area 4 - LTC Facilities
- 42. Clinical Specialty Area 4 - Medicare Spending
- 43. Technical Reimbursement Component of Major Imaging Procedures, United States, 2011 and 2015
- 44. Professional Reimbursement Component of Major Imaging Procedures, United States, 2011 and 2015
- 45. Private Imaging Offices, United States, 2000–2012
- 46. Hospital Outpatient Departments (HOPD), United States, 2000–2012
- 47. Number of US Free-standing and Hospital Outpatient Imaging Centers United States, 2008–2013
- 48. Major Trends in Select Outpatient Imaging Center Chains (2015)
- 49. Clinical Laboratories Market: Revenues By Lab Type, United States, 2014–2018
- 50. Clinical Laboratories Market: Test Volumes by Specialty, United States, 2014
- 51. Clinical Laboratories Market, Market Share Analysis, US, 2014
- 1. The 12-step Market Insight Research Methodology Process
- 2. Lean Innovations and Management Principals to be Key
- 3. Rise of Smart Hospitals
- 4. Core Technology Architecture for Building a Smart Hospital—Enterprise Connectivity
- 5. Core Technology Architecture for Building a Smart Hospital—Devices and Sensors
- 6. Core Technology Architecture for Building a Smart Hospital—Healthcare IT
- 7. Mapping the Transformation of Care Provision
- 8. Assessing the Vendor Opportunity Landscape
- 9. US Hospitals—Snapshot of Current Status
- 10. What Keeps Hospital CEOs Awake at Night - Hospital Challenges
- 11. Key Hospital Objectives
- 12. Challenges Posed by the Affordable Care Act (ACA)
- 13. Hospital-owned Insurance Plans
- 14. Hospital Consolidation Overview
- 15. Role of ACOs
- 16. CMS Stipulations for Medicare ACOs
- 17. ACO Quality Measures—4 Key Domains
- 18. Role of ACOs in Chronic Disease Management
- 19. Changing Reimbursement Models
- 20. Types of Value-based Payments
- 21. Bundled Payments Landscape
- 22. Causes of Declining Hospital Inpatient Volumes (2006–2010)
- 23. Transition of Retail Clinics
- 24. Health Systems Partnerships With Retail Clinics
- 25. Ambulatory Care Model 5—Telemedicine in Rural Hospitals
- 26. Clinical Specialty Area 2—Cardiovascular Diseases (CVDs)
- 27. Clinical Specialty Area 3—Behavioral Health
- 28. Clinical Specialty Area 4—Long-term Care (LTC) Hospitals
- 29. Current HAI Prevention Measures Adopted by Hospitals
- 30. Solution for HAIs—CMS Partnership for Patients Program
- 31. Future Technology 1—Personalized Genetic Medicine
- 32. Future Technology 2—3D Printing
- 33. Future Technology 3—Nano Medicine
- 34. Benefits of Joint Ventures
- 35. Replacement of Joint Ventures—Rise of Hybrid Models
- 36. Hybrid Partnership Models—Examples
- 37. Clinical Laboratories in the United States - Lab Type
- 38. Emerging Trends in Key Specialty Areas
- 39. Hospitals and Independent Labs—Types of Partnerships
- 40. Acquisition of Outreach and Physician Office Labs
- 41. Acquisition of Specialty Labs
- 42. Point of Care Testing—The Next Big Thing
- 43. Evolution of the Healthcare Landscape: 2010–2020
- 44. From Episodic to Managed Care
- 45. A Healthcare Utopia—Vision for 2020 and Beyond
- 46. US Health Market Innovation Landscape - Technology Drives Innovation
- 47. Facilitating Continuum of Care Services
- 48. Role of Big Data
- 49. Creating Big Data Analytics Solutions
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Podcast | No |
Table of Contents | | Research Methodology~ | Executive Summary~ | Influencers Impacting US Hospital Transformation~ || Evolution of New Models of Care Delivery~ || Competitor Influence~ ||| Pressure hospitals face~ ||| Moving beyond acute care setting~ ||| Re-structuring for consolidation~ || Lean Innovations and Management Principals to be Key~ ||| Infrastructure~ ||| Technology~ ||| Financial~ ||| Process Management~ ||| People~ || Rise of Smart Hospitals~ ||| Enterprise Connectivity~ ||| Devices and Sensors~ ||| Healthcare IT~ || Mapping the Transformation of Care Provision~ ||| Assessing the Vendor Opportunity Landscape~ | US Hospitals—Overview~ || 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~ | Consolidations and Acquisitions among Hospitals~ || Healthcare Spending Landscape in the United States~ || Hospital Consolidation Overview~ || Hospital Services Expansion~ ||| Analysis of the 1,500 Hospital Acquisition Deals Between 2006 and 2014~ | Accountable Care Organizations (ACOs)~ || Role of ACOs~ || CMS Stipulations for Medicare ACOs~ || ACO Quality Measures—4 Key Domains~ ||| Patient / Caregiver Experience~ ||| Care Coordination / Patient Safety~ ||| Preventive Health~ ||| At-Risk Population~ || 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~ ||| Shared Savings~ ||| Shared Risk~ ||| Bundled Payments~ ||| Capitation~ || Bundled Payments Landscape~ | Impact of Medicare on Hospitals~ || Inpatient Landscape by Payor~ || Hospital Reimbursement Landscape~ || Medicare Advantage (MA) Plans~ | Hospital Inpatient Volume Snapshot~ || Inpatient Statistics Analysis~ || Hospital Inpatient Volume Trends~ ||| Causes of Declining Hospital Inpatient Volumes (2006–2010)~ ||| Causes of Declining Hospital Inpatient Volumes (2011–2015)~ || Financial Impact of Hospital Consolidations~ | Hospital Outpatient Volume Snapshot~ || Outpatient Statistics Analysis~ || Ambulatory Surgical Center Trends~ | 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~ ||| Case Studies~ |||| Partnership Model~ |||| Hospital Set-Up Model~ || Ambulatory Care Provider Model 3—Bridge Clinics~ ||| Case Study: John Hopkins Heart Failure Clinic~ || Ambulatory Care Model 4—Virtualization of Primary Care~ || Ambulatory Care Model 5—Telemedicine in Rural Hospitals~ ||| Case Studies~ |||| Grande Ronde Hospital~ |||| VA Mayo Clinic Arizona~ |||| Lincoln Hospital~ | Current Therapeutic Service Lines Driving Hospital Revenues~ || Hospital Revenues by Key Specialties~ || Clinical Specialty Area 1—Orthopedics~ ||| Drivers~ ||| Constraints~ || 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~ ||| American Adults (Ages 18 and Over)~ ||| American Children (Ages 13–18)~ || Clinical Specialty Area 4—Long-term Care (LTC) Hospitals~ || Hospital Acquired Infections—A Major Hospital Challenge~ || Solution for HAIs—CMS Partnership for Patients Program~ | Focus on Future Technologies Enabling Hospitals~ || Personalized Genetic Medicine~ || Case Studies~ ||| Mayo Clinic~ ||| Intermountain Precision Genomics~ ||| Cleveland Clinic~ ||| Children’s Hospital of Wisconsin~ || 3D Printing~ || Nano Medicine~ | Snapshot of Current and Future Trends in Medical Imaging~ || Summary of Medical Imaging Trends~ ||| Financial Challenges to Medical Imaging~ ||| Future Financial Challenges~ ||| Partnerships of the Future~ || 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~ ||| Health System Benefits ~ ||| Mutual Benefits ~ ||| Imaging Center Benefits~ || Replacement of Joint Ventures—Rise of Hybrid Models~ || Hybrid Partnership Models—Examples~ | Snapshot of Current and Future Trends in Clinical Laboratories~ || Summary of Clinical Laboratory Trends~ ||| Financial Challenges to Diagnostic Labs~ ||| Future Models of Partnership~ ||| Point of Care (PoC) Testing~ || 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~ | 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~ ||| Imaging files~ ||| Genomic data~ ||| Clinician notes~ ||| Others ~ | Legal Disclaimer~ | Appendix~ || Definitions of Key Terms~ | The Frost & Sullivan Story~ || Value Proposition: Future of Your Company & Career~ || Global Perspective~ || Industry Convergence~ || 360º Research Perspective~ || Implementation Excellence~ || Our Blue Ocean Strategy~ |
List of Charts and Figures | 1. Financial Status—For-profit Hospitals~ 2. Median Annual Revenue Growth, United States, 2013–2014 ~ 3. Median Annual Expenditure Growth, United States, 2012–2014~ 4. Rural Hospital Closures, United States, 2010–Q32015 ~ 5. Healthcare Spending, United States, 2013 ~ 6. Healthcare Spending by Payer, United States, 2013~ 7. Hospital Acquisition Deals, United States, 2006–2010~ 8. Hospital Acquisition Deals, United States, 2010–2014 ~ 9. Growth in ACOs, United States, 2011–Q12015~ 10. Growth in ACO Contracts, United States, 2011–2014~ 11. Breakup of ACOs by Ownership, United States, 2015~ 12. ACO Population Coverage, United States, 2011–2020~ 13. Reduction in Number of Pioneer ACOs, United States, 2012–2014~ 14. Patients Treated in Hospitals by Payer, United States, 2013~ 15. Medicare FFS Payments for Hospital Inpatient & Outpatient Services*, United States, 2005–2013~ 16. Medicare Spending Trends~ 17. Medicare Advantage Enrollees, United States, 2009–2015~ 18. Distribution of Enrollees, United States, 2015~ 19. Inpatient Admissions/1,000 Population, United States, 2005–2013~ 20. Inpatient Surgeries Performed, United States, 2005–2013~ 21. Inpatient Days/1,000 Population, United States, 2005–2013~ 22. Total Inpatient Days, United States, 2005–2013~ 23. Markup of Hospital Charges Above Costs For Medicare Services, United States, 2005–2012~ 24. Top 50 Hospitals in Terms of Markups~ 25. Outpatient Visits/1,000 Population, United States, 2005–2013~ 26. Total Outpatient Visits, United States, 2005–2013~ 27. Total Outpatient Surgeries, United States, 2005–2013~ 28. ASC Growth Trends, United States, 2008–2014~ 29. Number of Retail Clinics, United States, 2009–2021~ 30. Patients Visiting Retail Clinics, United States, 2013–2021~ 31. Retail Clinic Revenues, United States, 2013–2021~ 32. Urgent Care Clinic Ownership, United States, 2015~ 33. Virtual Doctor Consultations*, United States, 2015–2020~ 34. Hospital Revenues by Key Specialties ~ 35. Increasing Annual CMS Spending on Hip and Knee Bundles, United States, 2016–2020~ 36. Incidence of Aortic Stenosis, United States, 2015–2025~ 37. Incidence of Severe Mitral Regurgitation, United States, 2015–2025 ~ 38. Clinical Specialty Area 3—Behavioural Health~ 39. Rising Costs of LTC~ 40. Percentage Split of Medicaid Spending on LTC, United States, 2005–2013 ~ 41. Clinical Specialty Area 4 - LTC Facilities~ 42. Clinical Specialty Area 4 - Medicare Spending~ 43. Technical Reimbursement Component of Major Imaging Procedures, United States, 2011 and 2015 ~ 44. Professional Reimbursement Component of Major Imaging Procedures, United States, 2011 and 2015~ 45. Private Imaging Offices, United States, 2000–2012~ 46. Hospital Outpatient Departments (HOPD), United States, 2000–2012~ 47. Number of US Free-standing and Hospital Outpatient Imaging Centers United States, 2008–2013 ~ 48. Major Trends in Select Outpatient Imaging Center Chains (2015) ~ 49. Clinical Laboratories Market: Revenues By Lab Type, United States, 2014–2018 ~ 50. Clinical Laboratories Market: Test Volumes by Specialty, United States, 2014 ~ 51. Clinical Laboratories Market, Market Share Analysis, US, 2014~| 1. The 12-step Market Insight Research Methodology Process~ 2. Lean Innovations and Management Principals to be Key~ 3. Rise of Smart Hospitals~ 4. Core Technology Architecture for Building a Smart Hospital—Enterprise Connectivity~ 5. Core Technology Architecture for Building a Smart Hospital—Devices and Sensors~ 6. Core Technology Architecture for Building a Smart Hospital—Healthcare IT~ 7. Mapping the Transformation of Care Provision~ 8. Assessing the Vendor Opportunity Landscape~ 9. US Hospitals—Snapshot of Current Status~ 10. What Keeps Hospital CEOs Awake at Night - Hospital Challenges~ 11. Key Hospital Objectives~ 12. Challenges Posed by the Affordable Care Act (ACA)~ 13. Hospital-owned Insurance Plans~ 14. Hospital Consolidation Overview~ 15. Role of ACOs~ 16. CMS Stipulations for Medicare ACOs~ 17. ACO Quality Measures—4 Key Domains~ 18. Role of ACOs in Chronic Disease Management~ 19. Changing Reimbursement Models~ 20. Types of Value-based Payments~ 21. Bundled Payments Landscape~ 22. Causes of Declining Hospital Inpatient Volumes (2006–2010)~ 23. Transition of Retail Clinics~ 24. Health Systems Partnerships With Retail Clinics~ 25. Ambulatory Care Model 5—Telemedicine in Rural Hospitals~ 26. Clinical Specialty Area 2—Cardiovascular Diseases (CVDs)~ 27. Clinical Specialty Area 3—Behavioral Health~ 28. Clinical Specialty Area 4—Long-term Care (LTC) Hospitals~ 29. Current HAI Prevention Measures Adopted by Hospitals~ 30. Solution for HAIs—CMS Partnership for Patients Program~ 31. Future Technology 1—Personalized Genetic Medicine~ 32. Future Technology 2—3D Printing~ 33. Future Technology 3—Nano Medicine~ 34. Benefits of Joint Ventures~ 35. Replacement of Joint Ventures—Rise of Hybrid Models~ 36. Hybrid Partnership Models—Examples~ 37. Clinical Laboratories in the United States - Lab Type~ 38. Emerging Trends in Key Specialty Areas~ 39. Hospitals and Independent Labs—Types of Partnerships~ 40. Acquisition of Outreach and Physician Office Labs~ 41. Acquisition of Specialty Labs~ 42. Point of Care Testing—The Next Big Thing~ 43. Evolution of the Healthcare Landscape: 2010–2020~ 44. From Episodic to Managed Care~ 45. A Healthcare Utopia—Vision for 2020 and Beyond~ 46. US Health Market Innovation Landscape - Technology Drives Innovation~ 47. Facilitating Continuum of Care Services~ 48. Role of Big Data~ 49. Creating Big Data Analytics Solutions~ |
Author | Tanvir Jaikishen |
WIP Number | K01B-01-00-00-00 |
Is Prebook | No |