Managed Care Information Center MCIC - Managed Care Information Center
Providing Essential Management Information to Healthcare Executives

Home / Inside MCIC / Press Releases
Search

E-mail a Friend
Affiliates
Health Resources Online
* * *
Health Resources Publishing
* * *
Wellness Junction
* * *
Healthcare Intelligence Network
Contact MCIC
info@themcic.com

Managed Care Information Center
1913 Atlantic Ave., Suite F4
Manasquan, NJ  08736
(732) 292-1100
fax: (732) 292-1111


MCIC Press Release

For more info, contact MCIC:
Phone: (732) 292-1100
Fax: (732) 292-1111
Email: info@themcic.com

Hot Off The Press

Managed Care Plans More Likely To Integrate Vertically

Manasquan, N.J. -- Managed care organizations (MCOs) are seeking to become part of integrated delivery systems (IDSs), according to the results of a new exclusive survey by The Managed Care Information Center (MCIC).

The data was collected in conjunction with the publication of The National Directory of Managed and Integrated Care Organizations by The Managed Care Information Center.

Some 42 percent of surveyed MCOs reported that they are part of an IDS. Of MCOs that reported they are part of an IDS, 35 percent are integrating vertically, while 19 percent said their organization is integrating horizontally.

MCOs that offer POS plans are more likely to be part of an IDS than those offering HMOs and PPOs. Some 31.9 percent of MCOs that offer a POS plan are part of an IDS, compared with 25.4 percent of MCOs that offer an HMO and 22.9 percent that offer a PPO, found the MCIC study.The percentage of HMOs, PPOs and POS plans that are integrating vertically versus those that are integrating horizontally follows the same pattern as MCOs in general. Some 18.5 percent of HMOs, 19.3 percent of PPOs and 22.9 percent of POS plans reported that they are integrating horizontally, while 38.6 percent of HMOs, 35.4 percent of PPOs and 37.5 percent of POS plans are integrating vertically.

An organization's profit status had no bearing on IDS participation; 23.1 percent of for-profit MCOs reported that they were part of an IDS, while 23.4 percent of nonprofit MCOs reported that they were part of an IDS.

By region, some 24.3 percent of MCOs based in the Mountain region reported that they are part of an IDS, compared with 17.2 percent of MCOs based in the Atlantic region. Surprisingly, only 17.9 percent of MCOs in the Pacific region -- the managed care hot bed -- reported that they are part of an IDS. Some 21.7 percent of MCOs in the Central region indicated they are part of an IDS.

Of all MCOs that reported they are part of an IDS, 43.4 percent are headquartered in the Atlantic region and 34.3 percent are in the Central region. The high percentage in the Atlantic region reflects the high number of MCOs, in general, that are based in that region. An additional 14.4 percent are located in the Pacific and 8 percent are located in the Mountain region.

By state, Kentucky has the greatest number of MCOs that reported they are integrated -- 73.2 percent, followed by Iowa with 64.3 percent. Other states with a high proportion of MCOs reporting that they are integrated include: Hawaii with 44.4 percent; Tennessee with 41.9 percent; Maine with 37.5 percent; Arizona with 35.7 percent; Arkansas, New Mexico and North Dakota, all with 33.3 percent; and Utah with 29.4 percent.

The size of managed care provider networks varied among integrated networks versus non-integrated networks. The average number of specialists in an integrated network was 7,871 versus 6,806 specialists in a non-integrated network.

On average, there were fewer primary care physicians (PCPs) in integrated networks in comparison with non-integrated networks. There were an average 7,128 PCPs in an integrated network, compared with 7,871 PCPs in a non-integrated network. MCOs' integrated networks had an average of 151 hospitals in their networks, compared with 212 hospitals in a non-integrated network.

The National Directory of Managed and Integrated Care Organizations covers HMOs, PPOs, utilization review organizations (UROs), POS plans, and several other types of managed and integrated care organizations. Integrated delivery systems are displayed in a separate section, detailing providers that are forming horizontal or vertical networks to provide a full range of healthcare options.

Organization profiles list the main address, phone, fax, key administrative officers, enrollment, service area, number of primary care physicians, number of specialists, and much more.

Integrated delivery systems are listed with the addresses, executive contacts, year founded, and type of integration.

The National Directory of Managed and Integrated Care is available from the Managed Care Information Center. Cost: $325, plus $7.50 shipping and handling.

For more information contact The Managed Care Information Center, 1913 Atlantic Avenue, Suite F4, Manasquan, NJ, 08736, toll-free telephone 1-888-THE-MCIC (1-888-843-6242), fax 1-888-FAX-MCIC (1-888-329-6242), e-mail info@themcic.com or online at http://www.themcic.com.


For more information contact The Managed Care Information Center, 1913 Atlantic Avenue, Suite F4, Manasquan, NJ, 08736, toll-free telephone 1-888-THE-MCIC (1-888-843-6242), fax 1-888-FAX-MCIC (1-888-329-6242), e-mail info@themcic.com or online at http://www.themcic.com.

# # #

Back to List of Releases

 
Top | Home

© The Managed Care Information Center