WHAT'S NEWS - January 2012 (Medical Groups)

  • The 2011 Annual Survey started Sept 7th and closed Dec 16th (with a straggler or two)! The response rate was 75%. See the special report under Quick Links "Enrollment Comparison, 2010-2012" for changes in enrollment among the same reporting groups
  • Jan significant changes - -
    Stanford's new medical foundation, University Healthcare Alliance has absorbed Affinity Medical Group, Bay Valley Medical Group & Menlo Clinic
    MSO changes: Seoul Medical Group from CMS to Advanced Medical; Mid County Medical Group from SynerMed to Southern California Physicians Managed Care Services
  • Added Report #22 listing the 14 fee-for-service only groups doing business with HMOs (this was a request)
  • Added 3 additional medical groups:
      PremierCare IPA (operational Jan 1st)
      Southern California Medical Coalition (operational mid 2011)
      Union Pacific IPA (this was our oversight of a long operating group)
  • Requests via our "pop-up survey" - - the 5 most current  
1. Please provide more definitions, such as "% at risk", "DTP". Most items are noted in the footnotes of the reports. "% at risk" means number of groups taking capitation for the HMO enrollees assigned to the groups. "DTP" means declined to participate in one of the annual surveys.
2. Can data on ACOs be added? The California Healthcare Foundation has contracted with C&S to develop data on ACOs similar to the medical group data. We expect to have it on the website around Feb 2012.  
3. You should post quality measures for the groups, including the CMS 5 Star Program. As of Nov 1st , web links added to our homepage pointing to quality measuring programs of The Office of Patient Advocate and Integrated Healthcare Associates. The CMS 5 Star Program at this time is only measures HMOs.
4. The data is not current! We update all the medical group data monthly if appropriate. Once posted on the 1st of the month it remains static until the next month (except for "Find a Calif Medical Group or MSO" under "Quick Links" on the homepage which is updated weekly). We attempt to have the most current information available. The pop-up survey has a question seeking corrections, which we will verify and then update.
5. Why don't we publish specific enrollment data for medical groups? Some medical groups expressed concern about this, and indicated they would not participate if specifics were continued to be published. Therefore, enrollment ranges have been utilized for over 3 years.

(KEEP THE COMMENTS COMING!)

  • Updated/corrected/added medical groups' data based on survey results.

Don't forget to use the comment section of the pop-up survey to request report changes or new reports. One commenter asked for a report which we were able to provide easily and at no cost.

 


For quality report cards on health plans and medical groups, visit the California Office of The Patient Advocate's website.

 

For 2011 P4P Award Winners (top performing medical groups), visit Integrated Healthcare Association's website.

 

Cattaneo & Stroud, Inc. is a management consulting firm specializing in strategic planning and managed care consulting services exclusively to the healthcare industry. The firm is comprised largely of senior level principals who are actively involved in all facets of each project. Our clients include some of the health care industry's market leaders, of which, most have worked with our firm on multiple engagements over an extended period of time.
 

MD Ranger is a subscription service for physician contract data that provides easy-to-use reports containing benchmarks for medical direction, administrative, and call coverage payment rates for physician services.  MD Ranger's reports are a powerful new tool for physician fair market value analysis.  MD Ranger is an affiliated company of Cattaneo & Stroud and HealthWorks.  For further information contact: MD Ranger

 

C&S' PRIVACY POLICY & USE OF INFORMATION ON C&S' WEBSITE

  • C&S will not give or sell names, addresses or e-mails addresses provided by our website visitors.
  • E-mails sent to C&S may be retained for use by C&S.
  • Visitors are granted permission to copy information on C&S' website, if Cattaneo & Stroud, Inc. is referenced.