Health system consolidation continues driven by increasing financial pressures as value-based reimbursement, high spending and decreasing margins are compelling providers to contemplate new partnerships to achieve cost control and efficiency.
Recent examples of this consolidation include the creation of CommonSpirit Health with the merging of Dignity Health and CHI; the merger of Beth Israel Deaconess Medical Center and Lahey Health; the merger of Bon Secours Health System and Mercy Health; and HCA Healthcare’s acquisition of Mission Health.
There are as many as 1,000 IDNs in the U.S., each one unique. The 200 largest IDNs own an average of at least 80 facilities, have over 500 affiliated providers, and generate tens of thousands or more of claims annually. There’s tremendous variation of the geographical spread of IDNs. Some are localized in only one geography while others are very spread out.
Providers and other major healthcare stakeholders are increasingly investing in outpatient services and centers in response to new technologies and healthcare consumerism, according to a survey conducted by Definitive Healthcare.
During this era of consolidation, hospitals and health systems are migrating their clinical service delivery models to both inpatient and outpatient service lines. Service lines are offered in a horizontal organizational structure focused on patient care delivery within a particular clinical area with a product-line model that follows the patient’s path through the care process. The service line offers a specific set of services.
The growth of outpatient services has health systems shifting their focus of care from inpatient to outpatient including the delivery of care by service line. AMI’s new report, Top 10 IDNs: Outpatient Service Lines Trends, reviews the strategies and activities of 10 leading health systems as they shift their service line focus to outpatient care.
Service lines reviewed include:
- Behavioral Health
- Orthopedics and Spine
- Women’s Health
The report’s Table of Contents:
- Introduction – pgs. 4-5
- Ascension – pgs. 6-10
- CommonSpirit Health – pgs. 11-13
- Providence St. Joseph Health – pgs. 14-17
- Trinity Health – pgs. 18-20
- UPMC – pgs. 21-23
- Bon Secours Mercy Health – pgs. 24-27
- Baylor Scott and White Health – pgs. 28-33
- Atrium Health – pgs. 34-37
- Sutter Health – pgs. 38-40
- Northwell Health – pgs. 41-45
 Integrated Delivery Networks, Rory Martin, PHD, IQVIA Center of Excellence for IDN Insights
 2019 Outpatient Trends Survey, Definitive Healthcare