From Chicago to Charlotte and
Seattle to Cincinnati
Using Multi-Sector Data to
Understand How Individual Healthcare Markets Are Evolving
David Muhlestein, PhD, JD
Chief Research Officer, Leavitt Partners
[email protected]
@DavidMuhlestein
The Challenge
How Healthcare Data is
Available Today
How Healthcare Data should
be “Consumed”
The Process of Combing Data
Diverse MultiIndustry Datasets
*Automation is
increasingly important to
ensure data is up-to-date
Human-eyes
validation
Model data so it can be combined
with other data sets, at specific
geographic regions
Custom
applications draw
on the data
(dashboards,
patient flow, etc.)
Landing
Database
Data
Manipulation
Production
Database
Combined on a web-based
platform for accessibility
Visualizing the Data: ACOs, Hospitals and Physician Groups
City Comparison (by CBSA)
Chicago
Charlotte
Seattle
Cincinnati
Population
9,456,569
2,220,191
3,428,157
2,114,645
Median Age
36
37
37
37
Median Household Income
$65,236
$56,133
$73,131
$57,520
Percent of Population with Irish
Ancestry
12%
9%
11%
14%
Number of Physicians
18,663
4,000
8,484
4,122
Percent of Physicians who practice
primary care
48%
62%
55%
47%
Percent of Population in ACO
15%
3.4%
14%
6.4%
HHI of Insurers
0.81
0.32
0.28
0.43
Mean Hospital Readmission Penalty
0.55%
0.21%
0.18%
0.36%
Change in Proportion of Physicians in Groups
of 100 or more, 2013-2015
Health Care Cost Growth
Medicare vs Commercial Cost Growth, 2012-2014
2.5
2
Medicare Cost Growth
1.5
-0.3
1
0.5
0
-0.2
-0.1
0
-0.5
-1
Commercial Cost Growth
0.1
0.2
0.3
Health Care Cost Growth
Medicare vs Commercial Cost Growth, 2012-2014
2.5
2
Medicare Cost Growth
1.5
-0.3
Chicago
1
Cincinnati
0.5
0
-0.2
-0.1
0 Seattle
Charlotte 0.1
-0.5
-1
Commercial Cost Growth
0.2
0.3