Community Reports

Title Date

Indianapolis Hospital Systems Compete for Well-Insured, Suburban Patients

Community Report No. 12

Indianapolis’ major hospital systems continue to encroach on each other’s traditional territories, engaging in a battle of bricks and mortar in suburban areas to compete for well-insured patients, according to a new Community Report released today by the Center for Studying Health System ...

Economic Downturn Strains Miami Health Care System

Community Report No. 11

Despite the economic downturn’s severe fallout on Miami’s tourism, real estate and construction sectors, some hospitals are expanding beyond their traditional geographic markets to compete for privately insured patients, according to a new Community Report released today by the Center for ...

Physicians Key to Health Maintenance Organization Popularity in Orange County

Community Report No. 10

The extent of health plan delegation of financial risk and utilization management to physicians caring for health maintenance organization (HMO) enrollees makes Orange County stand out from many health care markets, according to a new Community Report released by the Center for Studying Health System ...

Syracuse Health Care Market Works to Right-Size Hospital Capacity

Community Report No. 9

Largely stable over the last three years, the Syracuse health care market continues to grapple with the challenge of finding the right level and mix of hospital capacity, according to a new Community Report by the Center for Studying Health System Change (HSC). The study was funded jointly by the Robert ...

Economic Downturn Slows Phoenix’s Once-Booming Health Care Market

Community Report No. 8

After more than a decade of rapid population growth and a thriving economy, Phoenix’s once-booming health care market has adopted a more cautious outlook amid the lingering effects of the great recession, according to a new Community Report by the Center for Studying Health System Change (HSC). ...

Lansing’s Dominant Hospital, Health Plan Strengthen Market Positions

Community Report No. 7

In an insular market wary of outsiders, Lansing’s dominant hospital system—Sparrow Health System—and health plan—Blue Cross Blue Shield of Michigan—have reinforced their already-strong market positions, according to a Community Report by the Center for Studying Health System ...

Greenville & Spartanburg: Surging Hospital Employment of Physicians Poses Opportunities and Challenges

Community Report No. 6

In an area already notable for high rates of physician employment, the two largest hospital systems in Greenville and Spartanburg, S.C., have greatly increased employment of physicians with an eye toward capturing more referrals and admissions, according to a new Community Report released today by the ...

Little Rock Health Care Safety Net Stretched by Economic Downturn

Community Report No. 5

The economic downturn has been milder in Little Rock than elsewhere, but increased unemployment and an almost 15 percent uninsurance rate have strained the area’s fragmented health care safety net, according to a new Community Report released today by the Center for Studying Health System Change ...

Northern New Jersey Health Care Market Reflects Urban-Suburban Contrasts

Community Report No. 4

Northern New Jersey is a community of contrasts with affluent suburbs and financially strong health care providers juxtaposed against the fragile health care safety net of impoverished inner-city Newark, according to a new Community Report released today by the Center for Studying Health System Change ...

Seattle Hospital Competition Heats Up, Raising Cost Concerns

Community Report No. 3

Known as a market where hospital systems focus on particular niches rather than head-to-head competition, Seattle now faces growing competition as hospital systems vie for market share in the city and seek new affiliations and growth in affluent suburbs, according to a new Community Report released today ...

Cleveland Hospital Systems Expand Despite Weak Economy

Community Report No. 2

Attracting well-insured suburban patients, expanding profitable specialty-service lines and winning physician loyalty are the main fields of competition between the two dominant Cleveland health systems, leading to ever-more consolidation of the hospital and physician sectors, according to a new Community ...

State Reform Dominates Boston Health Care Market Dynamics

Community Report No. 1

Massachusetts’ 2006 landmark health reform law has reverberated throughout the Boston health care market as providers, insurers, employers and consumers adjust and adapt to a post-reform world of nearly universal health insurance coverage, according to a new Community Report released today by the ...

Detroit: Motor City to Medical Mecca?

Detroit Community Report

Despite a weak economic outlook, Detroit area hospital systems plan to spend more than $1.3 billion in the coming years on capital improvements, leading some to hope that medical care can help revitalize the area’s economy, according to a new Community Report released today by the Center for Studying ...
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The National Institute for Health Care Reform (NIHCR) contracted with the Center for Studying Health System Change (HSC) between 2009 and 2013 to conduct health policy research and analyses to improve the organization, financing and delivery of health care in the United States. HSC ceased operations on Dec. 31, 2013, after merging with Mathematica Policy Research, which assumed the HSC contract to complete NIHCR projects.