Hospital Admissions of Health Insurance ACOs
For the first part of my research, I took a look at the hospital admissions of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the admission rates of the most well known Health Insurance ACO organizations and I compared them to well known non – ACOs.
Hospital Admissions
Health Insurance ACOs
Advocate Christ / Blue Cross Blue Shield – 40,704
Hoag Hospital / Blue Cross Blue Shield – 28,827
Doctors Medical Center Modesto / Blue Cross Blue Shield - 20,343
Methodist LeBonheur / Blue Cross Blue Shield - 61,181
Montefiore / Blue Cross Blue Shield – 85,561
St. Joseph Hospital California / Blue Cross Blue Shield – 21,254
Mt Carmel Ohio – Cigna – 38,163
New York Presbyterian / Cigna - 106,459
Horton Hospital / Humana - 17,530
Total admissions: 439,661
Non- Health Insurance ACOs
Barnes Jewish - 56,600
Beth Israel Deaconess – 37,946
Brigham and Womens – 45,995
Deaconess Hospital Evansville – 23,528
Franciscan Health Indiana – 10,075
Heartland Regional – 18,260
Hermann Memorial – 33,769
Indiana University Health – 54,416
Methodist Dallas – 17,982
Torrance Memorial – 24,298
University of Iowa Hospitals – 28,873
Wellstar Kennestone – 35,670
Total admissions: 387,412
Non-ACOs
Centennial (HCA) – 23,776
Emory University Hospital – 25,546
Ochsner Health System – 33,367
Touro Infirmary – 10,301
Tulane University Medical Center – 13,698
University of Alabama Birmingham Hospital – 45,667
University of Chicago Hospitals – 22,692
University of Kentucky Hospital – 24,672
Ronald Reagan UCLA Medical Center – 23,126
University of California San Francisco Medical Center – 27,728
University of Tennessee Hospital – 23,882
Vanderbilt University Medical Center – 53,818
Total admissions: 328,273
Hospital Admissions higher in Health Insurance ACOs than Non-ACOs
As you can see from the above results, Health Insurance ACOs have higher readmission rates than Non-ACOs. It is not entirely clear as to why these rates are higher than Non – ACOs. More research is needed to thus determine the exact cause. The next part of my research will focus upon the Emergency Room rates of Health Insurance ACOs. For complete results of my research, please read the post titled “Health Insurance ACOs are Failing”.
