Florida
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Exhibit 1Click to View
Agency for Health Care Administration
Baptist Health Systems of South Florida
Blue Cross Blue Shield of Florida
Florida Association of Health Plans
Florida Department of Children and Families
Florida Office of Insurance Regulation
Florida Hospital Association (FHA)
Florida Healthy Kids Corporation
Florida Legislature, Office of Economic and Demographic Research
Morton Plant Mease Health Center
Introduction........................................................................................................ 3
Market Structure................................................................................................ 4
Health Plans ........................................................................................................................... 4
Provider Systems .................................................................................................................... 9
Trend Analysis....................................................................................................................... 14
Enrollment ............................................................................................................................... 14
Medicare HMOs ...................................................................................................................... 16
Medicaid Managed Care ..................................................................................................... 18
Enrollment by Region .......................................................................................................... 20
HMO Profitability ................................................................................................................ 21
Financial Metrics ................................................................................................................. 22
Provider Payments ............................................................................................................... 26
Administrative Expense ....................................................................................................... 28
HMO Net Worth and Capital ................................................................................................ 28
Hospital Systems and Regional Submarkets ................................................. 29
South Florida ........................................................................................................................ 30
ampa-St. Petersburg ........................................................................................................... 36
Jacksonville-Gainesville ........................................................................................................ 39
Orlando ................................................................................................................................ 41
A Look Ahead .............................................................................................. 44
Florida Health Market Review 2017 was released December 13: "HMOs return to profitability and reach record enrollment numbers; Florida hospitals continue expansion strategies and enjoy strong profits"
- Sammy Mack reported on WLRN Public Radio: "From Patients to Hospitals, Affordable Care Act Shapes Florida Health Care Market, Analyst Says." Click here to listen
- Charles Elmore quotes the new report in the Palm Beach Post: "Hurricane Irma, political storms roil finish of sign-up season." Click here to read
- Ron Hurtibise reported in the Sun Sentinel: "Profits for Broward's two public hospital systems going opposite ways." Click here to read
- Margie Manning wrote in the Tampa Bay Business Journal: "Here are the most profitable systems in Tampa Bay." Click here to read
Florida Health Market Review 2015 was released November 18: "Hospital systems expand and consolidate, report improved profits; HMO Medicaid and individual enrollment surges, but profits drop"
- Sammy Mack reported in Health News Florida: "Negotiating Power Shifts as Hospitals Consolidate" Click here to listen and read
- Charles Elmore wrote in the Palm Beach Post: "Florida HMO Enrollment Jumps 44% to biggest ever, report says" Click here to read
- Nina Lincoff wrote in the South Florida Business Journal: "Hospital network and health plan consolidation expected to continue in Florida" Click here to read
- Margie Manning wrote in the Tampa Bay Business Journal: "Humana leads, WellCare lags among Florida HMOs" Click here to read. She also wrote: "Here's a Peek at the Hospital of the Future." Click here to read.
- Ron Hurtibise wrote in the SunSentinel: "Hospital profits jump nearly 40%" Click here to read
- Naseem Miller reported in the Orlando Sentinel: "Report reveals most profitable hospital in central Florida." Click here to read
- Daniel Chang wrote in the Miami Heralnd: "How Baptist Health benefits from tax exemption." Click here to read
Florida Health Market Review 2013 was released September 13: "Consolidated hospital systems see profits despite declining utilization; HMO Medicare and commercial plans are strongly profitable"
- Abraham Aboraya wrote in the Orlando Business Journal: "Florida's most, and least profitable health plans"
- Brian Bandell wrote in the South Florida Business Journal: "Local hospital profits surge $51 million" and "Commercial HMOs report healthy profit margins"
- Allan Baumgarten presented at the annual conference of the South Florida Hospital and Healthcare Association on June 10, 2011. Click here to download his presentation on: "Managed Care: Can It Be Managed?"