Managed Care Markets Market Integration

Plan for today Market integration Checklist for team presentations Why integrate? Benefits of integration What to integrate? Horizontal or vertical integration How to integrate ? Virtual or real integration Penn State Geisinger Dis-integration Checklist for team presentations Team meeting

Why Integrate?

What to Integrate? Horizontal integration Vertical integration Merger of similar organizations or functions Same “layer” in the market Vertical integration Merger of different types of organizations or functions Across different “layers” of the market

HOSPITAL HOSPITAL HOSPITAL Valley View Summit Riverside SPECIALIST SPECIALIST SPECIALIST Cardiology Orthopedics Neurology PRIMARY PRIMARY PRIMARY CARE CARE CARE Miller Carpenter Cooper HMO EAST HMO WEST HMO NORTH

How to integrate? Real integration Virtual integration Multiple organizations become one legal entity For example, Integrated Delivery System Virtual integration Multiple organizations contract with each other to act as one For example, Individual Practice Association Central planning (Russia) vs. capitalism (US)

Penn State Geisinger Geisinger providers Hershey Geisinger health plan Other providers Other plans

Penn State Geisinger Geisinger providers Hershey Geisinger health plan Other providers Other plans

Final Preparation for Team Project Review handout with initial assignment Review checklist Schedule a full dress rehearsal Check timing

Evaluation Criteria - Format Logical structure Presented at start, summarized at end Clear recommendation Content closely supports description and analysis of the market Each person participates Effective use of overheads

Effective Use of Overheads Simple, clear, readable design From the back of the room Visual reinforcement of key points Visual presentation of important data Audience hears and sees the data Not a teleprompter

Evaluation Criteria - Content Accurate content, based on documented sources Meaningful picture of the market Possible strategies for entering the market are discussed (and evaluated) Thorough and convincing arguments to support recommendation