CT Large Medical Group Practices Overview and Requirements Presentation
"Explore the statutory requirements and purposes for reporting of large medical group practices in Connecticut. Learn about the filing process, assessment criteria, and how it impacts healthcare accessibility and costs. Discover the material changes of ownership and the impact on healthcare providers and patients."
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Presentation Transcript
CT LARGE MEDICAL GROUP PRACTICES Dashboard Overview CY 2016-2020 A Presentation to the Health Care Cabinet November 9, 2021 By: Olga Armah
CT LARGE MEDICAL GROUP PRACTICES Summary of what will be covered in this presentation Overview Refresher Group Practices Statutory Requirements Purposes of the Requirements Sample of Filing Observations Dashboard Overview How to Access Large Medical Group Practice Information 2
Medical Group Practice Statutory Requirements Connecticut General Statutes (C.G.S.) 19a-486i (g) and (h), requires: each hospital, hospital system, non-hospital owned/affiliated group medical practices comprised of 30+physicians to submit an annual report to the Attorney General and Office of Health Strategy ("OHS") by January 15th. The filings include the following: Medical group practice and its affiliation to a hospital or health system A list of the practice s physicians and their specialties Practice location, primary service area zip codes and specialty services provided at the location 3
Purposes of the Requirements For Certificate of Need purposes: To assess if the consolidation will adversely affect health care costs or accessibility to care To assess where the change will negatively impact the diversity of health care providers and patient choice in the geographic region To enable the CT Attorney General s Office to review issues related to monopoly and their impact on consumers 4
Sample CT Large Medical Group Practice Filing List of Practice Physicians & Specialty(s) Practice Location, Primary Service Area and Specialty Services Group Practice (headquarter) Day Kimball Medical Group, Inc. 5
Material Change of Ownership Transactions 2015-2020 Group Practice Material Changes of Ownership: 2015-2020 18 14 10 6 5 2 2015 2016 2017 2018 2019 2020 Source: CT OHS Group Practice Material Change of Ownership Filings https://ohsnotificationandfilings.ct.gov/Home/Index 6
OBSERVATIONS Observations The group practice filings are not a comprehensive list of group practices in the state Limited to only group practices and providers that have 30+ physicians A group practice may have a wide primary service coverage area, but not all specialty services are provided at all the locations Most CT large medical group practices: are affiliated to a health system provide multispecialty services tend to acquire single specialty small group practices that offer relatively similar specialty services 7
8 CT Large Medical Group Practices Dashboard Overview
CT Large Medical Group Practices Dashboard Badge 9 with solid fill 9
TO ACCESS LARGE MEDICAL GROUP PRACTICE INFORMATION VISIT: https://portal.ct.gov/OHS/Health-Systems- Planning/Notifications/Notifications-and-Filings FOR MORE INFORMATION ABOUT OHS VISIT: https://portal.ct.gov/OHS 10
Questions? 11
