Social ROI Analysis of Maricopa Integrated Health System: Insights and Impacts
Explore the Social Return on Investment (ROI) analysis conducted by Seidman for Maricopa Integrated Health System in 2013, highlighting economic impacts, cost analysis, and healthcare metrics in Arizona. Gain insights into the unique outpatient data and economic benefits associated with MIHS.
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Presentation Transcript
Maricopa Integrated Health System: Social Return on Investment, 2013 October 29, 2014
Introduction Seidman = consultancy arm of W. P. Carey School of Business, ASU Commissioned by MIHS to implement 3 analyses: Economic Impact of MIHS in 2013 Economic Impact of MIHS, 2015 2043 Social ROI analysis Today s presentation focuses on the Social ROI analysis
Partial Net Analysis: Annual Statewide Results $1.3 B. 8,527 to 11,718 $834 M. $844 M. $456 M. $86 M. $37 M. 8,327 Real State Tax Revenue Gross State Product Disposable Personal Income Job Years Total Private Non-Farm Employment CY2013 Total Private Non-Farm Employment CY2015-43 CY2013 - Ratio of 1 MIHS job:1.13 PNFE jobs CY2015-43 - Ratio of 1 MIHS job:1.4 PNFE jobs
Seidmans Method Cost of diagnosis, management and treatment Economic cost of underperforming workers due to illness Economic Cost of Ill Health Cost of Presenteeism Cost of Absenteeism = + + Medical Cost Economic cost of lost work days due to illness
Economic Metrics: State of Arizona Condition Medical Treatment Costs Per Patient (2013 $) Absenteeism Annual $ Impact Per Patient (2013 $) Presenteeism Average Annual $ Impact Per Patient (2013 $) Allergy Arthritis Asthma Cancer Diabetes Heart Disease Hypertension Mental Disorder Migraine Respiratory Disorders Average All 10 Diseases 979 1,399 1,954 4,695 3,657 17,452 1,742 2,296 1,261 21,761 5,720 2,160 1,546 3,154 4,449 518 1,785 241 6,732 2,823 3,872 2,728 5,523 - 7,101 3,945 - 7,101 4,734 - 7,101 1,578 - 5,523 1,578 - 7,101 3,945 4,734 5,523 - 9,467 5,523 - 12,623 7,890 - 11,045 3,629 - 7,574 Sources: Milken Institute; MEDSTAT Group
MIHS 2013 Unique Out-Patient Data Condition OP Aftercare/Follow Up OP All Other OP Behavioral Health OP Benign Neoplasms OP Burns OP Cancer OP Cardiovascular OP Dermatology OP Digestive OP Endocrine OP ENT OP General Medicine OP Gynecology CHC 3,926 13 889 1,830 80 2,332 3,056 3,470 3,112 5,718 1,653 7,908 2,942 FHC 108 1 314 126 5 87 1,435 468 510 2,218 254 1,478 450 Condition OP Infectious Disease OP Neonates OP Nephroplogy OP Neurosciences OP Newborn OP Obstetrics OP Opthamology OP Orthopedics OP Pulmonary OP Rheumatology OP Screenings/Exam OP Urology Total CHC 2,617 296 573 5,422 322 4,357 6,487 6,025 3,562 1,929 8,715 2,475 79,709 FHC 461 3 88 1,029 8 77 168 619 992 268 2,596 472 14,235 Source: MIHS
MIHS Economic Benefit Estimates, 2013 25% Success Rate = $267.4 - $360.7 Million 50% Success Rate = $534.7 - $721.4 Million
Caveats and Conclusions Previous estimates are conservative Use 25% and 50% successful intervention rates Based on MIHS 2013 CHC and FHC out-patients In SROI alone, MIHS could justify the total repayment of the Bond in approximately 2-5 years MIHS facility improvements, and potential for greater patient intervention success, post-Bond could increase the SROI
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