Market Analysis Worksheet (Page 4 of 4) in pdf

Steps to completing a market analysis

Identify the number of Medicare beneficiaries in your target market. Document the results

in your market analysis document.

Assess the penetration of Medicare Advantage in your target market.

Determine the individual Medicare Advantage Plan enrollment in your target market.

Document the results in your market analysis document.

Assess if there are Medicaid Managed Care Plans operating in your state and the population

that they serve

Assess the penetration of commercial insurers in your market area.

Determine the payer mix of consumers that are admitted to the hospitals that you operate

in. Payer mix is the types of insurance providers that have beneficiaries.

Stratify the list of Payers in your market based on their current penetration and the

utilization of their beneficiaries at the hospitals you serve.

Assess if there are currently operating Accountable Care Organizations in your target

market. Document the results in your market analysis document.

List the types of ACOs operating in your market and assess if there are any publicly reported

outcome results for the ACO.

10.

Assess if there are enrolled participants in the Bundled Payments for Care Improvement

Initiative (BPCI) in your market.

11.

Assess how the hospitals in your market have performed on the readmissions penalty

measures over the past three (3) years.

12.

List all of the participating BPCI programs along with the following key elements:

a. Model(s) chosen

b. Number of conditions selected

c. Phase of participation

d. Document if there is a Convener participating

13.

Review your market analysis document to determine each of the key payers in your market.

14.

Determine how your program can assist each potential payer in achieving their

requirements to improve quality and reduce costs for a target population.

15.

Develop a strategy and timeline to meet with each payer and present your program with a

goal of obtaining a contract for services.

Market Analysis Worksheet Page 4