Characteristics of the 5 Primary Care Groups
| Characteristic | Arizona Community Physicians | Central Ohio Primary Care Physicians | Infinity Primary Care Physicians | New West Physicians | ProHealth Physicians |
|---|---|---|---|---|---|
| Location | Arizona | Ohio | Michigan | Colorado | Connecticut |
| Year started | 1994 | 1996 | 2004 | 1994 | 1997 |
| Physicians, No. | 130 | 255 | 49 | 65 | 242 |
| Physicians as owners, % | 91 | 83 | 60 | 81 | 75 |
| Physicians in primary care,a % | 88 | 69 | 100 | 82 | 95 |
| General internal medicine physicians, % | 32 | 31 | 33 | 31 | 31 |
| Family medicine physicians, % | 45 | 20 | 67 | 51 | 29 |
| Geriatricians, % | 0 | 0 | 0 | 0 | 0 |
| Hospitalists, % | 0 | 22 | 0 | 14 | 0 |
| Pediatricians, % | 12 | 18 | 0 | 0 | 35 |
| Outpatient practice sites, No. | 54 | 53 | 9 | 17 | 90 |
| Other specialties | Dermatology, endocrinology, gynecology, pediatrics, rheumatology | Allergy, endocrinology, infectious disease, pediatrics, physical medicine and rehabilitation | None | Cardiology, gastroenterology, psychiatry | Gastroenterology, otolaryngology, neurology, pediatrics, plastic surgery |
| Nurse practitioners and physician assistants, No. | 36 | 25 | 1 | 27 | 142 |
| Nurse care managers, No. | 1 | 6 | 2 | 6 | 6 |
| NCQA PCMH sites, No. | 44 | 44 | 4 | 17 | 71 |
| Ancillary services | Laboratory Imaging, including bone density test, CT, MRI, mammography, ultrasound | Laboratory Imaging, including bone density, CT, MRI, nuclear stress tests, and stress echocardiograms, ultrasound, physical therapy | Laboratory Imaging, including bone density test, CT, nuclear stress tests and stress echocardiogram, ultrasound | Laboratory Imaging, including bone density test, CMIT, stress echocardiogram, ultrasound | Laboratory Imaging, including ultrasound, echocardiogram, bone density test |
| Annual revenue, in millions, $ | 95.8 | 122.0 | 22.5 | 52 | 158.9 |
| Gross revenue from payors Commercial, % | 53 | 62 | 71 | 78 | 68 |
| Traditional Medicare, % | 22 | 20 | 17 | 0 | 13 |
| Traditional Medicaid/SCHIP, % | 0.3 | 3 | 1 | <1 | 10 |
| Medicare Advantage, % | 17 | 8 | 6 | 22 | 4 |
| Medicaid HMOs, % | 4 | 0 | 3 | 0 | 0 |
| Other, % | 4 | 7 | 2 | 0 | 3 |
| Patients in risk contracts | |||||
| Medicare Shared Savings or Pioneer, No. | 26,382b | 0 | 5,044c | 0 | 32,858 |
| Medicare Advantage, No. | 20,000 | 20,000 | 4,130 | 13,000 | 10,500 |
| Medicaid ACO, No. | 0 | 0 | 0 | 0 | 0 |
| Other form of risk for patient care, including ACO-like or pay-for-performance contracts with health insurers, No. | 15,000 | 160,000 | 37,984 | 50,000 | 109,300 |
| Participate in an IPA | No | No | Yes | No | No |
| Physician compensation Base salary, % | 0 | 0 | 0 | 60 | 0 |
| Productivity, % | 100 | 90 | 90 | 20 | 90 |
| Other,d % | 0 | 10 | 10 | 20 | 10 |
ACO = accountable care organization; CMIT = carotid intima-media thickness test; CT = computed tomography; HMO = health maintenance organization; IPA = independent practice association; MRI = magnetic resonance imaging; NCQA = National Committee for Quality Assurance; PCMH = patient-centered medical home; SCHIP = State Children’s Health Insurance Program.
Note: Information for 2014 provided in writing by the 5 medical groups.
↵a Includes family practitioners, general internists, geriatricians, and general pediatricians. Does not include hospitalists.
↵b Through the Commonwealth Primary Care ACO.
↵c Through the Physician Organization of Michigan ACO.
↵d Components include quality, cost control, panel size, patient satisfaction, other.