Six California Cities: Which Healthcare Economies Are Thriving?
San Diego’s market is dominated by four large hospital systems. The area’s hospitals are moving to tighten affiliations with physicians — a move that strengthens already significant negotiating leverage with health plans. Historically, capitation — or fixed per-patient, per-month payments — has been the dominant payment method in San Diego, but some hospital systems have pushed to shift from capitation to fee-for-service payment.
San Diego’s safety net is fragmented, and the county is widely perceived as having a weak commitment to health care for the low-income and uninsured. San Diego County operates the County Medical Services Program as part of its state-mandated responsibilities to provide indigent care, but restrictive eligibility requirements have held down enrollment.
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(Image sources: Creative Commons, Associated Press)