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Six California Cities: Which Healthcare Economies Are Thriving?

Business Wire

San Diego

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.

More City Guide Resources:

10 Best States for Healthcare Jobs
Top 25 Cities for Your Healthcare Career
AHC’s Hottest Health Employers
Big Cities, Big Bucks: Biggest Employers in America’s Top Ten Cities

Fun Quiz: What’s Your Signature City?

(Image sources: Creative Commons, Associated Press)

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