Welcome to the 14th annual edition of Modern Healthcare's By the Numbers, a compendium of the past year's industry data, rankings and survey results published in the weekly magazine and online. Many of the charts have been augmented with additional data. And the following pages contain just a fraction of the information available for download as charts or in spreadsheet form on our website at modernhealthcare.com/data.
Surveying the year-over-year movement in the rankings reveals a shifting healthcare industry landscape that foreshadows the dramatic changes sure to come now that uncertainty about healthcare reform's implementation is behind us.
In June, U.S. Chief Justice John Roberts gaveled to a close the legal challenge mounted by half the states over the constitutionality of the Patient Protection and Affordable Care Act. While some states may still elect to opt out of the Medicaid expansion designed to provide affordable health insurance coverage to the working poor, the broad parameters of delivery system reform—the sections of the law that are of critical importance to industry leaders—will remain in place. Those reforms—what could be dubbed the accountable care revolution—will guide the business strategies of healthcare industry leaders for the foreseeable future.
The law's fate faced one last critical vote, of course, after the U.S. Supreme Court decision—a referendum by the American people at the ballot box. Republican nominee Mitt Romney, though he had signed a similar insurance reform during his tenure as governor of Massachusetts, enthusiastically embraced his party's call to “repeal and replace” the ACA. But when the votes were counted, nothing changed. Republicans still controlled the House and Democrats controlled the White House and the Senate. The status quo election guaranteed reform would remain the law of the land.