Large US health systems are buying clinics, physician practices and digital resources in search of growth opportunities in lieu of traditional acquisition of other hospitals, according to a new report from Accenture.
The report, which analyzed more than 1,500 healthcare provider acquisitions between 2006 and 2015, identified a surge in deal-making over that time, which it says is being driven by the need to gain economies of scale, shift from volume to value-based care, compete in local markets and expand digital health and healthcare IT capabilities.
Accenture estimates that in the first five months of this year, healthcare providers set a year-to-date record in acquisition volume of $241 billion.
“To deal effectively with greater complexity, higher volumes and other changes resulting from increased acquisitions, industry providers will need to manage their businesses with the mindset of a portfolio manager,” said Kristin Ficery, managing director of health provider consulting at Accenture. “Rather than viewing deals as one-off opportunities, the best-prepared executives will systematically manage a potential deal as a product of the whole.”
Accenture also noted that the share of “vertical” acquisitions – in which health providers buy non-acute-care facilities, such as clinics or physician practices – will reach 84 percent of the total provider acquisition volume by 2018, up from 74 percent today.
Meanwhile, the share of digital acquisitions or purchases of health companies that focus on sensors, mobility, analytics or cloud (SMAC) capabilities, such as remote monitoring or telehealth will expand by a multiple of eight, from 1 percent of overall acquisition volume in 2014 to 8 percent by 2018.
Accenture also found that traditional acquisitions of hospitals by providers decreased from 32 percent to 21 percent between 2006 and 2014. The share of traditional horizontal acquisitions will shrink even more dramatically, from 21 percent in 2014 to 6 percent by 2018.
“There are no guarantees of success but a portfolio approach will improve the chances that the broader business survives and grows and a transaction generates the value that was intended,” added Ficery.
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