Nine out of 10 healthcare providers say the Affordable Care Act (ACA) will be a “step forward” in addressing long-term health issues in the United States once it is fully established, and 83 percent say it is good for Americans, according to a survey of more than 190 healthcare leaders by Mortenson Construction.
The providers did not make an unqualified endorsement of the ACA, however. A full 86 percent say the ACA needs major changes or revisions.
Providers are excited about opportunities to improve while worried about the transition under way. Nearly four out of five, or 79 percent, say health reform is creating significant uncertainty for their organizations and the healthcare industry.
Tellingly, 74 percent predict it will challenge their organization’s financial condition with 72 percent saying it already has.
Other insights:
• Overall optimism about the future of U.S. healthcare among healthcare providers dropped from 85 percent optimistic in 2012 to 60 percent optimistic in 2013
• Four out of five say the ACA will successfully shift reimbursements to pay for the quality of outcomes
• 71 percent say it will improve quality and outcomes, and 65 percent say it will lower the cost of care
• 95 percent of healthcare providers believe specialized facilities, such as MRI centers, cancer centers and urgent care centers will grow in prominence in the next three years
“The healthcare market is in the process of adapting to a new normal,” said Bob Nartonis, Senior Vice President and National Healthcare Market Leader at Mortenson. “Many institutions are rethinking their basic assumptions regarding how they should operate going forward, understanding that there are new rewards for those who can successfully adapt and unwanted consequences for those who cannot.”
To understand the impact of the Affordable Care Act on healthcare providers and their facilities, Mortenson spoke to healthcare professionals at the Healthcare Design Conference in November to better understand these issues and the impact on design and construction trends. More than 190 professionals provided feedback, including healthcare administrators and facilities leaders, architects, and academics.
The new models for healthcare delivery and payment are requiring new approaches to healthcare facilities. With the pressing need to become more efficient and cut costs, they are emphasizing more flexibility in facility design and layouts that make it easier for patients to find their way around and for multi-disciplinary teams to work together. They also are relying more heavily on innovative technologies and project delivery methods to streamline construction to improve success.
Mortenson is one of the leading healthcare contractors in the U.S. and has completed more than 18.5 million square feet of healthcare construction and renovations nationwide in the past 10 years.
Download a free copy of the 2014 Mortenson Construction Healthcare Industry Study.
Related Stories
| Nov 27, 2013
Retail renaissance: What's next?
The retail construction category, long in the doldrums, is roaring back to life. Send us your comments and projects as we prepare coverage for this exciting sector.
| Nov 27, 2013
Pediatric hospitals improve care with flexible, age-sensitive design
Pediatric hospitals face many of the same concerns as their adult counterparts. Inpatient bed demand is declining, outpatient visits are soaring, and there is a higher level of focus on prevention and reduced readmissions.
| Nov 27, 2013
Exclusive survey: Revenues increased at nearly half of AEC firms in 2013
Forty-six percent of the respondents to an exclusive BD+C survey of AEC professionals reported that revenues had increased this year compared to 2012, with another 24.2% saying cash flow had stayed the same.
| Nov 27, 2013
Wonder walls: 13 choices for the building envelope
BD+C editors present a roundup of the latest technologies and applications in exterior wall systems, from a tapered metal wall installation in Oklahoma to a textured precast concrete solution in North Carolina.
| Nov 27, 2013
University reconstruction projects: The 5 keys to success
This AIA CES Discovery course discusses the environmental, economic, and market pressures affecting facility planning for universities and colleges, and outlines current approaches to renovations for critical academic spaces.
| Nov 26, 2013
7 ways to make your firm more successful
Like all professional services businesses, AEC firms are challenged to effectively manage people. And even though people can be rather unpredictable, a firm’s success doesn’t have to be. Here are seven ways to make your firm more successful in the face of market variability and uncertainty.
| Nov 26, 2013
Design-build downsized: Applying the design-build method in an era of smaller projects
Any project can benefit from the collaborative spirit and cooperative relationships embodied by design-build. But is there a point of diminishing return where the design-build project delivery model just doesn't make sense for small projects? Design-build expert Lisa Cooley debates the issue.
| Nov 25, 2013
Electronic plan review: Coming soon to a city near you?
With all the effort AEC professionals put into leveraging technology to communicate digitally on projects, it is a shame that there is often one major road block that becomes the paper in their otherwise “paperless” project: the local city planning and permitting department.
| Nov 22, 2013
Kieran Timberlake, PE International develop BIM tool for green building life cycle assessment
Kieran Timberlake and PE International have developed Tally, an analysis tool to help BIM users keep better score of their projects’ complete environmental footprints.
| Nov 20, 2013
Architecture Billings Index slows in October; project inquiries stay strong
Following three months of accelerating demand for design services, the Architecture Billings Index reflected a somewhat slower pace of growth in October. The October ABI score was 51.6, down from a mark of 54.3 in September.
