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Hospitals and Health Care:

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Maine Hospital Association. Future Hospital Financial Challenges ... 1 in 5 Maine citizens under 65 are on Medicaid; Largest Medicaid program in the United States. ... – PowerPoint PPT presentation

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Title: Hospitals and Health Care:


1
  • Hospitals and Health Care
  • The Next Two Years
  • Maine Hospital Association
  • Mary Mayhew
  • September 2006

2
Our Community Hospitals
  • High-quality, local health care
  • 4.3 million patient visits each year
  • 13,300 babies delivered each year
  • 30,000 physicians, nurses and other hospital
    employees
  • 3rd highest quality among the 50 states
  • Open every hour, everyday
  • At a cost below the national average.

3
The Hospital Mission
  • Ensuring Access to the Continuum of Care
  • Physician Recruitment Retention
  • Keeping Pace with Medical Advancements
  • Improving Community Health Status

4
Future Hospital Financial Challenges
  • Public Payor Shortfalls Receivables
  • Expensive medical technology and information
    systems
  • Cost of drugs
  • Health care professionals recruitment and
    retention wages benefits
  • Defensive medicine/Liability insurance
  • Cost increases of blood and other medical
    supplies
  • Cost of regulatory compliance

5
Medicaid
  • Explosive Enrollment Growth
  • Mountains of Debt

6
Maines Medicaid Program
  • 45 growth in last 5 years 80,000 more people
  • 1 in 5 Maine citizens under 65 are on Medicaid
  • Largest Medicaid program in the United States.

7
MaineCare Hospital Debt and Prospective Payments
  • Settlements 330 mill.
  • PIPs SFY 08 09 221 mill
  • TOTAL 551,000,000
  • State Share 204,000,000

8
MHAs Response
  • SETTLE UP
  • 3 Year Strategy
  • 275 millionFirst Two Years
  • 275 million15 months
  • Democrat and Republican Response

9
MECMS
  • Crossovers
  • 24 Million
  • Suspended Claims
  • Future Fixes

10
Dirigo
  • Prediction 31,000 enrolled by Jan., 2006
  • Reality 11,000
  • Savings Offset Payment (Premium Tax)
  • MaineCare Expansions
  • Blue Ribbon Commission
  • Hospital Tax
  • Cost Containment

11
Current Anticipated Cost Containment
  • Dirigo
  • Health Planning
  • CON Cap 3.4 mill/.6
  • Voluntary Cost Margin Caps 110 of increase in
    hospital market basket index / 3 Margin

12
What Next?
  • Rate Setting
  • Global Budgets
  • CON Reform

13
The Rest of the Future
  • Elections/TABOR
  • Staffing Ratios
  • Cost Containment
  • Public Accountability
  • Tax Exempt Status

14
  • OUR MISSION
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