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kimmaicutler's profile
Kim-Mai Cutler
Kim-Mai Cutler
Kim-Mai Cutler
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@kimmaicutler

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Kim-Mai CutlerVerified account

@kimmaicutler

Partner at @initialized. Previously @techcrunch. When life hands me lemons, I make tarte au citron.

San Francisco
medium.com/initialized-ca…
Joined April 2008

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    1. Chris Childers‏ @cchildersmd 7 Jan 2019
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      6/x There are lots of ways to define "payer mix" but one way would be to divide the number of bed days for each payer (eg. medicare) by the total number of bed days

      1 reply 1 retweet 7 likes
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    2. Chris Childers‏ @cchildersmd 7 Jan 2019
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      7/x If we do this, SF generals payer mix for the year was approximately... 30% medicare 52% mediCal (Medicaid in California) 16% private Negligible fraction of "other"

      2 replies 3 retweets 11 likes
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    3. Chris Childers‏ @cchildersmd 7 Jan 2019
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      8/x Another way to define payer mix would be to divide the income from one payer with the total income from all payers ... In other words, what fraction of income came from medicare, medical and private payers?

      1 reply 1 retweet 5 likes
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    4. Chris Childers‏ @cchildersmd 7 Jan 2019
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      9/x Overall, the hospital's net revenue (this is the actual amount received, not billed) was $634M Medicare paid 21% MediCal paid 62% Private paid 15%

      2 replies 2 retweets 7 likes
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    5. Chris Childers‏ @cchildersmd 7 Jan 2019
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      10/x Despite income of $634M, the hospital's expenses were $1.0B. As with most of healthcare, the majority of these expenses go towards staff and benefits (~65%) So, technically, the hospital's operating margin (or "profit") was -45%

      1 reply 2 retweets 11 likes
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    6. Chris Childers‏ @cchildersmd 7 Jan 2019
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      11/x The previous year (FY2015) was less devatasting... -14% And in FY2014 the hospital actually ran a "profit" of 2.9%

      1 reply 1 retweet 3 likes
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    7. Chris Childers‏ @cchildersmd 7 Jan 2019
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      12/x Takeaways: (1) SF general primarily cares for an underrepresented population (60% MediCal)

      1 reply 3 retweets 15 likes
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    8. Chris Childers‏ @cchildersmd 7 Jan 2019
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      13/x (2) They have a very small population of private patients (3) There is no evidence in their financials that private pay patients actually pay a disproportionate share relative to their bed days (4) As a result of their unfavorable payer mix --> they have dismal financials

      3 replies 4 retweets 20 likes
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    9. Chris Childers‏ @cchildersmd 7 Jan 2019
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      14/x Final thoughts... Nobody should be left with ridiculous medical bills that they cannot afford and put them at risk of financial ruin; perhaps worse are patients that do not even have access to healthcare...

      1 reply 4 retweets 19 likes
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    10. Chris Childers‏ @cchildersmd 7 Jan 2019
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      15/15 Many private hospitals/organizations do not accept government insurance at all. These patients often have nowhere to turn except for places like SF general. Mechanisms are needed to ensure these safety net hospitals remain financially viable.

      7 replies 5 retweets 39 likes
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      Kim-Mai Cutler‏Verified account @kimmaicutler 7 Jan 2019
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      Replying to @cchildersmd

      cc @noahpinion @sarahkliff @EskSF

      6:16 PM - 7 Jan 2019
      • 4 Likes
      • Kierkegaarden Cop RedwoodGirlInChico 🍞🌹 #HousingForAll #M4A Noah Smith 🐇 Bobak Esfandiari 🥑
      1 reply 0 retweets 4 likes
        1. Chris Childers‏ @cchildersmd 8 Jan 2019
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          Replying to @kimmaicutler @Noahpinion and

          Chris Childers Retweeted Chris Childers

          See https://twitter.com/cchildersmd/status/1082675956207083520 … for a comparison of the financials to LAC/USC

          Chris Childers added,

          Chris Childers @cchildersmd
          Lot's of good questions in the last 24 hours about SF general's financials. I think the most useful follow-up I can provide is a relevant comparison. I'm going to repeat the analysis for LAC/USC...
          Show this thread
          0 replies 0 retweets 1 like
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