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?
-
Show this thread
-
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 likesShow this thread -
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 likesShow this thread -
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 likesShow this thread -
12/x Takeaways: (1) SF general primarily cares for an underrepresented population (60% MediCal)
1 reply 3 retweets 15 likesShow this thread -
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 likesShow this thread -
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 likesShow this thread -
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 likesShow this thread -
Replying to @cchildersmd
I wonder why the numbers deteriorated so much from 2014 to 2016.
1 reply 0 retweets 1 like -
Replying to @kimmaicutler
It’s a good question. I’m digging and trying to figure it out. Stay tuned.
1 reply 0 retweets 3 likes
Why do Medicare/MediCal reimbursements not count as revenue in your calculation?
-
-
Replying to @kimmaicutler
Sorry, I don’t understand the question. Which calculation are you referring to?
0 replies 0 retweets 0 likesThanks. Twitter will use this to make your timeline better. UndoUndo
-
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.