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The financial gap caused by bad charity care to the indigentand government-sponsore health plans increased 7 percenrt in the first three months of 2009 from the firsyt quarter of 2008, according to data provideds by the (CHA). The figures reflect the effecta of the recession as more unemployed people rely on programs such as which only reimburse what hospitals say are the true coste of medical services at 55 cents on the saidSteven Summer, president of the CHA. “Wew are clearly hearing about an increased he said. The CHA said uncompensater care in Colorado hospitals jumpedto $382 millionm in the first quarter of up from $357 million in the first thre e months of 2008.
Summer said the number show the shortfall fromthe “actual costs” of providinvg medical services, not the charge that shows up on the hospitaol bill. The data also lacks numbers from HCA-HealthOne LLC, the largest hospital system in Denver, with 13 HealthOne doesn’t provide quarterlh figures tothe CHA, said Tiffany Radel, a spokeswomanb for the association. Leslie Horna, a spokeswomaj for HealthOne, provided figures that showed the companyreported $97 millionn in bad debt, charity care and uninsurec discounts in the first quarter. HealthOne calculates uncompensated care differently than othed localhospitals — basing it on billed charges rather than actual costs.
In the first quarter of 2008, HealthOne reported $87.43 million in uncompensated care. Todd Conklin, CFO for , said uncompensatede care rose 8 percen in the first quarter forthe Denver-area hospital system, which he called “significant.” Conklin, who becam e CFO last September, said if the trend continues, the three-hospita l system will continue to delay capitakl construction projects and investment in new Exempla — which has trimmed non-labotr expenses, frozen employee salaries and new hires — hasn’tr ruled out cutting jobs. So far, that hasn’t been necessargy because the organization is still meetinvits budget, Conklin said.
But he said the growing shortfallputs Exempla’sx hospitals in a short-term financial especially since its contracts with major insurere are current. Although that won’t resulrt in increased premiums in theshorty term, it puts pressure on ratesa down the line, which could cost businesses and individuals with insurance more later on. “Because so much of our reimbursementzs are contracted with managed care we don’t have a largr opportunity to shift costs to other payers,” he said. “Whatr it means is increased cost withless reimbursements.
” Conklin said there’ds little relief in sight in the short “You hear various reports saying the economy is supposeed to rebound in 2010,” he “That means the remainder of 2009 will be Summer agreed the growth of the state’as Medicaid rolls is hurting the bottom line for local hospitalsx — although it’s bettefr than people coming into the hospitals with no insurancwe at all. More Coloradansd are covered by Medicaid, the government-sponsored health plan for low-income families, than at any time in its 40-yead history, the said earlier this month.
The number of Coloradans receivingt Medicaid benefits roseto 457,699 in April an increase of more than 9,000 from the previouws month and 72,597 from the same time last Although Medicaid reimbursements have improved for Colorado physicians in recent years, hospital reimbursements have remained
Sunday, July 10, 2011
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