Moody’s Investors Service predicts the financial outlook for US not-for-profit hospitals will be no better in 2014 (and which has been negative since 2008). They expect hospitals will continue to see tight margins, as revenue will not keep up with expenses. Contributing factors to this revenue deficit include lower Medicare reimbursements, reductions in disproportionate share payments, and lower inpatient volumes (by heather at dhead inc). Uneven uptake in newly insured (via Medicaid or exchanges) will also be unpredictable and highly variable. Overall, for hospitalists, this will have to translate into a continued and fierce focus on Value (Quality / Cost) for all of us, to maintain feasible operating margins within our hospitals (Moody’s summary).
If you are in the business of healthcare – whether as a direct care provider who is doing their best in an increasingly complex system with an increasingly complex panel of patients, a hospital medicine group leader who is trying to keep a group afloat and lead people through this rocky terrain or a hospital […]
I’m so excited that it’s (finally!) almost time for SHM’s annual conference! Last year I missed HM17 – for the first time in a dozen years – due to a death in the family, so I’ve been experiencing “annual conference withdrawal syndrome” for a long time now. There’s no cure for that, other than a […]
There is an orange tree in our backyard planted around the birth of our first child. It thrives 11 years later, providing a plentiful bounty of fruit each winter. Nearby, a mango tree was planted when our second daughter was born. That tree never made it; the roots didn’t take hold, and it was gone […]