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).
So out in the varied land of hospital medicine, I have noticed something that I have no clear explanation for. It turns out there is often a gap in productivity between that of NP/PA providers and physicians. The range of the gap varies wildly – I just got off the phone with a HM group […]
Before our spring break trip to New York City, a few of us in the house started to have the sniffles. As soon as my wife hears an extra sneeze, the giant pot is out, a chicken is boiling, and matzo balls are being rolled. Dinner for the next few nights will be complemented with […]
In my previous post, I discussed the challenges associated with measuring hospitalists’ patient satisfaction scores. I noted that CMS never designed the HCAHPS survey to evaluate the performance of individual providers or groups; it is only valid for assessing hospital-level performance related to patients’ experience of care. I also reviewed some structural impediments that likely […]