Hospital Challenges: Inflation and Competition
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- Опубликовано: 4 окт 2024
- Hospital Challenges in 2023 as discussed in a Becker's Hospital Review Webinar.
Challenge #1: Inflation
Overall Hospital Cost rose 16% in 2022 for both supplies and labor. Labor inflation is in part driven by needing to pay traveling nurses upwards of $200 per hour. Historically, many hospitals paid their own nurses $30 per hour.
Challenge #2: Margin Skimming
Hospital Systems are being challenged by competing hospital systems that are opening Ambulatory Surgery Centers and Imaging Centers (i.e. outpatient facilities) in their geography and 'skimming' high-margin surgeries and imaging away from their hospital.
Specifically, Hospital Corporation of America (HCA) is increasing it ratio of outpatient facilities to hospitals from 12:1 to 20:1... almost Double!
In response to these challenges, some hospitals are merging with other hospital systems.
For example, the SCL Hospital System in Colorado is merging with Intermountain Health Care.
Challenge #3: Low Patient Volume
Patient volumes at hospitals is still below Pre-COVID levels. Overall hospital admits are 83% of Pre-COVID Levels. ER visits are at 91%. Surgeries are at 89%. Outpatient visits are at 86%.
Features CEOs and a CFO from 3 major hospital systems in America, along with the hospital consulting firm VMG Health.
Watch Medicare IP List Video Mentioned: • Orthopedic Surgery--Ma...
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I’m an orthopedic surgery resident with a background in finance/economics. Your videos are excellent and I’ve learned a lot from you. Thank you.
Thank you for watching and for your feedback.
A patient recently in Greensboro, N.C. went to the hospital for a relatively routine operation. The patient stayed in the hospital one night. After the surgeon and the anesthesiologist were paid, the hospital charged $51,000. That is insane.
Thank you for sharing your experience.
Outstanding information! Been in this business for a long time. Sometimes we miss the forest for the trees. This is a great presentation. Please keep up the awesome work!
Thank you for watching and for your support.
Good content, but audio quality sucks, which detracts from the content and speaker authority.
Thank you for your feedback.
@@ahealthcarez
Please reach out to me if you want to improve, at no cost to you.
In my experience, hospitals wish to increase admissions. They push more transfers as well. They very obviously want every bed full. Isn't that how they make money other than elective procedures? According to this video, are you saying the hospital and health systems are failing when they admit more or are you saying they don't want admits? Because I would agree our outpatient health systems are lacking when we have to admit more, but hospitals obviously have an incentive to admit. They likely lobby for this as well.
I love your videos regardless, thank you for making them.
Thank you for watching and sharing your perspective.
I’m not even in the health field, but I love learning about this, idk why, it’s too interesting
Thank you for watching and for your comment.
Always great Dr.!
Thank you for your feedback.
If you have time can you please look into this topic. I can go more into details if you're curious. So a PMHNP outpatient is seeing the same amount of doctors as a psychiatrist. They have a collaboration agreement and the PMHNP is generating 100% of the physician reimbursement for each patient.
The PMHNP practices independently 99% of the time and consult the physician 1% of the time.
The PMHNP does three, 99214 AND psychotherapy per hour. Each of them bring in around $150. So $450/hr. Yet they are making like $60-70 per hour. I know there are a lot of other expenses but can you please explain how this is remotely possible or ethical?
And I'm not talking down on the position by any means but can you explain how there is such a huge salary difference between them.
I would have no problems if they were seeing different acuity patients but they're seeing the same exact patients.
Thank you for sharing. Same economics applies to use of NPs and PAs in the ER, specialty clinics and primary care clinics… bill, pay the NP/PA less, keep the difference.
@@ahealthcarez how is this even allowed? The greed and exploitation is absolutely disgusting.
They're pushing NPs and PAs take on the same type of responsibility and patient load as a physician and paying 25% of their salary.
The lack of education and awareness about the economic side of healthcare in the NP and PA field is baffling.
Can you do an extended video on this topic?
I have no problem in physicians making more and NP making less but the workload has to justify it. This is downright stealing and exploitation.
@@ahealthcarez this is specially true in the NP field since there are states that they can practice independently unlike PAs
You're awesome doc!!!
Thank you for your kind words.
I strongly disagree that the doctors are the main expense in a hospital.
Thank you for sharing your thoughts.
Can you please do a video on how NPs with collaborative physician’s billing work and how they make money for hospitals. Thank you.
Thank you for your suggestion.
Awesome content. After watching your video, I would be interested in watching a video you make to learn more about Intermountain Healthcare, they vertical approach is intriguing. Thanks for your consideration.
Thank you for watching and for your suggestion.
Great video doc, I have a question about hospitals charging ambulance: the story goes that a ambulance responds to a RTA they find a child who is illegal in the country that needs medical attention
After taking the child to the hospital they were given the bill
My question is wouldn't such a child be in care of the government and they would get the bill
Interesting question. I do not know the answer.
Thank you! Was there a question about their salaries and KPI’s that they are measured by? ;)
No. I don’t believe so. 😉
You say you hav no involvemnt with BEcker's and yet you're name is suspiciously similar; isn't it, Dr. Bricker? Curious.
But really, thank you for another informative video Dr. Bricker.
🤣🤣 Good one! Thank you for watching.