Green Mountain Care Board Budget Rebalance Presentation April 10, - - PowerPoint PPT Presentation

Green Mountain Care Board Budget Rebalance Presentation

April 10, 2019

• 1. Drivers of the NPR/FPP variance-2018
• 2. Drivers of Operating Margin Variance-2018
• 3. Actions to meet FY2019 Budget
• 4. YTD Results as of February 2019
• 5. FY2019 Forecast

Agenda

2

FY2018 NPR/FPP Variance Drivers

• Bad Debt $1.75 mil over budget
• Decreased utilization July-September
• Emergency Department
• Inpatient admissions
• Inpatient Respiratory Care
• Diagnostic Imaging
• Laboratory

Drivers of NPR/FPP Variance

3

Drivers of Operating Margin Variance 2018

(1,654,752) (895,187) (925,486) (266,980) (590,220) 840,364 362,823 1,113,853 169,322 (251,827) 115,134 (435,962) (87,455) (321,779) 195,332 55,219 (2,577,601) (3,000,000) (2,500,000) (2,000,000) (1,500,000) (1,000,000) (500,000)

• 500,000

1,000,000 1,500,000

YE September FY2018 $ Variance to Budget Breakdown

4

Prior Year State-NPSR 2018

5

Current State- NPSR

6

5,000,000 7,500,000 10,000,000 12,500,000 15,000,000 17,500,000 20,000,000 22,500,000 25,000,000 27,500,000 30,000,000 32,500,000 35,000,000 October 2018 November 2018 December 2018 January 2019 February 2019 Actual NPR Budget NPR

YTD Feb 2019 Net Patient Revenue with ACO and DSH Payments

Operating Margin YTD 2019

(2,000,000) (1,500,000) (1,000,000) (500,000) 500,000 1,000,000 1,500,000

NCH Operating Margin YTD Gain/(Loss) Actual and Budget

Actual Budget

7

Current State – Budget Variance 2019

(417,362) 7,726 94,870 (550,858) 287,082 170,447 12,371 (283,088) 295,401 201,302 106,258 42,022 (67,586) (104,623) (146,045) (352,083) (600,000) (500,000) (400,000) (300,000) (200,000) (100,000)

• 100,000

200,000 300,000 400,000

YTD February FY2019 $ Variance to Budget Breakdown

8

Contract Labor

9

Travelers ~ 3/7/2019

Name Dept. Job Title Company Start Date End Date Continue Comments Y/N 1 Kristin Raines Diagnostic Imaging Ultrasound Technologist Sonotemps 01/21/2019 03/18/2019 Potential to extend to mid April. FMLA back fill 2 Katherine Borgelt, PT

• Rehab. Svs.

Physical Therapist

• Comp. Health

01/14/2019 04/12/2019 3 Heatherton Huggins ED RN AHS Staffing 12/4/18 4/21/19 Yes extended 6 weeks 4 Khristin Vroegop MCH RN Republic Health Resources 11/5/18 5/4/19 Y Position filled w/ new grad. Extended 13

• weeks. New end date is 5/4/18

5 Natalya Fedorenko ED RN Atlas 2/11/19 5/11/19 6 Kendall Hatter ED RN Advanced Medical Prof 2/11/19 5/11/19 7 Rachel Devereaux OR RN Professional Placement Resources 2/18/19 5/18/19 8 Leslie Parrott OR scrub tech RN Meridian Medical Staffing 4/3/19 6/29/19 9 Caren Mitchell Diagnostic Imaging Ultrasound Technologist Aureus 08/27/208 7/8/19 10 Jeffery Tanita ED MD Weatherby 2017 Y Use as needed 11 Maury Greenberg ED MD Barton Assoc. 2018 Y Use as needed 12 Rodney Batie Ob/Gyn MD CompHealth 2016 Y Occasional weekend coverage 13 Jean-Paul Sorondo ED MD Goldfish Partners 2019 Y Use as needed

Financial Projection – P&L

(2,000,000) (1,500,000) (1,000,000) (500,000) 500,000 1,000,000 1,500,000

NCH Operating Margin YTD Gain/(Loss) Actual and Budget

Actual Budget

10