State of Maine Healthcare Maine Hospital Association May 22, 2019 - - PowerPoint PPT Presentation

State of Maine Healthcare

Maine Hospital Association May 22, 2019 Maine Chamber of Commerce Health Care Forum

Maine Hospitals

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36 Hospitals

Hospital Types:

• Prospective Payment System (PPS)

Hospitals — 17 Hospitals;

• Critical Access Hospitals (CAH) —

16 Hospitals;

• Psychiatric Hospital (IMDs) — 2

Hospitals;

• Acute Rehabilitation — 1 Hospital

Hospital Size:

• 0-55 Beds: 18 Hospitals
• 56-110 Beds: 10 Hospitals
• 110-324 Beds: 6 Hospitals
• 325+ Beds: 2 Hospitals

State

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Primary State Issues

 Medicaid Expansion

• How Financed

 Budget and Hospital Tax  Opioids  Health Insurance Reform & Single-payer Conversations  Behavioral Health Issues

Federal

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Primary Federal Issues

 340B – Drug Discount Program  Hospital Outpatient Practices  ACA/Obamacare  Medicare Solvency

Maine Hospital Finance

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Maine Hospital Finances

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Aggregate Operating Margin = 1.1% Half of hospitals have negative operating margins. Eight hospitals (roughly 25%) have had 5 consecutive years of operating losses.

Maine Hospital Finance

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Medicaid’s relative share of hospital revenue has fallen 30% since 2010. Commercial is still half of revenue (but

• nly 1/3 of workload).

Big vs. Little

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More work is moving to larger hospitals (with 325 + beds) …

Discharges Outpatient ED Visits Visits

Rurals

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What is the future of rural hospitals and rural healthcare?

Jeffrey Austin VP Government Affairs Maine Hospital Association JAustin@themha.org

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