ications of Medicaid expansion forecasts)? a managed care agreement with the city. Using differential 17 data, tell me the full cost profit/loss and the differential hould we renew the contract for next year at present rates, or of a rate increase and if so, how much rate increase do we need to cover our full cos? To cover our differential cost? Analyze my capitated managed ca cost analysis for 2017 data, tell me the cost profit/loss. Should we renew the co should we ask for a rate increase and Case Study: Hays County integrated tegrated Delivery System TABLE 11 ways County IDS Actual Expenses (S) through December 31, 2017 Wages, Taxes, Benefits 90% variable, 10% fixed) Professional Fees and Commissions (fixed) Drugs (variable) Medical and Other Supplies (variable) Food (variable) Purchased Services (variable) Repairs and Maintenance (fixed) Utilities (fixed) Interest (fixed) Depreciation (fixed) TOTAL EXPENSES $ 76,725.792 7,000,000 8,000,000 8.500.000 7.500,000 6,500,000 8,000,000 9,000,000 8,021.440 3,000,000 $142,247.232 Case Study Hays Cave 2017 6.777 239 6,354 TABLE IVA Mays County DS Discharges Service (LOS Acute SNFC) Rehab Cao) 155 157 Home Health 6,082 Emergency 27.915 30,062 Outpatient 16,826 18.355 105 = length of stay. SNF s ed ursing for 5.931 2017 W 7.298 2015 5.93 247 199 4.866 32,207 19.8 162 3.650 3.650 22,942 36.500 26,000 12.00 TABLE IV-B Percentage of Discharges by Payer 2013 2016 2017 Medicare Medicaid Commercial Managed Care-discount Managed Care-capitation Bad Debt Charity 39 o 28 2ooo 28 3021,750 2 725 33 - 32 23,200 5 | 6 3 1 3. 19 o INN 1 1450 TS- TCOGS TABLE IV-C 2017 Charges per Discharge/Visit (5) HCH Acute 40,000 237,240, SNF 30,000 1,650,000 Rehab 40,000 6,560,000 Home Health 400 460,000 Emergency Outpatient 600 15,000.00 112.600 SNF skilled nursing facility St. Teresa 38,200 28,000 38,000 300 (1,60055,400,000 1,500 500 (326, 910,000 ications of Medicaid expansion forecasts)? a managed care agreement with the city. Using differential 17 data, tell me the full cost profit/loss and the differential hould we renew the contract for next year at present rates, or of a rate increase and if so, how much rate increase do we need to cover our full cos? To cover our differential cost? Analyze my capitated managed ca cost analysis for 2017 data, tell me the cost profit/loss. Should we renew the co should we ask for a rate increase and Case Study: Hays County integrated tegrated Delivery System TABLE 11 ways County IDS Actual Expenses (S) through December 31, 2017 Wages, Taxes, Benefits 90% variable, 10% fixed) Professional Fees and Commissions (fixed) Drugs (variable) Medical and Other Supplies (variable) Food (variable) Purchased Services (variable) Repairs and Maintenance (fixed) Utilities (fixed) Interest (fixed) Depreciation (fixed) TOTAL EXPENSES $ 76,725.792 7,000,000 8,000,000 8.500.000 7.500,000 6,500,000 8,000,000 9,000,000 8,021.440 3,000,000 $142,247.232 Case Study Hays Cave 2017 6.777 239 6,354 TABLE IVA Mays County DS Discharges Service (LOS Acute SNFC) Rehab Cao) 155 157 Home Health 6,082 Emergency 27.915 30,062 Outpatient 16,826 18.355 105 = length of stay. SNF s ed ursing for 5.931 2017 W 7.298 2015 5.93 247 199 4.866 32,207 19.8 162 3.650 3.650 22,942 36.500 26,000 12.00 TABLE IV-B Percentage of Discharges by Payer 2013 2016 2017 Medicare Medicaid Commercial Managed Care-discount Managed Care-capitation Bad Debt Charity 39 o 28 2ooo 28 3021,750 2 725 33 - 32 23,200 5 | 6 3 1 3. 19 o INN 1 1450 TS- TCOGS TABLE IV-C 2017 Charges per Discharge/Visit (5) HCH Acute 40,000 237,240, SNF 30,000 1,650,000 Rehab 40,000 6,560,000 Home Health 400 460,000 Emergency Outpatient 600 15,000.00 112.600 SNF skilled nursing facility St. Teresa 38,200 28,000 38,000 300 (1,60055,400,000 1,500 500 (326, 910,000
