Study: Texans paid approximately 10 times more at EDs than urgent care centers for same diagnosis

http://www.beckershospitalreview.com/finance/study-texans-paid-approximately-10-times-more-at-eds-than-urgent-care-centers-for-same-diagnosis.html

OR Efficiencies

Texans are likely to pay more at freestanding emergency departments than at hospital-based EDs or urgent care centers, according to a study published in Annals of Emergency Medicine.

For the study, researchers examined more than 16 million Blue Cross Blue Shield of Texas insurance claims from 2012 to 2015. During that time period, Texans’ utilization of freestanding EDs rose 236 percent. That compares with a 10 percent jump for hospital-based emergency departments and a 24 percent jump for urgent care clinics, according to a news release.

Researchers also found the average price per visit at freestanding EDs was $1,431 in 2012 compared with $1,842 at hospital-based EDs. In 2015, the average price per visit was $2,199 at freestanding EDs and $2,259 at hospital-based EDs. However, the average price per visit at urgent care centers was $164 in 2012 and $168 in 2015, according to the study.

The study also looked at out-of-pocket liability. At freestanding EDs, patients’ out-of-pocket liability increased from 32 percent in 2012 to 35 percent in 2015, researchers said. At hospital-based EDs, the increase was 29 percent to 33 percent. And at urgent care centers, patients saw out-of-pocket liability go from 36 percent in 2012 to 38 percent in 2015.

“There was 75 percent overlap in the 20 most common diagnoses at freestanding EDs versus urgent care centers and 60 percent overlap for hospital-based EDs and urgent care centers. However, prices for patients with the same diagnosis were on average almost 10 times higher at freestanding and hospital-based EDs relative to urgent care centers,” researchers said.

The study’s authors concluded the higher prices at freestanding and hospital-based EDs “imply potential inefficient use of emergency facilities.”

5 health systems with strong finances

http://www.beckershospitalreview.com/finance/5-health-systems-with-strong-finances-032117.html

Here are five health systems with strong operational metrics and solid financial positions according to recent reports from Fitch Ratings, Moody’s Investors Service and S&P Global Ratings.

Note: This is not an exhaustive list. Health system names were compiled from recent credit rating reports and are listed in alphabetical order.

1. Froedtert Health has an “AA-” rating and positive outlook with S&P. The system has healthy financial metrics, and its market share in a competitive service area is improving, according to S&P. The debt rating agency expects Froedtert’s financial profile to remain consistent over the next one to two years.

2. St. Joseph, Mich.-based Lakeland Hospitals has an “AA-” rating and stable outlook with Fitch. The health system has a strong financial profile and leading market position, according to Fitch.

3. Mercy Health has an “Aa3” rating and stable outlook with Moody’s. The St. Louis-based system’s balance sheet measures and financial performance have improved in the last three years, according to Moody’s. The debt rating agency expects Mercy Health’s operating margins to continue to improve.

4. Seattle Children’s Healthcare System has an “Aa2” rating and stable outlook with Moody’s. The system has strong balance sheet measures and operating performance, according to Moody’s. The debt rating agency expects Seattle Children’s Healthcare System’s overall profitability to remain strong and its debt coverage measures to improve.

5. Richmond-based Virginia Commonwealth University Health System has an “Aa3” rating and stable outlook with Moody’s. The health system has solid operating performance and a strong credit profile, according to Moody’s. The debt rating agency expects the health system to sustain cash flow margins at close to current levels and maintain its liquidity.

Kaiser releases plans for California medical school: 6 things to know

http://www.beckershospitalreview.com/facilities-management/kaiser-releases-plans-for-california-medical-school-6-things-to-know.html

Oakland, Calif.-based Kaiser Permanente revealed plans to replace a former office building and parking lot in Pasadena, Calif., with an 80,000-square-foot medical school, according to the Pasadena Star-News.

Here are six things to know about the proposed medical school.

1. The four-story building will reportedly feature floor-to-ceiling windows on the first floor, an open rooftop and state-of-the-art classrooms.

2. The health system previously disclosed plans to build the medical school in 2015. Officials chose to build in Pasadena because of the location’s proximity to other Kaiser facilities and access to affordable housing, public transit and major highways, according to the report.

3. Two additional Kaiser-owned research and administrative facilities will remain on site.

4. The health system expects to open the medical school in 2019 with an inaugural class of 48 students. By 2022, officials expect a full enrollment of 192 students, according to the report.

5. The School of Medicine will not maintain any clinics or patients within the facility. Instead, students will travel to the health system’s 14 other locations in southern California to gain hands-on experience.

6. Officials said they hope to break ground on the facility by the end of the year. The proposal must first undergo environmental and design reviews by the city’s design commission, according to the report.