New York Hospitals Facing Fiscal Code Blue

http://www.bloomberg.com/politics/articles/2016-08-22/new-york-city-hospitals-seen-unwilling-to-take-stronger-medicine?utm_campaign=KHN%3A+Daily+Health+Policy+Report&utm_source=hs_email&utm_medium=email&utm_content=33278487&_hsenc=p2ANqtz–Ua5Q-PC5Hs3i1ni8bTaDNOfHhzF8R8meSEL9ZdWL6LejSQMUC3wLCDN9J_cuBB9IHRmZmF7BdmyqhMlNtFPa8KBOrzA&_hsmi=33278487

New York City’s public hospitals are in critical condition with rising costs and plummeting revenue. There’s no dispute about that diagnosis. The problem is with Mayor Bill de Blasio’s proposed cure, according to health policy makers, hospital administrators and budget watchdogs.

As NYC Health + Hospitals President Ram Raju describes it, the largest U.S. municipal-healthcare provider is an ailing system of 11 hospitals that’s losing revenue because of increased competition from non-profit hospitals for Medicaid patients and drastic cuts in federal and state aid for indigents.

His prescription: shift its 40,000-plus employees into a system of neighborhood clinics and transform campuses into affordable housing and long-term care, build enrollment of its MetroPlus insurance plan and persuade federal and state governments to spend more. That aid is projected to fall by almost $1 billion -– from $2.2 billion in FY16 to $1.4 billion in 2020.

Halting 340B funding would force 73% of hospitals to cut staff, study finds

http://www.beckershospitalreview.com/finance/halting-340b-funding-would-force-73-of-hospitals-to-cut-staff-study-finds.html

340B_prescription_bottle

Click to access may-2015-report-to-the-congress-overview-of-the-340b-drug-pricing-program.pdf

The 340B Drug Pricing Program allows certain hospitals and other health care providers (“covered entities”) to obtain discounted prices on “covered outpatient drugs” (prescription drugs and biologics other than vaccines) from drug manufacturers. Manufacturers must offer 340B discounts to covered entities to have their drugs covered under Medicaid. The discounts are substantial. The Health Resources and Services Administration (HRSA), which manages the program, estimates that covered entities saved $3.8 billion on outpatient drugs through the program in fiscal year 2013. The 340B program has grown substantially during the past decade. Covered entities and their affiliated sites spent over $7 billion to purchase 340B drugs in 2013, three times the amount spent in 2005. The number of hospital organizations (a single organization includes a hospital and all of its eligible affiliated sites) participating in 340B grew from 583 in 2005 to 1,365 in 2010 and to 2,140 in 2014. The increase from 2010 to 2014 was driven by growth in the number of CAHs and other types of hospitals that became eligible for 340B in 2010 through the Patient Protection and Affordable Care Act of 2010 (PPACA). In 2014, about 45 percent of all Medicare acute care hospitals—including CAHs—participated in the 340B program.

Nearly 700 rural hospitals are financially vulnerable

http://www.fiercehealthfinance.com/story/nearly-700-rural-hospitals-are-financially-vulnerable/2016-02-07?utm_medium=nl&utm_source=internal&mkt_tok=3RkMMJWWfF9wsRonvqjKce%252FhmjTEU5z14ukkX6a2lMI%252F0ER3fOvrPUfGjI4ARMBjN6%252BTFAwTG5toziV8R7LMKM1ty9MQWxTk

iVantage report: 210 are on brink of immediate closure

Plan proposed to pay NY’s big systems $2.5B to bail out Brooklyn hospitals

http://www.beckershospitalreview.com/finance/plan-proposed-to-pay-ny-s-big-systems-2-5b-to-bailout-brooklyn-hospitals.html

OR Efficiencies

Paying For ‘Patient Satisfaction’ Harms Hospitals That Care For Poor People

http://www.forbes.com/sites/peterubel/2015/10/16/paying-for-patient-satisfaction-harms-hospitals-that-care-for-poor-people/?utm_campaign=forbeshealth

Patient Satisfaction

Fighting back against 340B criticisms

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/news/fighting-back-against-340b-criticisms

prescription-drugs-caption

Name change: From Safety Net Hospitals for Pharmaceutical Access to 340B Health

http://www.beckershospitalreview.com/hospital-management-administration/name-change-from-safety-net-hospitals-for-pharmaceutical-access-to-340b-health.html

About 340B Health

Prem Reddy: Prime still interested in Daughters of Charity purchase

http://www.healthcaredive.com/news/prem-reddy-prime-still-interested-in-daughters-of-charity-purchase/374965/?utm_source=Sailthru&utm_medium=email&utm_term=Healthcare%20Dive&utm_campaign=Issue%3A%202015-03-16%20Healthcare%20Dive

State Attorney General OKs Sale of Hospitals to Prime, but With Conditions

http://www.californiahealthline.org/capitol-desk/2015/2/state-attorney-general-oks-sale-of-hospitals-to-prime-but-with-conditions

California Healthline