Budgeting
Some extremely low QPAs bear little to no resemblance to the actual in-network rates in a given geographic area.
The majority of bad debt now is associated with patients with insurance, contributing to the net revenue challenge for hospitals.
Results of the HealthEdge survey show the pace of change has led to shifting priorities for health plan leaders.
This comes despite a rapid decline in COVID-19 hospitalizations following the winter surge, with the challenges expected to be widespread.
Other contributing factors include the emergence of new technologies, vaccine mandates and more federal scrutiny of mergers.
Average payments are $58,000 for small providers, $289,000 for medium providers, and $1.7 million for larger providers.
Lower-rated hospitals that have full intensive care units are less able than higher-rated hospitals to absorb a decline in reimbursement.
Not including CARES Act funding, the median change in operating margin was down 12.1% from September to October.
CEO Sam Hazen said recent population growth in Florida played a part in the decision to expand.
Rising supply chain challenges are a headwind to revenue, but the issues may begin to subside in mid-2022, a Fitch Ratings report says.