|Fewer Funds Leveraged by Hospital Tax; Hospital Payments Stable
The federal revenue generated by the hospital tax declined again in 2013, costing the state approximately $13 million in Medicaid funding. Payments to hospitals remained basically the same, however, due to language in the taxing legislation that guarantees hospitals statewide receive $1.62 in increased Medicaid payments for every $1 they are assessed for the hospital tax. The complete 2013 Hospital Tax Report, with hospital-by-hospital breakdown, is available in the featured resources section located on this web page.
|Individual Policies Outpace Group Plans
Since 2008, the premium written for
individual policies has grown three times faster than the premium written for
group coverage, indicating that individual policies were an important source of
growth for health insurers even before the Affordable Care Act. Individual policies
now account for 30 percent of the total
health insurance premium written in Wisconsin, up from 14 percent in
2000. The complete article is in the March 2014 Edition of HCTrends.
|Hospitals Improve Quality Scores; Efficiency Rankings in Most Markets Stable
Wisconsin hospitals improved their quality scores in 17 of
25 measures analyzed between 2011 and 2012. Eau Claire providers had the
highest quality index of the six regions analyzed. Southeast Wisconsin had the
lowest quality of the six regions analyzed, but showed improvement in more
quality measures than the other regions in the state. The study also found that
five major health care providers achieved both better-than-average cost
efficiency and better-than-average quality in their respective markets. The complete study, "Measuring the Quality Achievements and Cost Efficiency of Wisconsin Hospitals in 2012" is available in the featured resources library located on this web page.
|Wisconsin Hospitals See Dramatic Shift in Business Since 2008
Between 2008 and 2012, the state’s
hospitals experienced a 19-percent drop in inpatient commercial admissions and
inpatient days, according to an analysis of fiscal surveys hospitals are
required to file with the state.
Every region of the state
experienced a decline – from a low of 15 percent in the Madison area to a high
of 39 percent in rural northwestern and southwestern Wisconsin. Some of the
inpatient loss was offset by an 11-percent increase in commercial outpatient
procedures, but even with that gain, private-sector growth was overshadowed by
increases in government-paid hospital services, particularly Medicaid.
“The decline in commercially insured
business is significant for hospitals because insurance companies, self-funded
employers and other private-sector purchasers pay more than government programs,”
says Dave Jensen. “Since 2008, however, net revenue from commercial sources has
grown by an average of less than 3 percent a year. That is less than one-half
the growth rate of Medicare and one-eighth the growth rate of Medicaid
reimbursements. These trends are likely to become more pronounced as Baby
Boomers retire and Medicaid enrollment grows due to the Affordable Care Act.”
The complete article is in the March 2014 Edition of HCTrends.
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