Green Mountain Care Board Budget Rebalance Presentation April 10, - PowerPoint PPT Presentation

Green Mountain Care Board Budget Rebalance Presentation April 10, 2019

Agenda 1. Drivers of the NPR/FPP variance-2018 2. Drivers of Operating Margin Variance-2018 3. Actions to meet FY2019 Budget 4. YTD Results as of February 2019 5. FY2019 Forecast 2

Drivers of NPR/FPP Variance FY2018 NPR/FPP Variance Drivers • Bad Debt $1.75 mil over budget • Decreased utilization July-September • Emergency Department • Inpatient admissions • Inpatient Respiratory Care • Diagnostic Imaging • Laboratory 3

Drivers of Operating Margin Variance 2018 YE September FY2018 $ Variance to Budget Breakdown 1,500,000 1,113,853 840,364 1,000,000 362,823 500,000 195,332 55,219 169,322 115,134 - (87,455) (251,827) (266,980) (500,000) (321,779) (435,962) (590,220) (1,000,000) (895,187) (925,486) (1,500,000) (1,654,752) (2,000,000) (2,500,000) (2,577,601) (3,000,000) 4

Prior Year State-NPSR 2018 5

Current State- NPSR YTD Feb 2019 Net Patient Revenue with ACO and DSH Payments 35,000,000 32,500,000 30,000,000 27,500,000 25,000,000 Actual NPR 22,500,000 Budget NPR 20,000,000 17,500,000 15,000,000 12,500,000 10,000,000 7,500,000 5,000,000 October 2018 November 2018 December 2018 January 2019 February 2019 6

Operating Margin YTD 2019 NCH Operating Margin YTD Gain/(Loss) Actual and Budget 1,500,000 1,000,000 500,000 0 (500,000) (1,000,000) (1,500,000) (2,000,000) Actual Budget 7

Current State – Budget Variance 2019 YTD February FY2019 $ Variance to Budget Breakdown 400,000 295,401 287,082 300,000 201,302 170,447 200,000 106,258 94,870 100,000 42,022 12,371 7,726 - (100,000) (67,586) (104,623) (146,045) (200,000) (300,000) (283,088) (400,000) (352,083) (417,362) (500,000) (550,858) (600,000) 8

Contract Labor Travelers ~ 3/7/2019 Continue Name Dept. Job Title Company Start Date End Date Comments Y/N Diagnostic Ultrasound Potential to extend to mid April. FMLA back 1 Kristin Raines Imaging Technologist Sonotemps 01/21/2019 03/18/2019 fill 2 Katherine Borgelt, PT Rehab. Svs. Physical Therapist Comp. Health 01/14/2019 04/12/2019 3 Heatherton Huggins ED RN AHS Staffing 12/4/18 4/21/19 Yes extended 6 weeks Position filled w/ new grad. Extended 13 4 Khristin Vroegop MCH RN Republic Health Resources 11/5/18 5/4/19 Y weeks. New end date is 5/4/18 5 Natalya Fedorenko ED RN Atlas 2/11/19 5/11/19 6 Kendall Hatter ED RN Advanced Medical Prof 2/11/19 5/11/19 Professional Placement 7 Rachel Devereaux OR RN Resources 2/18/19 5/18/19 8 Leslie Parrott OR scrub tech RN Meridian Medical Staffing 4/3/19 6/29/19 Diagnostic Ultrasound 9 Caren Mitchell Imaging Technologist Aureus 08/27/208 7/8/19 10 Jeffery Tanita ED MD Weatherby 2017 Y Use as needed 11 Maury Greenberg ED MD Barton Assoc. 2018 Y Use as needed 12 Rodney Batie Ob/Gyn MD CompHealth 2016 Y Occasional weekend coverage 13 Jean-Paul Sorondo ED MD Goldfish Partners 2019 Y Use as needed 9

Financial Projection – P&L NCH Operating Margin YTD Gain/(Loss) Actual and Budget 1,500,000 1,000,000 500,000 0 (500,000) (1,000,000) (1,500,000) (2,000,000) Actual Budget 10