State of Maine Healthcare Maine Hospital Association May 22, 2019 - PowerPoint PPT Presentation

State of Maine Healthcare Maine Hospital Association May 22, 2019 Maine Chamber of Commerce Health Care Forum

Maine Hospitals 36 Hospitals Hospital Types: • Prospective Payment System (PPS) Hospitals — 17 Hospitals; • Critical Access Hospitals (CAH) — 16 Hospitals; • Psychiatric Hospital (IMDs) — 2 Hospitals; • Acute Rehabilitation — 1 Hospital Hospital Size: • 0-55 Beds: 18 Hospitals • 56-110 Beds: 10 Hospitals • 110-324 Beds: 6 Hospitals • 325+ Beds: 2 Hospitals 2

State Primary State Issues  Medicaid Expansion - How Financed  Budget and Hospital Tax  Opioids  Health Insurance Reform & Single-payer Conversations  Behavioral Health Issues 3

Federal Primary Federal Issues  340B – Drug Discount Program  Hospital Outpatient Practices  ACA/Obamacare  Medicare Solvency 4

Maine Hospital Finance 5

Maine Hospital Finances Aggregate Operating Margin = 1.1% Half of hospitals have negative operating margins. Eight hospitals (roughly 25%) have had 5 consecutive years of operating losses. 6

Maine Hospital Finance Medicaid’s relative share of hospital revenue has fallen 30% since 2010. Commercial is still half of revenue (but only 1/3 of workload). 7

Big vs. Little More work is moving to larger hospitals (with 325 + beds) … Discharges Outpatient ED Visits Visits 8

Rurals What is the future of rural hospitals and rural healthcare? 9

Jeffrey Austin VP Government Affairs Maine Hospital Association JAustin@themha.org 10