1/8/2023 0 Comments Synergy staffing![]() Other private payers often pay a flat rate as well for certain expensive inpatient stays, such as bundled payment models for total joint replacements or heart attacks.Īs a result, the longer a patient stays, the higher the cost to the hospital, said Rick Gundling, senior vice president of healthcare financial practices for the Healthcare Financial Management Association. ![]() That’s in part because Medicare, which covers a large part of the inpatient population, generally pays for an inpatient’s hospital stay by a diagnostic-related group (DRG), or one fixed amount based on their diagnosis and severity - regardless of how long they’re in the hospital. Longer lengths of stay are contributing to some of the worst hospital margins seen since the beginning of the pandemic and a deteriorating sector outlook from ratings agencies. Providence, Intermountain, Sutter, Mass General Brigham and Advocate Aurora - all large nonprofits - are among the systems that reported higher lengths of stay and lower discharges this summer compared to 2021.įor-profit operators HCA Healthcare and UHS also reported year-over-year increases in lengths of stay in the second quarter: from 4.94 days to 4.99 days, and from 4.8 days to 4.9 days, respectively. ![]() “What we’re seeing is more organizations have inpatient discharges that are below what the pre-pandemic level was, but the patient days they’re staying is not depressed,” said Erik Swanson, senior vice president of data analytics at Kaufman Hall. “We’ve seen continual growth in length of stay since the beginning of the pandemic up to now.”
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