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Total Indigent Care Geographic Distribution

Total Indigent Care Geographic Distribution

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Total Indigent Care Geographic Distribution

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  1. Indigent Care Cost in Dollars Projected FY99 MCVH and MCVP Total Indigent CareGeographic Distribution MCVH and MCVP Total Costs Indigent Care Projected FY99 Entire Commonwealth by County $48,300,000 2,000,001 to 10,000,000 700,001 to 2,000,000 151,001 to 700,000 10,001 to 150,000 1 to 10,000 0 MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 1

  2. Indigent Care Burden - FY99Medical College of Virginia HospitalsandVirginia Commonwealth University School of Medicine • Providing Indigent Care at Significant Loss (No Reimbursement Increase in Four Years) • Previous Ability to Cost Shift Is Exhausted, Insurers Under Managed Care Refuse to Subsidize • $93 Million in Cost of Which Over 1/4 Not Reimbursed Total Reimbursement $ 69.4 Million Costs 93.5 Loss $ (24.1) Million • High Quality/Cost Efficient Operations: - Lowest cost quartile of peer organizations - Top 100 Hospitals in prior year reporting • Without Additional Funding There Will Be No Option But to Limit Indigent Services • Largest Provider of Indigent/Self Pay in State • MCV Campus Major Focal Point of Health Related Education & Research MCVH Payer Mix Indigent Care Services Cost Medicare 25% Richmond $ 48.3 Million Over 700,000 Medicaid 16% Henrico 7.2 Indigent 18% Caroline $.9 Brunswick $1.2 Chesterfield 5.7 King William $.9 Westmoreland $1.1 Self Pay 10% Hanover 2.5 Amelia $.8 New Kent $1.0 Managed Care/Insured 31% Lunenburg $.8 Petersburg 3.9 Mecklenberg $1.0 Spotsylvania $.8 Other > $700,000 10.5 Hopewell $1.0 Newport News $1.0 Other < $700,000 15.4 Total Cost $ 93.5 Million MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 2

  3. Remaining Virginia CountiesIndigent Burden - FY99Note: Less than $700,000. Figures given in millions, therefore some counties with less than $10,000 show $0.00. MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 3