Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN...

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April 2020 Rural Health Safety Net Analysis Update – Outpatient Revenue, Days Cash on Hand, Access to ICU Beds

Transcript of Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN...

Page 1: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

April 2020

Rural Health Safety Net

Analysis Update – Outpatient

Revenue, Days Cash on Hand,

Access to ICU Beds

Page 2: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 2

Rural Hospitals (All Rural)

% Revenue Associated with Outpatient Services

AK

CA

HI

ME

MA

RI

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE

60%—69% 70%—75% 76%—80% 81%—85%<60%

Percentage of Revenue Associated with Outpatient Service Lines.

86+%

National

Rural Median

No Rural

Hospital

Page 3: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 3

Critical Access Hospitals

% Revenue Associated with Outpatient Services

AK

CA

HI

ME

MA

RI

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE

Percentage of revenue associated with outpatient service lines. CAHs only.

National

CAH Median

No Rural

Hospital/No

CAH in state

60%—69% 70%—75% 76%—80% 81%—85%<60% 86+%

Page 4: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 4

Rural & Community Hospitals

% Revenue Associated with Outpatient Services

AK

CA

HI

ME

MA

RI

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE

Percentage of revenue associated with outpatient service lines. RPPS only.

Minimum of three such hospitals..

56%—60% 61%—65% 66%—70% 71%—75%<55% 76—80%

National

RPPS Median

No Rural

Hospital/No

RPPS in state

Page 5: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

© 2018 The Chartis Group, LLC. All Rights Reserved. August 2019 Page 5

Rural Health Safety Net Analysis:

Rural Provider Days Cash on Hand

Page 6: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 6

Rural Hospitals (CAH and RPPS)

Days Cash on Hand

AK

CA

HI

ME

MA

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE RI

80—99

Days60—79

Days40—59

Days

20—39

Days

100+

Days

Median Days Cash on Hand for All Rural Hospitals within a State.

0—19

Days

National

Rural Median

No Rural

Hospital

Page 7: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 7

Critical Access Hospitals

Days Cash on Hand

AK

CA

HI

ME

MA

RI

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE

80—99

Days60—79

Days40—59

Days

20—39

Days

100+

Days

Median Days Cash on Hand for Critical Access Hospitals within a State.

0—19

Days

National

Rural Median

No Rural

Hospital/No

CAH in state

Page 8: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 8

Rural & Community Hospitals

Days Cash on Hand

AK

CA

HI

ME

MA

RI

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE

National

Rural Median

80—99

Days60—79

Days40—59

Days

20—39

Days

100+

Days

Median Days Cash on Hand for Rural & Community Hospitals within a State.

0—19

DaysNo Rural

Hospital/No

RPPS in state

<0

Days

Page 9: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

© 2018 The Chartis Group, LLC. All Rights Reserved. August 2019 Page 9

Days Cash on Hand – Trended (All Rural)

2015 - 2018

Page 10: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 10

Rural Hospitals (All Rural)

Days Cash on Hand (2015)

AK

CA

HI

ME

MA

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE RI

80—99

Days60—79

Days40—59

Days

20—39

Days

100+

Days

Median Days Cash on Hand for All Rural Hospitals within a State.

0—19

Days

National

Rural Median

No Rural

Hospital

Page 11: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 11

Rural Hospitals (All Rural)

Days Cash on Hand (2018)

AK

CA

HI

ME

MA

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE RI

80—99

Days60—79

Days40—59

Days

20—39

Days

100+

Days

Median Days Cash on Hand for All Rural Hospitals within a State.

0—19

Days

National

Rural Median

No Rural

Hospital

Page 12: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

© 2018 The Chartis Group, LLC. All Rights Reserved. August 2019 Page 12

Rural Health Safety Net Analysis:

Access to Intensive Care Beds – All Rural

Page 13: Analysis Update Outpatient Revenue, Days Cash on Hand ......2020/04/07  · FL GA VA WV IL IN KY TN TX LA MS AL AZ NM OK AR NV UT CO KS MO WA SD OR MT ND ID MN WY NE IA RI 80—99

January 2020 Page 13

Rural Hospitals (All Rural)

% without Intensive Care Unit Beds (2018)

AK

CA

HI

ME

MA

NH

CT

NJ

DC

NY

OH

VT

PA

DE

MI

MD

NC

SC

WI

FL

GA

VA

WV

INIL

KY

TN

ALMSLATX

AZ AROKNM

NV UT CO KS MO

SDWA

OR

NDMT

ID

MN

IAWY NE RI

No Rural

HospitalPercentage of State Rural Hospitals without ICU beds. Minimum

of three ICU beds per hospital.

<20% 21%—35% 36%—50% 51%—65% 66%—80% 81%—90% 91%+

National

Rural Average