Private Sector Care Analysis

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Private Sector Private Sector Care Analysis Care Analysis An AMEDD at War PSC Coordination Meeting PSC Coordination Meeting 24 August 2004 24 August 2004

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Private Sector Care Analysis. PSC Coordination Meeting 24 August 2004. An AMEDD at War. Issues. Analysis compares FY03 actual to FY04 projections Did not use Business Plans Baseline data Education Evolving Business Plan method and tool Business Plan Timeline. Army Top 5 MTFs. - PowerPoint PPT Presentation

Transcript of Private Sector Care Analysis

Page 1: Private Sector Care Analysis

Private Sector Care Private Sector Care AnalysisAnalysis

An AMEDD at War

PSC Coordination Meeting PSC Coordination Meeting 24 August 200424 August 2004

Page 2: Private Sector Care Analysis

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• Analysis compares FY03 actual to FY04 projections

• Did not use Business Plans

– Baseline data

– Education

– Evolving Business Plan method and tool

– Business Plan Timeline

IssuesIssues

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Army Top 5 MTFsArmy Top 5 MTFs

DARNALL ACHFT. HOOD South $17,376,187 $23,726,677 $6,350,490 37%

WOMACK AMCFT. BRAGG North $21,416,500 $26,176,089 $4,759,588 22%

GUTHRIE AHCFT. DRUM North $7,608,417 $11,822,421 $4,214,003 55%

WINN ACHFT. STEWART South $14,384,199 $18,445,610 $4,061,412 28%

DEWITT ACHFT. BELVOIR North $11,547,129 $15,569,972 $4,022,843 35%

MTF Region FY03 Act* FY04 Proj Variance % Change

*Inflated as FY04 $Source: Prospective Payment Valuation Reconciliation

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Fort HoodFort Hood

0

20,000

40,000

60,000

80,000

100,000

120,000

Active Duty Prime

Enrollment

0

50

100

150

200

250

Clinician FTEs Professional FTEs

Available Provider FTEs

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

DC RVUs PC RVUs

Enrollee Outpatient Workload

0

100

200

300

400

500

600

DC RWPs PC RWPs

Enrollee Inpatient Workload

0.550.62

0.81

0.94

0.00

0.10

0.20

0.30

0.40

0.50

0.60

0.70

0.80

0.90

1.00

FY03 FY04

DC CMI PC CMI

Case Mix Index

10% RC

Medical Holdover Gains/Losses

To

tal C

OM

PO

2 a

nd

CO

MP

O 3

cu

rren

tly in

MH

O o

r d

ispo

sitio

nedby A

ug 2

004

To

tal C

OM

PO

2 a

nd

CO

MP

O 3

cu

rren

tly in

MH

O o

r d

ispo

sitio

nedby A

ug 2

004

FY03 FY04Remaining plus New Gain

Cumulative Loss

Remaining plus New Gain

Cumulative Loss

MEB 144

PEB 104

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Fort BraggFort Bragg

0

20,000

40,000

60,000

80,000

100,000

120,000

Active Duty Prime

Enrollment

0

50

100

150

200

250

300

Clinician FTEs Professional FTEs

Available Provider FTEs

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

DC RVUs PC RVUs

Enrollee Outpatient Workload

0

100

200

300

400

500

DC RWPs PC RWPs

Enrollee Inpatient Workload

0.66

1.491.6

0.71

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

1.80

FY03 FY04

DC CMI PC CMI

Case Mix Index

5% RC

To

tal C

OM

PO

2 a

nd

CO

MP

O 3

cu

rren

tly in

MH

O o

r d

ispo

sitio

nedb

y A

ug 2

004

To

tal C

OM

PO

2 a

nd

CO

MP

O 3

cu

rren

tly in

MH

O o

r d

ispo

sitio

nedb

y A

ug 2

004

FY03 FY04Remaining plus New Gain

Cumulative Loss

Remaining plus New Gain

Cumulative Loss

Medical Holdover Gains/Losses

MEB 90

PEB 54

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Fort DrumFort Drum

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

Active Duty Prime

Enrollment

0

10

20

30

40

50

60

Clinician FTEs Professional FTEs

Available Provider FTEs

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

16,000

DC RVUs PC RVUs

Enrollee Outpatient Workload

0

20

40

60

80

100

120

140

160

180

200

Oct-0

2Nov-0

2Dec-

02Ja

n-03

Feb-0

3M

ar-0

3Apr-0

3M

ay-0

3Ju

n-03

Jul-0

3Aug-0

3Sep

-03

Oct-0

3Nov-0

3Dec-

03Ja

n-04

Feb-0

4M

ar-0

4

DC RWPs PC RWPs

Enrollee Inpatient Workload

1.18

1.44

0.51 0.57

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

1.60

FY03 FY04

DC CMI PC CMI

Case Mix Index

6% RC

To

tal C

OM

PO

2 a

nd C

OM

PO

3 c

urr

ently in M

HO

or

dis

po

sitio

nedby A

ug 2

004

To

tal C

OM

PO

2 a

nd C

OM

PO

3 c

urr

ently in M

HO

or

dis

po

sitio

nedby A

ug 2

004

FY03 FY04Remaining plus New Gain

Cumulative Loss

Remaining plus New Gain

Cumulative Loss

Medical Holdover Gains/Losses

MEB 58

PEB 38

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Fort StewartFort Stewart

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

Active Duty Prime

Enrollment

0

20

40

60

80

100

120

140

Clinician FTEs Professional FTEs

Available Provider FTEs

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

DC RVUs PC RVUs

Enrollee Outpatient Workload

0

50

100

150

200

250

300

350

400

450

500

DC RWPs PC RWPs

Enrollee Inpatient Workload

0.52 0.57

1.19 1.21

0.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

FY03 FY04

DC CMI PC CMI

Case Mix Index

10% RC

Available Provider FTEs

To

tal C

OM

PO

2 a

nd

CO

MP

O 3

cu

rre

ntly in

MH

O o

r dis

po

sition

edb

y A

ug

20

04

Medical Holdover Gains/Losses

FY03 FY04Remaining plus New Gain

Cumulative Loss

Remaining plus New Gain

Cumulative Loss

MEB 139

PEB 63

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Fort BelvoirFort Belvoir

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

90,000

Active Duty Prime

Enrollment

0

20

40

60

80

100

120

140

160

180

200

Clinician FTEs Professional FTEs

Available Provider FTEs

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

DC RVUs PC RVUs

Enrollee Outpatient Workload

0

100

200

300

400

500

600

DC RWPs PC RWPs

Enrollee Inpatient Workload

0.57 0.56

11.08

0.00

0.20

0.40

0.60

0.80

1.00

1.20

FY03 FY04

DC CMI PC CMI

Case Mix Index

2% RC

FY03 FY04Remaining plus New Gain

Cumulative Loss

Remaining plus New Gain

Cumulative Loss

Medical Holdover Gains/Losses

MEB 4PEB 2

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ActionsActions

• Developed AMEDD Business Planning Model and Tool

• Educated RMCs on Business Planning Process

• Populated Command Management System (CMS) with Business Variables and Business Plan Targets

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Future IssuesFuture Issues

• Meeting FY05 Business Plan Projections

– Army Campaign Plan: Transforming to a Modular Army (30K+ Active Duty plus Family Members)

– Operation Iraq Freedom – OIF 3

– Operation Enduring Freedom – OEF 6

– Overseas Unit Redeployment

– Base Realignment and Closure

– Medical Holdovers