Private Sector Care Analysis
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Transcript of 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
2
• 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
5
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
6
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
7
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
8
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
9
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