Revenue Streams

Revenue Streams

• Commonwealth Government

• Patient Fees

• Private Practice Fees

• Specialist Clinics/MBS Fees

• Commercial activities

• Car parking

• Donations

Interest

0%

DHHS

77%

Other Income

2%

Patient Fees

3%

Private Practice

6%

Recoveries

3%

Commercial - Activities

3%

Distributions / Fundraising

3%

Grants - Other

1% Commonwealth

2%

Example Hospital - Revenue Breakdown

Interest DHHS Other Income Patient Fees Private Practice Recoveries Commercial - Activities Distributions / Fundraising Grants - Other Commonwealth

Interest

2%

Other Income

10%

Patient Fees

17%

Private Practice

28%

Recoveries

14%

Commercial - Activities

12%

Distributions / Fundraising

15%

Grants - Other

2%

Example Hospital - Non DHHS Revenue Breakdown

Interest

Other Income

Patient Fees

Private Practice

Recoveries

Commercial - Activities

Distributions / Fundraising

Fundraising

Grants - Other

Commonwealth Grants

• Pharmaceutical Benefits Scheme • Discharge Medication and

• High cost outpatient medication

• Nursing Home Support

Patient Fees

• Role of Patient Liaison Officer

• Election to use private health insurance

• Transport Accident Commission (TAC)

• Bed Day Fees

• Single Rooms - eligibility

• Prostheses – Theatres

• http://health.vic.gov.au/feesman/

International Patients

• EFTPOS in ED

• Elective Payment in advance

• Emergency – get all information asap.

• Emergency inpatient obtain deposit.

Patient Fees 2015-16

• Share Room rate Medical $334, Surgical $386, Adv Surgical $415

• Single Room rate Medical MBP $409, Surgical MBP $460, Adv Surg $490.

• Single Room rates vary by fund.

• Doctor Fee New 110 $150.90

• Doctor Fee Review 116 $75.50

• Doctor short consult 119 $43.00

Example of Patient Fees/Prostheses

DRG F19B Price WIES Revenue

Public 4640 1.6187 7,511

Private 3527 1.6187 5,709

Prosthetic Stent 10,200

Single room (Adv Surgical) 490

16,399

Gain as Private 8,888

Private Practice (PP)

• Full Timer Medical Staff (minimum 25% in lieu of Private Practice)

• Part Time Medical Staff (VMO)

• Pathology/Radiology

• Models of PP • Charge for rooms

• 100% Donation Model

Specialist Clinics/Outpatients

• Specialist Clinics Grant (State Funded) • Old VACS (Victorian Ambulatory Classification

system)

• Tier 2

• MBS Fees (Federal Government/Medicare) • New 110 $128.30 (85% Bulk Bill)

• Review 116 $64.20 (85% Bulk Bill)

• Test e.g. Echo

• Radiology/Pathology

Commercial Activities

• Car Parking staff/patients/concessions

• Courses e.g. Physiotherapy course

• Salary Packaging cost of providing service

• Early Learning Centre/Kindergardens

• Freedom of Information/Medical Report Fees

• Property rental e.g. Retail

• Sales e.g. Books

Other

• Interest - TCV

• Service Agreements – facility fees, real cost of business.

• Recoveries e.g. HMO on Rotation – Hospital Circular

• http://www.health.vic.gov.au/hospitalcirculars/circ13/circ0613.htm

• Donations