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Idaho Hospital Association. 2013 Economic Outlook & Revenue Assessment Committee. Community Hospitals 6.5% Idaho GSP $ 3.78 billion. Hospitals – a vital part of Idaho’s economy. US Department of Commerce – Bureau of Economic Analysis. Uncompensated Care. - PowerPoint PPT Presentation
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Idaho Hospital Association2013 Economic Outlook & Revenue Assessment Committee
1
Community Hospitals
6.5% Idaho GSP$3.78 billion
2
Hospitals – a vital part of Idaho’s economy
UtilitiesConstruction
Finance & InsuranceWholesale Trade
Ag, Forestry, Fishing & HuntingProfessional & Technical Serv.
Retail TradeReal Estate, Rental & Leasing
ManufacturingCommunity Hospitals
$0.99 $2.46
$2.82 $3.02
$3.38 $4.21 $4.36
$6.50 $7.88
$3.78
Fiscal Impact of Idaho Industries(in billions)
US Department of Commerce – Bureau of Economic Analysis 3
Medicare$170 million
County Indigent / State CAT$1.3 million
Charity Care$45.1 million
Bad Debt$99 million
Medicaid$70.6 million
Uncompensated Care4
Medicaid Expansion – good for Idaho
• 64% of those eligible for Medicaid under the expansion work full or part time for employers who do not offer health coverage or are self-employed.
• Federal matching percentage (FMAP) for Idaho for Medicaid services moves from approximately 70% to 100 % for first three years, adjusting to 90% until 2024.
• $9.2 billion in new dollars will come into Idaho, stimulating the economy
• 16,000 new jobs created across all sectors
5
Medicaid Expansion – Significant Savings
$622.3 million
-$1,017.9 million
Expansion Costs
+$485.5 million
CAT Fund Savings
+$615.6 million
Tax Revenues+429.1 million
County Indigent Savings
+$110 million
Behavioral and Public Health
Savings
6
Clear Choice
• Escalating County Indigent and State CAT funds costs – topping $100 million in two years.
• Medicaid program will cost Idaho taxpayers $90 million over 10 years without expansion
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Jobs & Payroll
24,873people
employed
$1.26 billion annual payroll
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Economic Impacts
• 66,428 jobs• $2.88 billion in payrollJobs
• $6.55 billionEconomic Activity
• $139 million total tax impacts• $62.2 million impact on sales tax
TaxImpacts
Includes direct, indirect, and ripple effect of jobs, payroll, expenses, & taxes
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Idaho Hospitals Recognized for quality
Idaho Overall Score = 84.1% Rank = 2 out of 51
Ranking on Quality, Patient Satisfaction, Mortality, & Readmissions
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Congressional Cuts to Hospitals made on Jan. 1
• Document and Coding Adjustment - $10.5 billion• Rebase End Stage Renal Disease Payments - $4.9 billion• Therapy Payment Reductions - $1.8 billion• Radiology Services - $.3 billion• Advanced Imaging Services - $.8 billion• Diabetic Supplies - $.6 billion• Ambulance Transports - $.3 billion• Recovering Overpayments - $.5 billion• Medicare Improvement Fund - $1.7 billion• DSH Payments - $4.2 billion• Coding Intensity Adjustment - $2 billion• Rescind Consumer Operated and Oriented Plan - $2.3 billion
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Quality Jobs & Job CreationCommunity Growth & Stability
12