Total indigent care geographic distribution
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Indigent Care Cost in Dollars. Projected FY99 MCVH and MCVP. Total Indigent Care Geographic Distribution. MCVH and MCVP Total Costs Indigent Care Projected FY99 Entire Commonwealth by County. $48,300,000. 2,000,001. to. 10,000,000. 700,001. to. 2,000,000. 151,001. to. 700,000.

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Total Indigent Care Geographic Distribution

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Indigent Care Cost in Dollars

Projected FY99 MCVH and MCVP

Total Indigent CareGeographic Distribution

MCVH and MCVP Total Costs

Indigent Care Projected FY99

Entire Commonwealth by County

$48,300,000

2,000,001

to

10,000,000

700,001

to

2,000,000

151,001

to

700,000

10,001

to

150,000

1

to

10,000

0

MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 1


Indigent Care Burden - FY99Medical College of Virginia HospitalsandVirginia Commonwealth University School of Medicine

  • Providing Indigent Care at Significant Loss (No Reimbursement Increase in Four Years)

  • Previous Ability to Cost Shift Is Exhausted, Insurers Under Managed Care Refuse to Subsidize

  • $93 Million in Cost of Which Over 1/4 Not Reimbursed

Total

Reimbursement

$

69.4

Million

Costs

93.5

Loss

$

(24.1)

Million

  • High Quality/Cost Efficient Operations:

- Lowest cost quartile of peer organizations

- Top 100 Hospitals in prior year reporting

  • Without Additional Funding There Will Be No Option But to Limit Indigent Services

  • Largest Provider of Indigent/Self Pay in State

  • MCV Campus Major Focal Point of Health Related Education & Research

MCVH Payer Mix

Indigent Care Services

Cost

Medicare

25%

Richmond

$

48.3

Million

Over 700,000

Medicaid

16%

Henrico

7.2

Indigent

18%

Caroline $.9

Brunswick $1.2

Chesterfield

5.7

King William $.9

Westmoreland $1.1

Self Pay

10%

Hanover

2.5

Amelia $.8

New Kent $1.0

Managed Care/Insured

31%

Lunenburg $.8

Petersburg

3.9

Mecklenberg $1.0

Spotsylvania $.8

Other > $700,000

10.5

Hopewell $1.0

Newport News $1.0

Other < $700,000

15.4

Total Cost

$

93.5

Million

MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 2


Remaining Virginia CountiesIndigent Burden - FY99Note: Less than $700,000. Figures given in millions, therefore some counties with less than $10,000 show $0.00.

MCV Hospitals & Physicians Indigent Care Information 9/28/99 Page 3


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