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Sustainable Healthcare Facility Funding and Economic Impact Strategies

Explore funding and economic impact of medical facility construction, staffing, and funding sources like Medicare, Medicaid, and private insurance. Analyze sustainable job creation, business opportunities, tax revenue, and community benefits.

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Sustainable Healthcare Facility Funding and Economic Impact Strategies

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  1. Portland Area Facilities Meeting Michael Lincoln, Dep. Director, IHS June 16, 2006

  2. Presentation Outline • Facility Construction Funding-11 years • Facility Staffing Funding-11 years • Additional Recurring Increases Pay Act • Additional Recurring Increases Inflation • Portland Example M, M and PI • PIMC SW Clinic Example • Economic Impact

  3. FY 1996-$12.927 FY 1997-$14.500 FY 1998-$14.400 FY 1999-$41.087 FY 2000-$50.393 FY 2001-$85.526 FY 2002-$86.260 FY 2003-$81.585 FY 2004-$94.555 FY 2005-$88.597 FY 2006-$37.779 FY 2007 (H)-$36.664 Facility Construction Funding11 Years--$607.609

  4. Facility Staffing Funding-R$208.791 million-2097 FTE

  5. Additional Recurring Increases Pay Act (millions) • FY 2000---$39.7 • FY 2001---$46.512 • FY 2002---$55.0 • FY 2003---$43.848 • FY 2004---$35.547 • FY 2005---$36.171 • FY 2006---$31.797 • FY 2007---$41.359 • FY 2000 through FY 2006---$288.575

  6. Additional Recurring Increases Inflation (millions) • FY 2000---$16.666 • FY 2001---$0 • FY 2002---$0 • FY 2003---$0 • FY 2004---$0 • FY 2005---$0 • FY 2006---$46.092 • FY 2007---$32.088 • FY 2000 through FY 2006---$62.758

  7. Portland Example M, M and PI • Number of visits X % eligible X all-Inclusive rate = $$$$$ • Medicaid: 80,000 visits x .32 Medicaid eligible x $242 possible OMB all-inclusive rate = $6,195,200 • Medicare: 80,000 visits x .09 Medicare eligible x $198 possible OMB all-inclusive rate = $1,425,600 • Private Insurance: 80,000 visits x .19 PI eligible x $ average PI reimbursement = $x,xxx,xxx

  8. PIMC SW Clinic Example Southwest Clinic PIMC • Construction Funding NR--$28.711 million • Staffing Funding R--$7.840 million 136 New FTE---minus 21 existing FTE---times 85 %---times $80,000. • Collections Revenue R--$5.790 plus PI 62,817 OPV’s---times 34% Medicaid Users---times $242 OMB Rate---equals $5.168 million. 62,817 OPV’s---times 5% Medicare Users---times $198---equals $.622 million.

  9. Economic Impact • What is the short-term and long-term impact on the community of infusing one time facility construction funding and recurring staffing funding and medicare, medicaid and private insurance funding!! • Are there sustainable jobs created, business opportunities, tax revenue, etc? • Detailed, rigorous business studies need to be developed. There are national models to use.

  10. Questions?

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