Morning Briefing
Summaries of health policy coverage from major news organizations
Pandemic Lays Bare The Vulnerabilities In A Hospital System Comprised Of Separate Fiefdoms
In late March, as the most dire public health crisis in a century swept across New York, sick people and those caring for them faced a hospital system that was less than the sum of its mighty parts. At Elmhurst Hospital in Queens, hundreds of Covid-19 patients arrived in need of more help than besieged medical workers could give. Patients were found dead in rooms. One medical resident described conditions as 鈥渁pocalyptic.鈥 Yet at the same time, 3,500 beds were free in other New York hospitals, some no more than 20 minutes from Elmhurst, according to state records. The city, which runs Elmhurst, had a fleet of 26 new ambulances available to transfer patients. (Dwyer, 5/14)
Thomas Jefferson University Hospital had twice as many average daily coronavirus inpatients as the Hospital of the University of Pennsylvania last week, according to new state data, a difference that could have significant financial ramifications for the two largest health-care providers in the Philadelphia region. Both hospitals are facing hundreds of millions of dollars in lost revenue as a result of the pandemic. The disclosure came in Pennsylvania Department of Health data released Wednesday that showed 51 hospitals in Pennsylvania, including 31 in the southeastern part of the state, were allocated vials of remdesivir, a drug that may help some patients recover more quickly from the coronavirus. The drugs were allocated this week based on patient counts from May 4 to 10. (Brubaker, 5/13)
Patrick Charmel, the president of Griffin Hospital in Derby, Conn., keeps his office door open. Alex Balko, the chief financial officer, raced in from across the hall. 鈥淥h man, this is really not good,鈥 Balko said, not bothering to take a seat. 鈥淭his could be devastating to us.鈥 Four days before, Griffin had admitted its first patient with telling symptoms, and people were starting to show up to be swabbed. With the novel coronavirus perhaps already within Griffin鈥檚 walls 鈥 and certainly hovering nearby 鈥 doctors were getting ready to cancel the mammograms, hernia repairs and all the other not-so-urgent care that provides the hospital鈥檚 main income. 鈥淧at, this is not sustainable,鈥 Balko said. 鈥淲hat are we going to do?鈥 (Goldstein, 5/13)
In other hospital news 鈥
HHS distributed $50 billion in grant funds to providers using a formula it chose that heavily favored hospitals that treat the highest share of privately insured patients, per an analysis from the Kaiser Family Foundation. The 10% of hospitals with the highest private insurance revenue were paid $44,321 per bed, compared with $20,710 for the 10% of hospitals with the lowest private insurance revenue, the analysis concludes. (Cohrs, 5/13)
Even though the stay-at-home order was only in place during the last week of March, inpatient surgeries declined 8.3% in the quarter year-over-year. Emergency room visits were down 4.8%. Clinic visits fell by 1%. Ochsner still managed to generate almost 9% higher revenue in the quarter ended March 31 year-over-year, mostly due to higher premium revenue. Revenue in the quarter was $965 million. (Bannow, 5/13)