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Hospitals, HMOs asked to give Rick Scott’s commission info about finances, employees, top procedures and costs

in Statewide/Top Headlines by

To prepare for the first meeting of the Commission on Healthcare and Hospital Funding  next week in Tallahassee Gov. Rick Scott sent Florida hospitals and HMOs a letter requesting they provide detailed information about their finances in a form provided to them by the government.

Hospitals are being asked to provide information between 2006 and 2013 as well data on the 10 leading inpatient, outpatient and emergency department procedures performed at their hospitals and the prices for those procedures. HMOs are being asked to provide information for a slightly longer period–between 2006 and 2014–and being asked to list premiums collected from Medicare, Medicaid, state group health insurance, Florida Healthy Kids as well as private payers.

The hospitals and HMOs/insurers have been asked to submit the information by May 18. The letters they received from the governor are identical.

“As you know, this information is even more important to have now that we are preparing for a special session to pass a budget funding only critical services to keep government operating past June 30,” Scott said in his May 13 letter to hospitals.

The form asks hospitals to provide a broad range of financial information dating as far back as 2006, including: total margin; total margin percent; deductions from revenue for bad debt, charity care, Medicare, Medicaid, commercial insurance; local tax revenue; taxes; licensing fees; intergovernmental transfers; total Low Income Pool funding received; foundation contributions; marketing and advertising expenses; average cost per patient per day; average cost per patient per admission; operting margin for next patient served; number of patients referred to collections; number of lawsuits from patients referred to collections.

Additionally, hospitals are being asked to provide information regarding their Medicaid managed-care contracts including: number of plans contracted with for inpatient and outpatient care; number of enrollees in the plans; number of specialty plans; average volume-weighted inpatient rate for standard and specialty plans (as a percentage of Medicaid fee); and the average volume-weighted outpatient rate for standard and specialty plans (as a percentage of Medicaid fee).

Scott also is seeking information on the number of employees and the total personnel expense for executive and management; administrative salaries; government affairs, lobbyists and legal counsel. The governor has asked hospitals to supply the highest salary as well as the total expense of executive compensation packages.

The data the hospitals provide will be reviewed by the commission at its inaugural meeting in Tallahassee next week but also posted to a website that has been created for the commission:

A similar form has been made for insurers, HMOs, and PPOs. They are being asked to provide financial data from 2006-2013 as well as information about the “book of business” including the number of insureds or enrollees, their average age, percent who are male, percent who are female.

The plans also are being asked to provide salary and benefit information about their employees including executive management. They also are being asked to provide the highest salary.

Scott appointed a commission to examine “taxpayer supported” healthcare entities including hopsitals and health plans.

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