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Medicaid Task Force

Medicaid Task Force. Charles E. Hart, MD,MS CEO/President Regional Health. Accumulating Hospital Cuts Since 2010 and into the Future. Medicaid Cuts. Payer Mix Comparison. * Sanford & Avera include operations in Iowa, Minnesota, North Dakota and South Dakota. Medicaid Eligible.

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Medicaid Task Force

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  1. Medicaid Task Force Charles E. Hart, MD,MS CEO/President Regional Health

  2. Accumulating Hospital Cuts Since 2010 and into the Future

  3. Medicaid Cuts

  4. Payer Mix Comparison * Sanford & Avera include operations in Iowa, Minnesota, North Dakota and South Dakota

  5. Medicaid Eligible

  6. SD Medicaid Compared to Neighboring States SFY 2010 / Enrollee • 4% less than Iowa • 14% less than Wyoming • 22% less than Nebraska • 28% less than Montana • 47% less than North Dakota • 55% less than Minnesota

  7. Medicaid Cuts • FY 2012 q $7.0 Million • FY 2013 q$1.0 Million • FY 2014 q $750,000 Cumulative Impact (3 yr) q $8.75 Million

  8. Existing Medicare Cuts(2013 – 2022)

  9. Regional Health Community Benefit 990 Tax FormFY2011 & FY2012 IRS Form 990

  10. Medicaid Expansion/Pros • What is the population/costs? • Cost shift ($5-8 Million Net Revenue) • Maintain Services • Economic Stimulus (sequester) • Donut hole 52-100% poverty • Moral Obligation • Protect Small Business • Opt Out

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