Tuesday, June 03, 2014

How can the same operation cost $146,757 more at a hospital within in miles of another?

The average price for a major hip or knee replacement increased (click here) by more than $9,000, or about 8 percent, at South Florida hospitals over one year, with Aventura Hospital and Medical Center (click here) charging the highest fee of any facility offering that procedure in 2012: $205,442.
A few miles north of Aventura, at Broward Health Medical Center in Fort Lauderdale, the same procedure costs $78,685.
That’s about $6,000 less than the national average price of $84,798 for a hip or knee replacement with major complications, according to new data released this week by the U.S. Department of Health and Human Services.
The department’s Centers for Medicare and Medicaid Services (CMS) analyzed charges and payments for the 100 most common inpatient procedures covered by Medicare at more than 3,000 U.S. hospitals during the 2012 fiscal year.
By making public the wildly varying prices for the same medical procedures — even among hospitals located in the same geographic market — the Obama administration said it hoped to increase transparency from healthcare providers and give consumers the tools to be smarter shoppers for medical care....

November 20, 2012

Dianne Goldenberg (click here) has been named Chief Executive Officer at Aventura Hospital and Medical Center, a 407-bed acute care facility in Aventura, Fla. effective November 19...

As of 2011: (click here)

TOTAL Salaries & Benefits $123,201,000
 Cost of Charity & Uncompensated Care $23,708,000

Aventura Hospital and Medical Center Salaries (click here)

The professional salary levels appear to be standard. I have to wonder if the costs are elevated for greater right offs, but, isn't it a non-profit institution?

Broward Health Medical Center 

It appears to be a larger hospital or better said, it serves a larger population, but, I betcha the demographics in Broward demands a larger number of Poor and Lower Middle Class.

Frank Nask is President and CEO of Broward Health, (click here) an integrated healthcare network serving more than 1 million residents of the greater Fort Lauderdale area. Mr. Nask joined Broward Health in 2006 as Chief Financial Officer and was named President/CEO in 2008....


Mr. Nask is the shorter guy. If the patient population for Aventura is smaller in number that would dictate the 'system costs' would be spread over less people, therefore higher costs. That is cured by merging with a larger hospital system and reaping lower costs of supplies, etc. I also have to wonder how much uncompensated care exists in Adventura vs Broward.

By Linda Leatherbury
Broward General Medical Center’s Medicaid Out-Patient Eligibility Department (MOPED) (click here) has cruised to success over the past year, helping thousands of the county’s uninsured patients obtain government-supported healthcare.
 MOPED, created in May 2009 by Broward General Medical Center’s Chief Financial Officer Mark Doyle, proactively helps patients qualify for Medicaid, charity and financial assistance as needed. Since the program’s inception, more than 23,000 patients have visited the MOPED office, conveniently located in the main lobby of Broward General Medical Center....

Hello? Broward has it's own free standing MOPED 'practice' to find funding for lower income folks. That is still a huge difference in costs for the same procedure. 

Brian Bandell
...With nearly one-fifth of the state’s residents under age 65 uninsured, (click here) the cost of uncompensated care has been squeezing South Florida hospitals, especially safety net providers. The public health system for northern Broward County countered this in May 2009 with a program to register people in the outpatient setting, rather than only inside its hospitals, for health programs such as Medicaid and government-sponsored insurance. This program could serve as a model for other hospitals, especially as the phasing in of health care reform creates more coverage options for patients with modest means...

One fifth of Florida residents under the age of 65 are uninsured as of 2013? That is a lot. 20 percent. Wow.  It may be Adventura has a higher amount of uncompensated care and a higher per patient cost because of a smaller patient population, but, it may also have a debt with significant interest that has accumulated. Just a guess. Adventura can't continue business as usual. The cost of the two hospitals is too stark. The costs in Adventura probably sends residents near them to Broward. In doing that Adventura is actually increasing their costs, hence increasing their prices for services. I just get the idea Adventura is in a negative spiral and will ultimately end up in fiscal failure.

The other side of this is that Adventura is simply greedy. That could be. But, I thought I'd first give it the benefit of the doubt.