Monday, December 30, 2013

Nearly All Mississippi Hospitals Are Driving Down Health Insurance Premium Prices on Federal Insurance Exchange

From a review of audited financial statements in the Electronic Municipal Market Access (EMMA), I found 11 Non-Profit Hospital Organizations headquartered in the State of Mississippi with Total Operating Revenues of more than $10 mil each in the most recent audited fiscal year.

These 11 Mississippi Non-Profit Hospital Organizations generated a Total Operating Loss of $(112) mil in the most recent year reported, which was a negative (3.2)% of Total Operating Revenues of $3.489 bil.

All 11 Mississippi Non-Profit Hospital Organizations posted Operating Income Margins of less than 5.4% in the most recent year reported.

With all of these Mississippi Hospitals generating Operating Income Margins of less than 5.4%, a key beneficiary of this will be Mississippi citizens buying health insurance on the Federal insurance exchange.  These Mississippi Hospitals, for the most part, will not be baking in excessive Hospital profits demands in their negotiations with health insurance companies on pricing for hospital procedures which ultimately determines what insurance premiums are set by health insurance companies on the Federal insurance exchange. 

So far, Mississippi has decided to not expand Medicaid.  If Mississippi changed its mind and decided to fully Expand Medicaid, then the consequences of this action would be to significantly drive down insurance premium prices even more for Mississippi citizens in the Federal health insurance exchange.  This Mississippi Medicaid Expansion would turn the Total Loss of all Mississippi Hospitals into a substantial Total Profit and thus permit Mississippi Hospitals to be even more reasonable in their negotiations with health insurance companies on pricing for hospital procedures which ultimately drives what health insurance premiums are set at by health insurers for Mississippi citizens on the Federal Health Insurance Exchange.

So just how much would Mississippi Hospital Profits increase due to the ACA and the Expansion of Medicaid?

Well, these 11 Mississippi Hospital Organization's audited financial statements show it will be huge.

For these 11 Mississippi Hospital Organizations, Total Operating Loss was $(112) mil in the most recent year.  Driving this Total Operating Loss was Provisions for Bad Debts of a huge $559 mil.  Thus Total Operating Income Before these Provisions for Bad Debts was $447 mil.  But there's more to this story.  Total Uncompensated Charity Care Charges Foregone by these 11 Mississippi Hospital Organizations was also very large in the most recent year.

Granted not all of these two huge Earnings Charges will be eliminated with ACA and Medicaid Expansion, but a substantial portion of them will.

The University of Mississippi Medical Center's large annual Operating Losses are effectively being funded by taxes being paid by Mississippi citizens.  With full Medicaid Expansion, these Operating Losses should be substantially reduced, and thus in all fairness, so should the taxes now being paid.

Below here are the Audited Operating Income or Loss, Total Operating Revenues and Operating Income (Loss) Margin Percentage in the most recent year for each of these 11 Mississippi Non-Profit Hospital Organizations:




Operating

 Operating  Total Income

City  Income  Operating (Loss)

HQs  (Loss)  Revenues  Margin 


mils $s mils $s  % 
Mississippi Non-Profit Hospital Organizations







University Mississippi Medical Center Jackson     (163.4)         836 -19.5%
Singing River Health Pascagoula         (2.3)         380 -0.6%
Mississippi Baptist Health Systems Jackson          4.6         417 1.1%
North Mississippi Health Services Tupelo          8.9         758 1.2%
Southwest Mississippi Regional Med Ctr McComb          2.7         137 2.0%
Natchez Regional Medical Center Natchez          1.2           46 2.6%
South Central Regional Medical Center Laurel          3.8         138 2.8%
Delta Regional Medical Center Greenville          3.7         128 2.9%
Forrest County General Hospital Hattiesburg        17.9         435 4.1%
Magnolia Regional Health Center Corinth          6.8         153 4.4%
King's Daughters Medical Center Brookhaven          3.7           70 5.3%





Total all 11
    (112.4)      3,498 -3.2%