City Council March 22 - Uninsured visits city clinic

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  • 1. Uninsured Visits – City Clinic March 22, 2011
  • 2. Clinic Operating Costs
    • Community Cost to Operate Clinic-Yr 1 = $480,000
    • City continued Clinic Costs = $ 10,140
    • Total Cost to Operate Clinic = $490,140
    • Clinic operating FY 2010/11 Budget = $552,743
    • Savings with Community Yr 1 = $ 62,603 Yr 2 = $ 73,953
    • Yr 3 = $ 60,303
  • 3. Clinic Operating Costs
    • Since the Clinic opened, uninsured City patients have
    • been seen for a $10 co-pay. This is a token amount that
    • has not covered the true cost of the visit. The balance of
    • the cost of the visit has always been absorbed by the
    • Self-Insurance Fund.
  • 4. Costs for Uninsured Visits
    • Community’s Contractual Charge for Uninsured Visit = $100.00
    • Other Area Clinics :
    • MediCenter Office Visit = $110 + $35-$40 for Lab
    • Shamrock Urgent Care Office Visit =$70 - $141 No Lab
    • La Esperanza Office Visit = $90 - $148 No Lab
  • 5. Costs for Uninsured Visits
    • Average # of Uninsured Visits/Year = 1800
    • Cost for Uninsured Visits/Year @ $100/visit = $180,000
    • Current Cost at Clinic @ $10/visit = $18,000
    • Difference = $162,000
    • How do we fund the $162,000 shortfall?
  • 6. Should City Offset Uninsured Patients?
    • When considering the savings by contracting with San
    • Angelo Community Medical Center, there are three basic
    • choices:
      • City keeps all of the savings,
      • City keeps none of the savings,
      • City keeps some of the savings.
  • 7. Choices
    • 1. City keeps all of the savings .
    • To do this, the uninsured patient would pay $100 for office visits at the Clinic. City keeps $62,603 in the Self-Insurance Fund to pay for claims.
    • City keeps none of the savings .
    • The City uses the $62,603 to pay $35 for each uninsured visit and patient pays $65 for office visits at the Clinic.
  • 8. Choices
    • City keeps some of the savings .
    • City Cost City
    • City/Patient for 1800 Patients Savings
    • $15 / $85 $27,000 $35,603
    • $20 / $80 $36,000 $26,603
    • $25 / $75 $45,000 $17,603
    • $30 / $70 $54,000 $ 8,603
  • 9. Council Direction
    • Staff is seeking Council direction on what co-pay amount
    • to charge uninsured City patients at the
    • Employee Health Clinic.