City Council March 22 - Uninsured visits city clinic

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City Council March 22 - Uninsured visits city clinic

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

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