Idaho Hospital Association2013 Economic Outlook & Revenue Assessment Committee

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Community Hospitals

6.5% Idaho GSP$3.78 billion

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Hospitals – a vital part of Idaho’s economy

UtilitiesConstruction

Finance & InsuranceWholesale Trade

Ag, Forestry, Fishing & HuntingProfessional & Technical Serv.

Retail TradeReal Estate, Rental & Leasing

ManufacturingCommunity Hospitals

$0.99 $2.46

$2.82 $3.02

$3.38 $4.21 $4.36

$6.50 $7.88

$3.78

Fiscal Impact of Idaho Industries(in billions)

US Department of Commerce – Bureau of Economic Analysis 3

Medicare$170 million

County Indigent / State CAT$1.3 million

Charity Care$45.1 million

Bad Debt$99 million

Medicaid$70.6 million

Uncompensated Care4

Medicaid Expansion – good for Idaho

• 64% of those eligible for Medicaid under the expansion work full or part time for employers who do not offer health coverage or are self-employed.

• Federal matching percentage (FMAP) for Idaho for Medicaid services moves from approximately 70% to 100 % for first three years, adjusting to 90% until 2024.

• $9.2 billion in new dollars will come into Idaho, stimulating the economy

• 16,000 new jobs created across all sectors

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Medicaid Expansion – Significant Savings

$622.3 million

-$1,017.9 million

Expansion Costs

+$485.5 million

CAT Fund Savings

+$615.6 million

Tax Revenues+429.1 million

County Indigent Savings

+$110 million

Behavioral and Public Health

Savings

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Clear Choice

• Escalating County Indigent and State CAT funds costs – topping $100 million in two years.

• Medicaid program will cost Idaho taxpayers $90 million over 10 years without expansion

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Jobs & Payroll

24,873people

employed

$1.26 billion annual payroll

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Economic Impacts

• 66,428 jobs• $2.88 billion in payrollJobs

• $6.55 billionEconomic Activity

• $139 million total tax impacts• $62.2 million impact on sales tax

TaxImpacts

Includes direct, indirect, and ripple effect of jobs, payroll, expenses, & taxes

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Idaho Hospitals Recognized for quality

Idaho Overall Score = 84.1% Rank = 2 out of 51

Ranking on Quality, Patient Satisfaction, Mortality, & Readmissions

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Congressional Cuts to Hospitals made on Jan. 1

• Document and Coding Adjustment - $10.5 billion• Rebase End Stage Renal Disease Payments - $4.9 billion• Therapy Payment Reductions - $1.8 billion• Radiology Services - $.3 billion• Advanced Imaging Services - $.8 billion• Diabetic Supplies - $.6 billion• Ambulance Transports - $.3 billion• Recovering Overpayments - $.5 billion• Medicare Improvement Fund - $1.7 billion• DSH Payments - $4.2 billion• Coding Intensity Adjustment - $2 billion• Rescind Consumer Operated and Oriented Plan - $2.3 billion

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Quality Jobs & Job CreationCommunity Growth & Stability

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