Page 5 - Hawthorn Physician Services Corporation

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.05
43%
22%
16%
17%
2%
Workmans Comp
Medicare
Self Payment
Medicaid/SCHIP
Private Insurance
0
20%
40%
60%
80%
100%
1996
2004
2012
57%
42%
31%
Hospital-based Sources of Payment
Average Hospital-based
Reimbursement
(% of charges)
In recent years the practice of medicine has become more technically advanced and more complex.
Hospitals and hospital-based physicians are burdened by time consuming and highly demanding procedures.
• Hospitals are facing increased competition and outside pressures that affect the fees and workloads of
hospital-based physicians.
• Hospitals and medical practices are challenged by new legislation, federal mandates and managed care competition.
• Commercial insurers and large consumers are demanding steeper discounts—and some are capping fees or
reducing fees.
The Emergency Medical Treatment and Active Labor Act (EMTALA) requires participating hospitals to
provide medical care to anyone needing emergency treatment—regardless of their ability to pay.
• Compared to the general population, uninsured patients are five times more likely to use hospital-based
ER facilities for primary care.
• Hospital-based physicians deliver the most non reimbursed care of all physicians, and they average
$180,000 a year in EMTALA bad debt.