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CONTENTS
SANOFI / MANAGED CARE DIGEST SERIES
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WHERE INFORMATION BECOMES INTELLIGENCE
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HOSPITALS/SYSTEMS DIGEST 2015
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CONTENTS , VOL . 10
INTRODUCTION..................................................................................................3 EXECUTIVE SUMMARY. ......................................................................................4HOSPITALS
Backgrounder............................................................................................................................... 5Demographics
Number of Hospitals Decreases in Four of Eight Regions.......................................................... 6 Total Number of U.S. Hospitals Remains Almost Unchanged. .................................................. 7 Outpatient Case Counts Climb for 11 Disease States............................................................... 8 Younger Patients Account for Rising Shares of IP Cases........................................................... 9 Three in 10 Hypertension Patients Have Hyperlipidemia......................................................... 10 Ratio of Total FTE Staff Members to Occupied Bed Contracts............................................... 11Utilization
Admission Counts Decline Across All Hospital Ownership Types............................................ 12 Outpatient Share of Surgeries Is Up at Not-for-Profit Hospitals. .............................................. 13 ALOS Is Low at Non-Profit Hospitals for Five of 10 Diseases..................................................... 14 Readmit Rates Are Low for Type 2 Patients With Insulin Rxs ................................................... 15 Occupancy Falls for MHS and Non-MHS CCUs and ICUs Alike.............................................. 16Financials
Cost Ratios Rise for Hospitals, Regardless of MHS Ownership................................................. 17 Inpatient Charges Decline for Most Profiled Disease States................................................... 18 Medicare Reimbursement Lags Charges for Some Diseases................................................. 19 Facility Charges for Type 2 Diabetes Patients Rise Nationally................................................ 20Pharmacy
Pharmacy Costs per Discharge and per Staffed Bed Are Rising........................................... 21 PPPY Retail Drug Spending Decreases in Most Classes........................................................... 22HOSPITALS IN MULTIHOSPITAL SYSTEMS
Backgrounder............................................................................................................................. 23Demographics
Total Staffed Bed Count at Nation’s Top 20 MHSs Increases.................................................. 24 MHS Outpatient Case Counts Grow for All Disease States..................................................... 25 Staffing Ratios Grow Faster in MHS-Owned Hospitals in 2013................................................. 26Utilization
Admissions and Occupancy Are Both Down at Largest MHSs............................................... 27 Utilization Rates Are Low at MHS-Owned HMOs...................................................................... 28 ALOS Rises Slightly for Two Disease States in MHS Hospitals.................................................... 29Financials
Total Revenue Edges Down Among MHS Hospitals With HMOs............................................. 30 Some Hospital Cost Ratios Are Smaller in MHS-Owned Facilities.............................................. 31 Charges per Case Are on the Rise for MHS Hospitals.............................................................. 32Pharmacy
Rx Costs per Discharge Grow at MHS, Non-MHS Hospitals..................................................... 33 Generic Portion of Non-MHS-Owned HMO Rxs Increases....................................................... 34