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33

HOSPI TALS IN MULT IHOSPI TAL SYSTEMS

SANOFI / MANAGED CARE DIGEST SERIES

®

/

WHERE INFORMATION BECOMES INTELLIGENCE

.

HOSPITALS/SYSTEMS DIGEST 2015

Key Takeaway

Although they reported lower pharmacy expenses per discharge than their non-MHS-owned

counterparts, MHS-owned hospitals observed notably higher pharmacy costs per staffed bed in 2013

($60,906 versus $47,909; data not shown). This serves as another indication that MHS hospitals are able

to leverage their generally higher volumes to achieve lower pharmacy costs for each discharge.

Data source: IMS Health © 2015

PHARMACY

For-Profit MHSs Record Lower Rx Expenses per Discharge and per Staffed Bed

• Whether on a per-discharge or per-staffed-bed

basis, pharmaceutical expense ratios were

lowest, among hospitals belonging to MHSs, at

for-profit systems in both 2012 and 2013.

• After a 3.3% rise from 2012 ($63,885) to

2013 ($65,990), pharmacy expenses per

staffed bed were highest, by MHS ownership

type, at not-for-profit systems in 2013.

PER STAFFED BED

PER DISCHARGE

Government

Not-for-Profit

For-Profit

$900 $1,100 $1,300 $1,500 $1,700

Pharmaceutical Expenses per Discharge

$1,134

$1,176

$1,406

$1,464

$1,456

$1,567

2012

2013

$36,000 $44,500 $53,000 $61,500 $70,000

$48,004

$48,620

$63,885

$65,990

$64,061

$61,597

Pharmaceutical Expenses per Staffed Bed

Government

Not-for-Profit

For-Profit

2012

2013

MULTIHOSPITAL SYSTEM PHARMACEUTICAL EXPENSES, BY OWNERSHIP TYPE

1

• For MHS- and non-MHS-owned hospitals alike,

pharmaceutical expenses per discharge

climbed by more than 30% from 2005 to 2013;

this increase was higher for MHS hospitals.

• Although this ratio expanded faster at MHS

facilities than at non-MHS facilities, the latter

still recorded higher pharmacy expenses per

discharge in 2013 ($1,438 versus $1,387).

PHARMACEUTICAL EXPENSES PER DISCHARGE, BY MHS OWNERSHIP, 2005–2013

1

$1,011

$1,007

$1,047

$1,135

$1,166

$1,210

$1,236

$1,328

$1,387

$1,097

$1,127

$1,192

$1,226

$1,292

$1,364

$1,404

$1,390

$1,438

2005

2006

2007

2008

2009

2010

2011

2012

2013

$900

$1,050

$1,200

$1,350

$1,500

Pharmaceutical Expenses

per Discharge

MHS Hospitals

Non-MHS Hospitals

Rx Costs per Discharge Grow at MHS, Non-MHS Hospitals

LONG-TERM TREND

1

Expenses are calculated on a per-facility basis.