Hospital Reimbursement:- The Reimbursement Hydraulic- Cost Shifting

Health Care Hydraulic:Payment Impact - Hospitals

40%-60%

-22%+ -30%+

Today

Health Care Hydraulic:Payment Impact - Hospitals

The Economy

Health Care Hydraulic:Payment Impact - Hospitals

Age Wave

Health Care Hydraulic:Payment Impact - Hospitals

Health Care Reform #1

Health Care Hydraulic:Payment Impact - Hospitals

Health Care Reform #2

Health Care Hydraulic:Payment Impact - Hospitals

Health Care Reform #3

Health Care Hydraulic:Payment Impact - Hospitals

Is This Our Tomorrow?

Mathematically –It Doesn’t Work

A Problem Not Isolated to Hospitals

Current: 20% gap in Practice Expenses and Payment Updates

2009-2016: A 60% increase in the gap