The Commonwealth Health Care Corp. is highly dependent on CNMI Medicaid’s ability to pay for services, as reimbursements from the agency is about 44% of its total revenue.
In its fiscal year 2019 Citizen Centric Report, CHCC said its total revenue in fiscal year 2019 was $58.57 million. Of that number, $23.35 million or 44% came from private payers, Medicare, and other sources of funding.
Private payers included Aetna Inc., Calvo’s Insurance, Staywell Insurance, Moylan’s Insurance, TakeCare Insurance, and Veterans/Tri Care Insurance. Other revenue comes from sources such as the cafeteria and various fees charged by CHCC.
CHCC also reported that it received just $704,544 from local appropriations in fiscal year 2019, amounting to just 7% of its total appropriations.
CHCC reports that it also received funding from the Centers for Medicare and Medicaid Services and from the Social Security Office’s Section 1108, which provides funding to U.S. territories for health care under a certain price ceiling.
On the other hand, CHCC’s lost revenue potential in fiscal year 2019 totaled $77.23 million, with $18.85 million (25%) falling under uncompensated care.
In addition, CHCC reported spending a total of $70.33 million in fiscal year 2019. About 77% ($44.46 million) were spent on personnel and medical supply costs, while the remaining 23% ($25.87 million) were operational expenses at the hospital.
CHCC’s response and recovery operations after Super Typhoon Yutu also resulted in an additional
Chart indicates the funding the Commonwealth Health Care Corp. receives through Section 1108 and payments from the Centers for Medicare and Medicaid Services from fiscal years 2012-2017. The red bars indicate the amount of money the CNMI government would have needed to pay CHCC during these years without additional Affordable Care Act funds. (CHCC FY2019 CITIZEN CENTRIC REPORT)
Without improvements to Medicaid and other third-party reimbursements, and a reduction in the uninsured population, CHCC says it will be “significantly hindered” from meeting its primary goal of providing quality and affordable care to the community and the CNMI.
“If cuts are made [on Medicaid funding], the CHCC would likely see an increase in charity and uncompensated care,” the report also states.
Since 2011, the CNMI Medicaid Office has benefitted from additional funding from the Affordable Care Act. Yet starting in October 2019, federal funding for the program has returned to pre-2011, as U.S. President Donald Trump has been pushing to repeal the ACA; this means the CNMI government will need to significantly contribute additional funding for the Medicaid program, or make significant cuts to benefits and/or eligibility.
The CNMI Medicaid Office reports that roughly 28% of the CNMI’s population relies on Medicaid in order to afford access to health care. Yet many CNMI residents are non-U.S. citizens, which makes them ineligible for Medicaid.
Despite these severe financing challenges, the CHCC report claims that it has made significant strides towards financial stability, with further gains expected in the future.
“CHCC’s financial stability could improve with the reduction of the rate of uninsured patients in the CNMI through mechanisms such as employer-sponsored and government-sponsored health insurance,” the report said.
CHCC(사이판 소재 정부 운영 병원인 CHC) 연례 보고서: 2019 회계 연도 매출 5,860 만 달러
CHCC(Commonwealth Health Care Corp)은 기관의 환급이 전체 수입에서 차지하는 비중의 약 44 %에 달하기 때문에 CNMI Medicaid의 서비스 비용 지불 능력에 크게 의존하고 있습니다.
2019 회계 연례 보고서에서 CHCC는 2019 회계 연도의 총 수익이 5,857 만 달러라고 밝혔다. 이 중 2,335 만 달러 (44 %)는 민간 지불 인, 메디 케어 및 기타 자금 출처에서 나왔습니다.
민간 지불리스트에는 Aetna Inc., Calvo의 보험, Staywell 보험, Moylan의 보험, Take Care 보험 및 재향 군인 / Tri Care 보험이 포함되었습니다. 기타 수입은 식당 및 CHCC에서 부과하는 다양한 수수료와 같은 출처에서 발생합니다.
CHCC는 또한 2019 회계 연도에 지역 세출에서 단 $ 704,544를 받았으며 이는 총 세출의 7 %에 불과하다고 보고했습니다.
CHCC는 또한 메디 케어 및 메디 케이드 서비스 센터와 사회 보장국의 섹션 1108로부터 자금을 받았으며, 이는 미국영토라면 특정된 상한선 아래에서 의료 서비스를 위해 제공되는 자금입니다.
반면에 CHCC의 2019 회계 연도 매출 잠재력은 총 7 억 723 만 달러였으며 1,885 만 달러 (25 %)가 무보상 치료에 해당됩니다.
또한 CHCC는 2019 회계 연도에 총 7 천 33 만 달러를 지출했다고 보고했습니다. 약 77 % (44.46 백만 달러)가 인건비 및 의료비에 지출되었으며 나머지 23 % (2,587 만 달러)는 병원 운영 비용이었습니다.
Super Typhoon Yutu 이후 CHCC의 대응 및 복구 작업으로 인해 315 만 달러의 추가 비용이 발생했습니다.
[작성자 : 박주언 기자 ]