driving from charleston sc on Thursday I was paaing thru Beckley WV and heard an ad for an open house at a nearby hospital to show the pubilic IT'S NEW da Vinci, The ONLY one in the area (new market(.
NOW THE BAD & UGLY, after entering Ojio I was driving trhough the Jackson areea and heard on the local radio station news the local hospital was going to announce 12 to 17% lay offs in mwedical staff. WHY WELL LET'S SEE TO KEEP IT SIMPLE the announcer mentioned THE NEW TAX INCREASES AND THE NEW COST OF OBAMA CARE AND THEINFLUX OF NEWE NON PAYING PEOPLE UNER OBAMA CARE.
Ya'll voted the D A N BACK IN BECAUSE YOU GET FREE STUFF THE REST OF HAVE TO PAY FOR. Don't deny it because God is already mad
There may be many anticipated and unanticipated consequences of Obamacare but an influx of new non-paying people will not be one of them. In fact the opposite will happen. A significant number of currently non-paying patients will now be covered and will thus become paying patients. This may temporarily put a strain on capacity but high utilization is a good thing for a high fixed cost operation like a hospital. Especially when it comes from an influx of new insured and thus paying patients and reduces the number of uninsured and thus non-paying patients. If a hospital is laying people off it's not because they will have more paying patients. Obamacare not withstanding, hospitals have been adding capacity in preparation for the aging baby boomers heading into their years of highest health care consumption.
Not to mention there are lots of consulting companies (even where I work we have department that does it) that work to wring out efficiences in hospitals. It is called Lean or Lean Six-Sigma and a host of other names. Bottom line is these consultants come in and figure out where there is extra expenses and they cut them. Labor is a variable cost that can be added to and subtracted from pretty easily. Need to cut costs, drop a few people, business picks up, hire a few back. One cannot take out an OR or a hospital room. They also can't get rid of expensive equipment like DaVincis or MRIs or Cyberknives and then get them back a few months later when they need them. Not to mention a tool or a machine can be depreciated.
One has to understand how hospitals are changing in order to understand them as a business.