Heading for an acute crisis?: utilization, revenue, expenses, and margins in California’s hospitals, 2019–22
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Issue brief (California HealthCare Foundation)
- Author(s):
- Melnick, Glenn, author Maerki, Susan C., author
- Contributor(s):
- California HealthCare Foundation, issuing body.
- Publication:
- [Oakland, CA] : California Health Care Foundation, May 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Financial Management, Hospital Hospital Costs -- statistics & numerical data Length of Stay California
- Genre(s):
- Technical Report
- Abstract:
- The COVID-19 pandemic has had a profound impact on the operation, finance, and delivery of health care services in California’s acute care hospitals. Previous analysis has shown pronounced reductions in total patient volume, increases in underlying operating costs, and the importance of other operating and nonoperating revenue streams in the first calendar year of the pandemic. Now three full years in, hospitals report persistent operational challenges and financial headwinds, including higher underlying staffing and supply costs, longer lengths of stay and lack of adequate discharge locations for postacute patients, and the end of federal pandemic-era subsidies. Some stakeholders predict a wave of hospital bankruptcies without more public funding. This issue brief updates prior estimates of utilization, costs, and revenue in California hospitals through the end of 2022. The analysis is primarily based on utilization and financial data covering calendar years 2019 through 2022 for 348 acute care hospitals that reported each quarter throughout the period. These 348 facilities are classified as “comparable” by the California Department of Health Care Access and Information (HCAI) and represent about 80% of hospital capacity in the state. Excluded from the analysis are Kaiser hospitals, which account for 8% of statewide bed capacity, as well as state, long-term psychiatric, long-term care, and other noncomparable facilities
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (12 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918645685006676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918645685006676