Here is a review of our annual patient services based on our fiscal year (Oct, 1 through Sept. 30), prepared for Medicare and Medicaid Cost Reporting, evaluation of meeting our mission statement, analyzing our insurance payer mix, and estimating our patient panel.
|Fiscal year ending:||Unique individuals served||# of patient visits|
Our patient panel is estimated using the previous three year period. For the “panel” there were: 3,977 unique individuals served. Of those served, 2,803 had Orcas Island addresses.
For FYE 2017 the Payer Mix was; Medicare 30%, Medicaid 20%, other insurance 47%, no insurance 3%.
The Annual Cost Report is submitted to Medicare as a Rural Health Center (RHC) requirement and determines the payment amount the RHC receives for each face to face encounter with a Medicare patient. It excludes expenses for advertising, paid time off, and other non-reimbursed costs.
The Cost Report uses operating expenses and the number of visits for the reporting year to determine the average cost of a patient visit. FYE 9-2016 cost per patient was calculated to be $105.79 (FYE 9-2017 Cost Report is not yet complete).
Medicare paid $64 per visit and Medicaid paid $23-$38 for average office visits. This means that $41 to $82 of the cost it takes to see 50% of our patients is immediately lost. This is why we fund-raise throughout the year and accept tax deductible donations to help recuperate some of this cost. Currently, some staff work at a greatly reduced salary to help.