The Georgia Department of Community Health (pdf), which oversees the state's Medicaid program, recently released data on Georgia's hospital provider fee for fiscal year 2011, showing which hospitals profited and lost the most.
Georgia levies a fee of 1.45 percent of a hospital's net patient revenue (1.4 percent for trauma hospitals and no charge for critical access hospitals) in order to raise federal matching dollars for its Medicaid program. Currently, 46 states plus Washington, D.C., have some type of Medicaid provider fee. The four states that do not are Alaska, Delaware, Hawaii and Wyoming.
Hospitals with a higher Medicaid mix receive a larger Medicaid payment than those with a lower percentage of Medicaid patients. In FY 2011, Georgia collected $215 million in provider fees from hospitals, which helped draw an additionally $590 million in federal funds to pay Medicaid hospitals and other providers.
Here are six hospitals in Georgia that saw the biggest differences, positive or negative, from the provider fee.
"Winners"
Children's Healthcare of Atlanta Egleston
FY 2011 provider fee: $4.9 million
FY 2011 Medicaid add-on: $18.7 million
Difference: $13.8 million
Grady Memorial Hospital (Atlanta)
FY 2011 provider fee: $4.4 million
FY 2011 Medicaid add-on: $14.3 million
Difference: $9.8 million
Children's Healthcare of Atlanta Scottish Rite
FY 2011 provider fee: $4.8 million
FY 2011 Medicaid add-on: $13.8 million
Difference: $8.9 million
"Losers"
Piedmont Hospital (Atlanta)
FY 2011 provider fee: $8.2 million
FY 2011 Medicaid add-on: $1.8 million
Difference: ($6.4 million)
Saint Joseph's Hospital (Atlanta)
FY 2011 provider fee: $4.6 million
FY 2011 Medicaid add-on: $962,000
Difference: ($3.6 million)
Emory University Hospital (Atlanta)
FY 2011 provider fee: $8.5 million
FY 2011 Medicaid add-on: $5.1 million
Difference: ($3.4 million)
Georgia levies a fee of 1.45 percent of a hospital's net patient revenue (1.4 percent for trauma hospitals and no charge for critical access hospitals) in order to raise federal matching dollars for its Medicaid program. Currently, 46 states plus Washington, D.C., have some type of Medicaid provider fee. The four states that do not are Alaska, Delaware, Hawaii and Wyoming.
Hospitals with a higher Medicaid mix receive a larger Medicaid payment than those with a lower percentage of Medicaid patients. In FY 2011, Georgia collected $215 million in provider fees from hospitals, which helped draw an additionally $590 million in federal funds to pay Medicaid hospitals and other providers.
Here are six hospitals in Georgia that saw the biggest differences, positive or negative, from the provider fee.
"Winners"
Children's Healthcare of Atlanta Egleston
FY 2011 provider fee: $4.9 million
FY 2011 Medicaid add-on: $18.7 million
Difference: $13.8 million
Grady Memorial Hospital (Atlanta)
FY 2011 provider fee: $4.4 million
FY 2011 Medicaid add-on: $14.3 million
Difference: $9.8 million
Children's Healthcare of Atlanta Scottish Rite
FY 2011 provider fee: $4.8 million
FY 2011 Medicaid add-on: $13.8 million
Difference: $8.9 million
"Losers"
Piedmont Hospital (Atlanta)
FY 2011 provider fee: $8.2 million
FY 2011 Medicaid add-on: $1.8 million
Difference: ($6.4 million)
Saint Joseph's Hospital (Atlanta)
FY 2011 provider fee: $4.6 million
FY 2011 Medicaid add-on: $962,000
Difference: ($3.6 million)
Emory University Hospital (Atlanta)
FY 2011 provider fee: $8.5 million
FY 2011 Medicaid add-on: $5.1 million
Difference: ($3.4 million)
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