HealthLeaders Media Finance - June 14, 2010 | Credit Rating Agencies Have Been Botching Some Important Ratings View as a Webpage | Subscribe for Free
Credit Rating Agencies Have Been Botching Some Important Ratings
Karen Minich-Pourshadi, Senior Editor-Finance

When it comes to your hospital or health system credit rating, most CFOs do everything they can to try to get, or keep, a AAA rating. But really, what does that rating truly mean? Maybe it shouldn't mean that much. [Read More]

  June 14, 2010

 
Editor's Picks
Taking On the Cost Drivers
Money goes out and money comes in. The trick is to slow the outgo, while boosting the income. As healthcare leaders scrutinize every penny in their budgets, some key cost drivers—labor, technology, and supply chain—continue to confound many hospital and group practice leaders. Being keenly aware of which drivers are bleeding the bottom line isn't enough, however; understanding the solutions other innovators are using to tackle these challenges and utilizing them to move a facility forward in difficult economic times is the key. [Read More]
A Night at the ER
When should the emergency department cure what ails you? Well, that's the question that so many patients seem to answer incorrectly, and it's causing a glut in our EDs. HealthLeaders Media editor Joe Cantlupe takes a look at the recent findings of an Excellus report and why the results are causing a buzz among healthcare providers. [Read More]
Reimbursement: These Are the Good Old Days
HealthLeaders Media Editor Philip Betbeze muses on the thought that "these are the good ol' days"—at least in terms of reimbursement. Many believe reimbursement is on the way down and that leaves administrators to manage their clinical operating structure while continuously focusing on quality clinical care and patient satisfaction. A pretty tough challenge to be sure, especially considering hospitals and health systems, if they're lucky, make a 4% margin these days. [Read More]
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Finance Forum
Getting Ahead of the Revenue Cycle Curve with Technology
The nation's recent economic downturn has spread the pain of increased healthcare costs from patient to provider, as outstanding provider debt has been on the increase. It's understandable that some in the healthcare industry may be saying, "If we can't get all our existing patients to pay on a timely basis now, how will we get even larger numbers to do so?" While many healthcare providers struggle with this question, others are getting ahead of the curve by using technology. [Read More]
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Finance Headlines
Retirements by baby-boomer doctors, nurses could strain overhaul
Washington Post - June 14, 2010
New rules on changes to health benefits
New York Times - June 14, 2010
Draft health rules set hurdles
Wall Street Journal - June 14, 2010
Some in AMA want to revise stances on health reform
Chicago Tribune - June 14, 2010
New York City hospitals' woes grow with state cuts
New York Times - June 14, 2010
GOP lawmakers criticize boosting Medicare payments to California doctors
Los Angeles Times - June 14, 2010
Checks sent to Medicare recipients
Minneapolis Star Tribune - June 11, 2010
Cash-poor NY state may issue IOUs like California
Reuters - June 14, 2010
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From HealthLeaders Magazine
Taking On the Cost Drivers
HealthLeaders June 2010 While most expense categories are unavoidable, there are ways to reduce costs. [Read More]
Service Line Management
Creating Stroke Systems of Care
If U.S. healthcare is headed toward a model that eliminates fragmentation and emphasizes continuity and cooperation, stroke care may be leading the way and making a difference in patients' lives. [Read More]
Money Talk

A look at one hospital's struggles to improve

Yale-New Haven (CT) Hospital
Rating: Aa3
Outlook: Stable
Affected Debt: $386 million
Agency: Moody's Investors Service
Remarks: Moody's upgraded Yale-New Haven Hospital's underlying bond ratings to Aa3 from A1. This action affects approximately $104 million of Series K variable-rate demand obligation revenue bonds, $107 million of Series L VRDO revenue bonds, and $174 million of Series J fixed-rate revenue bonds issued through the Connecticut Health and Educational Facilities Authority. The upgrade reflects improved operating performance in FY 2008 and 2009, continued volume gains, and maintenance of adequate liquidity ratios despite facing a challenging economic environment and dealing with a significant construction effort. The outlook is revised to stable from positive at the higher rating level.
[Read More]
Audio Feature

Preventing Missed Revenue Opportunities: Robert Sutton of IMA Consulting discusses tips for preventing missed revenue opportunities due to third-party payer contractual underpayment. [Listen Now]
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