Health Care Authority of the

City of Huntsville

North Alabama Healthcare Update

Huntsville Hospital

Community owned & operated

Volunteer governed
Not-for-profit
Receive no tax support
Provide care regardless of ability to pay

In 2013-14 the actual cost of providing

uncompensated care was $55.2 million.

1).

A Milestone Birthday in 2015

5th largest public System in the nation

Huntsville

Women &
Children

Madison

AthensLimestone

Decatur
Morgan

Helen
Keller

Hospital inpatient campuses: 17*

Employees: 12,000
Licensed beds: 2,200+
*Inpatient campuses not pictured include Parkway campus in Decatur, Marshall
Medical Center North & South, & Curea Health hospitals in
Russellville, Haleyville and Winfield.

Lawrence

Red Bay

Decatur West

The Heart
Center

Surgery Ctr.
Of Hville)

HealthSouth

Current Challenges
Alabama Hospital Payments
Blue Cross
Medicaid
Medicare
Uninsured
Technology / Supply Cost
Robotics
Implantables
Pharmaceuticals
Demographics
Older
Unhealthy
No accountability for individual health

10

Affordable Care Act (ObamaCare)

High deductible plans hurt hospitals the most

Look for major rate increases on the exchanges
States that have expanded Medicaid
have significantly lower numbers of uninsured

Can you imagine if our state

refused $1.5 billion annually for
the space or defense programs?

12

State Medicaid Reform

Medicaid Regional Care Organization (managed care)

Huntsville Hospital & Sentara Healthcare partnership
Serving Medicaid patients in North Alabama and West Alabama
Begin operation in 2016
We will be the insurance company for these Medicaid patients.

13

Inpatient Hospice Facility

14

Advanced new Clinical Laboratory

Located in Twickenham Place

Connected by air bridge to HH
Doubled in size to previous lab
8th largest lab in U.S.
Performed 4.3 million tests in
2014

15

Our Community Needs

Level One Trauma Center
Advanced Cardiac, Ortho & Neuro Services
Pediatrics

Neonatal ICU

Pediatric ER

Pediatric Surgery

Pediatric Intensivist

Maternal Fetal Medicine

Advanced Imaging
Physician Network

16

The Future
Health systems will be fully integrated ( providers and insurance)
M & A activity will continue
Population Health vs. fee for service
Focus on wellness & disease management. Will people participate?
Costs will rise---cant out run technology and demographics without
rationing
Quality & service will continue to improve
Eventually, America will be forced to limit what is covered by insurance.
Defined contribution vs defined benefit? Will healthcare be like
retirement?

17

How do we prepare for the future?

Be nimble. Dont get complacent. Innovate.

Past success no guarantee of future success
10-10-25
Quality/Service/Costs
Prepare for whatever the future holds so that
we can be here for another 120 years.

Health Care Authority of the

City of Huntsville

Questions