Financial Indicators Report

The Financial Indicators Analysis provides all-payer comparative financial ratios/metrics for hospitals compared to various benchmark groups for twelve financial ratios. The financial ratios are calculated using standard accepted formulas, as defined by various ratings agencies. The model includes a dictionary with calculation instructions and data for each of these indicators. The source for the financial information in this model is the Healthcare Cost Report Information System (HCRIS) database provided by CMS.

CAH Finance Survey

The CAH Finance Survey is a quarterly survey going to Kentucky CAHs on five key financial indicators. The survey data is collected electronically and a benchmarking report is produced twice annually. The report allows CAH financial leaders to compare their performance on indicators like margin, days in accounts receivable and days cash on hand with their Kentucky CAH peers.

Area Wage Index

The Medicare Hospital Wage Index Data Analysis is intended to provide hospitals with a comparative review of the wage data that will be used to develop the Medicare hospital wage index. Reports of preliminary data are available in February for hospitals to review for identification of corrections prior to the release of final data.

Medicare Hospital Occupational Mix Data Analysis

The Medicare Hospital Occupational Mix Data Analysis is intended to provide hospitals with a comparative review of the occupational mix data that will be used to develop the Medicare hospital wage index. Reports of preliminary data are provided for hospitals to review for identification of corrections prior to the release of final data.

Hospital CEOs and CFOs

Bundled Payment

These reports are intended to show providers how specific episodic or bundled payment programs will affect Medicare payment. Reports compare hospital spending and service utilization to regional target prices and service usage.

Hospital CEOs and CFOs

Medicare Inpatient Prospective Payment System (IPPS)

These reports, produced annually after the proposed and final rules are issued, are intended to show providers how Medicare inpatient fee-for-service (FFS) payments will change on the policies adopted in the rule. The analysis compares the year-over-year change in operating, capital and uncompensated care IPPS payments, and includes breakout sections that provide detailed insight into specific policies that influence IPPS payment changes.

Hospital CEOs, CFOs and Quality Leaders

Medicare Outpatient Prospective Payment System (OPPS) Rule Impact Analysis

These reports, produced annually after the proposed and final rules are intended to show providers how Medicare outpatient fee-for-service (FFS) payments will change based on the policies set forth in these rules.

Hospital CEOs, CFOs and Quality Leaders

Managed Care Analysis

KHA provides quarterly and annual enrollment and financial data for each HMO doing business in Kentucky, including per member per month statistics on premiums, costs and income before taxes. The Medicaid Managed Care Organization (MCO) Performance Report provides comparative MCO data on costs, profits, prior authorization denial rates and ratings on HEDIS indicators.

Medicaid Managed Care Organization (MCO) Performance Report

This report compiles data from public sources to provide comparative plan data on Medicaid members, earned premiums, incurred costs, MCO profits, prior authorization denial rate trends and MCO ratings on HEDIS indicators.

Hospital CEOs, CFOs and Managed Care/Contracting Staff

HMO Indicators Report

This report provides comparative data from quarterly and annual statements filed by Health Maintenance Organizations (HMOs) doing business in Kentucky. Data on plan enrollment, Kentucky market share, premium income, health care costs incurred, administrative costs, net income, liquidity and per member per month statistics are provided.

Hospital CEOs, CFOs and Managed Care/Contracting Staff