1/9/1990 - Laserfiche WebLink

Home Browse Search

Commissioner Bird wished to know how this would affect someone who can't pass the charges on through to Medicare or some other insurance. Director Wright explained that we are not going back to the patient at all now. If they have a private insurance company and are not covered by Medicare, we bill that company directly for the service. Commissioner Scurlock contended first of all that just to assume that insurance doesn't cost anything is a fallacy, and the fact is that we are subsidizing this service for those who are uninsured because we do not at this point receive any significant revenue from them. . He also did not think we are looking at a $90-100,000 shortfall, but rather that we are looking at a $200,000 shortfall. Administrator Chandler noted that when we first looked at meeting budget in terms of revenue, it was determined we would have to average our pro rata at about $46,000 a month; so, when we first saw the October collection of $26,000, we did at first project a $200,000 shortfall. The way it is tracking in now, however, we do not anticipate that, but this will dip down in the summer months. Administrator Chandler agreed we must continue to watch this very carefully as to how it comes in according to the pro rata which was based on the historical collection figures we were given. He also pointed out that, in regard to insurance, Medicare only picks up a certain amount of the expense; so, there is a differential. Commissioner Scurlock believed that a majority of our senior citizens have supplemental insurance through AARP or something similar that pays above and beyond the $141. He further clarified that when he is talking about $200,000, he is talking about a shortfall in revenue, not a difference between expenses and revenue, and Administrator Chandler stated that when he said $200,000 that was strictly on the revenue side. ,JAN 19U 19 Boor. E'° �� . � "