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Table 1 Local Hospital Reimbursement Rates — 2016 (As provided by Hospital Staff) Note: This information was provided by hospital staff. County staff does not make any representations about the accuracy of the data. Additionally, staff's understanding is that these were averages of negotiated rates with private insurers per admitted patient. These rates do not account for private pay, Medicare, Medicaid or indigent patients. It is important to note that these are average rates reimbursed by private insurers. The County's network provider, Florida Blue, could have reimbursement rates that are higher or lower than the average. County staff does not have underlying data, therefore, the ability to analyze these rates is limited. Assuming that the information is accurate, the data does point to significant differences in reimbursement rates at different hospitals. This data indicates that the reimbursements provided to other hospitals may be two or three times the amount reimbursed to IRMC per admitted patient Since the initial data was provided, IRMC's negotiated reimbursement rates were increased by about 25% according to hospital staff. If the 25% increase is applied to the 2016 data, then the difference between IRMC and the surrounding hospitals would decrease by 25% as shown in Table 2 below. It is important to note, that this table assumes no change in the reimbursement rates of the other area hospitals. Since the original data set, these rates could have increased or decreased. Table 2 Local Hospital Reimbursement Rates — 2018 (Assumes 25% increase for IRMC, no change for others) Private Insurer Reimbursement Hospital Name Rates (Average) Indian River Medical Center 141% Hospital A (located in Sebastian) 298% Hospital B (located in St. Lucie 397% County) 397% Hospital C (located in St. Lucie 363% County) 363% Note: This information was provided by hospital staff. County staff does not make any representations about the accuracy of the data. Additionally, staff's understanding is that these were averages of negotiated rates with private insurers per admitted patient. These rates do not account for private pay, Medicare, Medicaid or indigent patients. It is important to note that these are average rates reimbursed by private insurers. The County's network provider, Florida Blue, could have reimbursement rates that are higher or lower than the average. County staff does not have underlying data, therefore, the ability to analyze these rates is limited. Assuming that the information is accurate, the data does point to significant differences in reimbursement rates at different hospitals. This data indicates that the reimbursements provided to other hospitals may be two or three times the amount reimbursed to IRMC per admitted patient Since the initial data was provided, IRMC's negotiated reimbursement rates were increased by about 25% according to hospital staff. If the 25% increase is applied to the 2016 data, then the difference between IRMC and the surrounding hospitals would decrease by 25% as shown in Table 2 below. It is important to note, that this table assumes no change in the reimbursement rates of the other area hospitals. Since the original data set, these rates could have increased or decreased. Table 2 Local Hospital Reimbursement Rates — 2018 (Assumes 25% increase for IRMC, no change for others) Note: This information was provided by hospital staff. County staff does not make any representations about the accuracy of the data. Additionally, staff's understanding is that these were averages of negotiated rates with private insurers per admitted patient. These rates do not account for private pay, Medicare, Medicaid or indigent patients. 2 51 Private Insurer Reimbursement Hospital Name Rates (Average) Indian River Medical Center 166% Hospital A (located in Sebastian) 298% Hospital B (located in St. Lucie County) 397% Hospital C (located in St. Lucie County) 363% Note: This information was provided by hospital staff. County staff does not make any representations about the accuracy of the data. Additionally, staff's understanding is that these were averages of negotiated rates with private insurers per admitted patient. These rates do not account for private pay, Medicare, Medicaid or indigent patients. 2 51