Medicare Hospital Margins by Cohort
| Financial Characteristic | COTH (n = 192) | Non-COTH (n = 521) | Family Practice Single Residency (n = 108) | Multiple Residency (n = 605) | All Hospitals (n = 713) |
|---|---|---|---|---|---|
| COTH = Council of Teaching Hospitals and Health Systems, GME = graduate medical education, PPS = prospective payment system. | |||||
| Medicare margin, % | |||||
| 1996, mean (median) | 7.4 (11.1) | 14.6 (20.4) | 18.9 (20.3) | 11.8 (18.6) | 12.9 (18.9) |
| 1998, mean (median) | 8.6 (13.1) | 16.5 (21.6) | 20.2 (21.7) | 13.3 (18.9) | 14.3 (19.7) |
| 1999, mean (median) | 8.2 (13.0) | 17.7 (23.1) | 16.3 (17.9) | 10.7 (15.9) | 11.5 (16.2) |
| GME margin, % | |||||
| 1996, mean (median) | −27.8 (−1.7) | −76.4 (−5.7) | −58.7 (−15.3) | −64.0 (−2.8) | −63.2 (−4.0) |
| 1998, mean (median) | −55.7 (−19.0) | −101.3 (−24.4) | −60.8 (−28.0) | −93.8 (−20.3) | −88.8 (−21.6) |
| 1999, mean (median) | −55.3 (−19.2) | −118.2 (−24.1) | −84.5 (−30.5) | −103.9 (−21.8) | −100.9 (−23.8) |
| GME margin, dollar adjusted, % | |||||
| 1996 | −9.8 | −19.8 | −14.5 | −12.4 | −13 |
| 1998 | −31.2 | −38.3 | −33.1 | −33.1 | −33 |
| 1999 | −31.9 | −44.7 | −38.5 | −35.2 | −35 |
| PPS margin, % | |||||
| 1996, mean (median) | 16.8 (17.4) | 20.3 (20.2) | 20.1 (20.1) | 19.2 (20.1) | 19.4 (19.2) |
| 1998, mean (median) | 23.8 (23.8) | 25.8 (25.9) | 25.2 (25.1) | 25.3 (25.2) | 25.3 (25.2) |
| 1999, mean (median) | 23.7 (24.3) | 25.1 (25.2) | 24.3 (23.9) | 24.8 (24.8) | 24.7 (24.8) |
| PPS margin, dollar adjusted, % | |||||
| 1996 | 15.0 | 19.4 | 19.8 | 17.2 | 17.5 |
| 1998 | 22.5 | 25.1 | 25.2 | 23.8 | 24.0 |
| 1999 | 22.3 | 24.2 | 23.7 | 23.5 | 23.5 |