USF Physicians Group Picture here with me and student August 6, 2001 IDX National Users Conference Joseph M. Jackson, MBA Executive Director Usfpg/exec/2006/jackson/bot hsc mtg april 2006
Faculty Practice Plan Administrative Structure Internal Audit Faculty Practice Plan Board of Directors Executive Management Committee Finance Committee Office of the Executive Director Administration Patient Centric Information Solution Finance & Accounting Human Resources Information Services Managed Care and Business Development Patient Care Services Revenue Cycle Operations Office of Professional Credentialing April 2006
Faculty Practice Plan Department of Administration Office of the Vice President for Health Sciences Bryan S. Burgess Associate VP for Corporate and Transactional Affairs Executive Advisor Mary Hughes Academic Program Contracting Joseph M. Jackson, MBA Executive Director Engagement Manager PCIS Betsy Willard Senior Administrative Assistant Diane Havel Executive Secretary Elaine Phelps Administrative Secretary TBA Executive Secretary Finance & Accounting Human Resources Information Services Managed Care & Business Development Patient Care Services Revenue Cycle Operations Office of Professional Credentialing April 2006
USF Physicians Group Finance & Accounting Update Director of Finance & Accounting hired April 10, 2006 -- Kevin Driscoll, CPA Controller hired April 3, 2006 Suzanne Pyzik, CPA, CIA Accounting Manager being recruited Internal Auditor being recruited
USF Physicians Group Fiscal Year 2004/05 Audit Update CME revenue recognition issues being addressed Independent external CPA retained Reviewing contracts Accounts Payable issues to be addressed in last quarter of this fiscal year Ernst & Young asked by Audit Committee to submit engagement letter for FY 05/06 Goal: Clean FY 2005/06 Audit
Managed Care & Business Development Lisa Boom appointed Director of Managed Care & Business Development February 27, 2006
Physician Growth Rate * Total Active MDs Q2E USF Dept 05/06 Acad Anes Model 3 Cardiac CRISP 15 Family Medicine 10 Interdisciplinary Onc 124 Internal Medicine 72 Neurology 15 Neurosurgery 11 OB/GYN 25 Ophthalmology 14 Otolaryngology 7 Pathology 4 Pediatrics 49 Psychiatry 20 Radiology 18 Surgery 30 Grand Total 417 450 400 350 300 250 200 150 100 306 390 352 328 7% 7% 11% 417 387 400-1% 3% 4% 50 0 FYE 99/00 FYE 00/01 FYE 01/02 FYE 02/03 FYE 03/04 FYE 04/05 Q3E 05/06 *Based on credentialing database for Managed Care contracting
USFPG s Payor Mix (FY 2005) 2nd Quarter FY 2005-06 Managed Care 47% (down 1 pt.)* (Top 10 payors comprise 85% of all Managed Care business) Medicare 24% up 2 pts* Medicaid 9% flat* Commercial 10% up 1 pt* WorkComp 1% flat* Self Pay 8% flat* HCHCP 1% down 1 pt* * As compared to 2nd Quarter FY 2004-05
Top Managed Care Payors Collections Top Managed Care Payors Based on USFPG Collections April 2005 - March 2006 CURRENT PREVIOUS PERCENT OF TOTAL RANK RANK PAYOR COLLECTIONS MANAGED CARE COLLECTIONS DAYS IN A/R 1 1 United Health Care $11,142,034 22.44% 36 2 2 Blue Cross Blue Shield of Florida $10,859,039 21.87% 30 3 3 Aetna HMO/PPO/POS $5,294,121 10.66% 25 4 4 CIGNA HMO/PPO $4,493,101 9.05% 25 5 5 Humana HMO/PPO $3,701,422 7.45% 36 6 6 TRICARE $2,542,994 5.12% 31 7 7 WellCare Inc. (StayWell, WellCare, HealthEase) $1,835,718 3.70% 45 8 8 Beech Street/CappCare PPO $1,341,873 2.70% 53 9 9 Private Healthcare Systems $1,277,182 2.57% 44 10 10 First Health PPO $1,218,899 2.45% 44 Total Collections From Top Payors: $43,706,383 88.02% Total Managed Care Collections: $49,652,343 Medicare Collections: $24,808,031 Medicare Days in A/R: 28
Patient Care Services Peggy Madill, RN, BSN, MBA appointed Director of Patient Care Services February 20, 2006
Charges Fiscal Years 1999-2005 $350,000,000 $300,000,000 $250,000,000 $200,000,000 $166,514,958 $171,691,843 $187,630,592 $202,866,610 $218,400,320 $255,863,449 $289,241,779 $150,000,000 $100,000,000 $150,677,947 $50,000,000 $0 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 Annualized 69% increase over last 7 years
$250,000,000 Charges Year To Date $200,000,000 $216,931,334 $199,666,504 $189,423,702 $150,000,000 $100,000,000 $50,000,000 $0 3rd Quarter FY 2006 Actual YTD 3rd Quarter FY 2006 Budgeted YTD 3rd Quarter FY 2005 Actual
Collections Fiscal Years 1999-2005 $120,000,000 $104,327,216 $100,000,000 $80,000,000 $65,172,020 $69,331,008 $74,454,939 $83,642,942 $88,278,743 $97,658,177 $60,000,000 $63,919,105 $40,000,000 $20,000,000 $0 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 Annualized 53% increase over last 7 fiscal years
Collections $90,000,000 $80,000,000 $70,000,000 $60,000,000 $78,245,412 $77,177,431 $70,903,408 $50,000,000 $40,000,000 $30,000,000 $20,000,000 $10,000,000 $0 3rd Quarter FY 2006 Actual YTD 3rd Quarter FY 2006 Budgeted YTD 3rd Quarter FY 2005 Actual
YTD Actual Gain/Loss Actual Group Gain is $462,640 $3,000,000 DIO $2,500,000 $2,000,000 $1,500,000 INT MED $1,000,000 $500,000 $0 -$500,000 -$1,000,000 RADIOL OTOLARYN NEUROSUR PHYS THER FAM MED OPHTHAL NEUROL PATH SURG PSYCH ANES ACAD PEDS OB/GYN CVC -$1,500,000
Global RVUs Fiscal Years 2000, 2001, 2002, 2003, 2004, 2005, and 2006 Annualized (03/31/06) 3,500,000 3,000,000 2,500,000 2,000,000 1,500,000 1,984,581 2,077,580 2,307,714 2,527,577 2,694,177 2,739,222 2,874,248 1,000,000 500,000 0 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 FY 2006 (Annualized)
Global RVUs Year To Date 300,000 278,194 272,026 250,000 200,000 150,000 100,000 50,000 0 3rd Quarter FY 2006 Actual 3rd Quarter FY 2005 Actual
Collections Per Physician $255,000 $245,000 $244,145 $235,000 $225,000 $215,000 $216,132 $216,901 $205,000 $208,886 $195,000 $185,000 $198,695 $196,963 $190,910 $175,000 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005
Global RVUs Per Physician 7100 7000 6962 6900 6800 6848 6700 6600 6500 6400 6486 6556 6481 6300 6334 6200 6100 6000 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005
North Campus Outpatient Visits 140,000 131,260 132,519 120,000 100,000 80,000 95,175 101,307 97,925 106,353 122,432 127,507 60,000 40,000 20,000 0 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2005 Annualized FY 2006 34% increase over last 6 fiscal years Through February 2006
South Campus Outpatient Visits 90,000 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 76,773 68,003 71,912 70,637 71,264 71,084 75,182 78,821 FY 1999 FY 2000 FY 2001 FY 2002 FY 2003 FY 2004 FY 2004 Annualized FY 2006 2% decrease over last 6 fiscal years Through February 2006