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Recession Fallout Leads Safety-Net Hospitals to Charge Out-of-County Residents for Non-Emergency Services
Date:5/26/2009

Market Overviews from HealthLeaders-InterStudy Analyze Healthcare Market Drivers for the Nation's Most Dynamic Metro Areas

NASHVILLE, Tenn., May 26 /PRNewswire/ -- HealthLeaders-InterStudy, a leading provider of managed care market intelligence, reports that safety-net hospitals in Atlanta and Cleveland are among safety-net providers attempting to reduce cost burdens by charging uninsured residents outside of certain counties for non-emergency services. Rising numbers of uninsured patients and increasing medical costs are placing growing financial pressure on safety-net facilities that provide care to the uninsured and underinsured.

According to the recent Atlanta Market Overview, Grady Health System began charging fees for non-emergency visits for residents living outside of Fulton and DeKalb counties -- counties that provide financial support for the hospital. Patients from surrounding counties must pay fees for non-emergency visits on a sliding scale based on income.

In Cleveland, Cuyahoga County-owned MetroHealth Medical Center implemented a $150 charge for uninsured patients residing outside of the county. According to the Cleveland Market Overview, MetroHealth has also announced it will charge point-of-service fees to uninsured patients in an effort to divert patients from unnecessary emergency room visits into its primary-care physician offices.

"Implementing fees for non-emergency and non-resident hospital visits will likely drive uninsured patients to free clinics," said Deborah White, market analyst with HealthLeaders-InterStudy. "This has been the case in Ohio, where Lorain County residents seeking care from MetroHealth Medical Center were steered toward the county's four free clinics. With the rising tide of uninsured patients, these organizations are facing increasing financial strain themselves."

Why Pharmaceutical Companies Need Market Overviews

Market Overviews provide a detailed analysis of local healthcare market drivers in 87 of the nation's most dynamic metro areas, allowing pharmaceutical executives to quickly gain local area expertise. Each report provides local-level insights into: health systems and hospitals, physicians, health plans, Medicare/Medicaid, pharmaceutical environment, legislation and employers.

About HealthLeaders-InterStudy

HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the authoritative source for managed care data, analysis and news. For more information, please visit www.HL-ISY.com.

About Decision Resources, Inc.

Decision Resources, Inc. is a cohesive portfolio of companies that offers best-in-class, high-value information and insights on important sectors of the healthcare industry. Clients rely on this analysis and data to make informed decisions. Please visit Decision Resources, Inc. at www.DecisionResourcesInc.com.

All company, brand or product names contained in this document may be trademarks or registered trademarks of their respective holders.

    For more information, contact:

    Lisa Osgood                       Elizabeth Marshall
    HealthLeaders-InterStudy          Decision Resources, Inc.
    781-296-2606                      781-296-2563
    losgood@hl-isy.com                emarshall@dresources.com


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SOURCE HealthLeaders-InterStudy
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