Cook County Health Board Transfers Millions from Special Purpose and Wage Funds to Cover External Provider Claims
Cook County Health (CCH) Board of Directors Meeting
September 27, 2019
What did the Board Decide:
Cook County Health (CCH), CEO Shannon explained that underestimation of external claims from non-CCH Network providers of the Managed Medicaid/CountyCare program exceeded the total appropriated dollars. Payment of these bills necessitates transfer of funds from other CCH budgeted items still showing a positive balance. Over $80M was transferred form special Purpose and Wage Funds to cover the claims.
The Board voted to purchase a renovated Blue Island building replacing the closing Oak Forest Clinic for $15.3 million, a savings over a 10 year $17.3 million lease.
What else did the Board discuss or refer to committee?
Observed by: Susan Kern, MD and Megan Kennedy Meeting Length: 2 hours and 45 minutes
Cook County Health Board Meetings
August 30 and September 13, 2019
Special Meeting - September 13
Committee Reports from August 30, 2019 Board Meeting:
Other information of note:
Observer - Diane Edmundson Meeting Length: 4 hours total
Cook County Health (CCH) Board of Directors Meeting - July 26, 2019
The board unanimously approved the preliminary 2020 strategic plan, which will be available for public input later this summer and presented to the Cook County Board in September.
The plan calls for:
Observed by: Linda Christianson Meeting Length: 3 hours
Cook County Hospitals System Bottom-line May be Threatened by Decrease in Medicaid Enrollees and Federal Rule Changes for Immigrants
Cook County Health & Hospitals System (CCHHS) Board Meeting
September 28, 2018
Threats to 2019 CCHHS budget predictions presented by CCHHS Administration and Staff:
What did the Board Decide?
What else did the Board discuss:
Items to Watch For in the Future:
Meeting Length: 2 hours 30 minutes
Observers - Susan Kern, MD, Michele Niccolai, Sarah Edwards, & Ellen Hunt
Cook County Health and Hospitals System (CCHHS) Board Meeting - August 31, 2018
What did the Board Discuss:
In discussion of the proposed CCHHS budget, CEO Dr. Jay Shannon identified these key focus areas:
To Watch For: Dr. Shannon announced that the ribbon-cutting for the new clinic/admin building will take place October 29.
Observer - Linda Christianson Meeting Length: 3 hours
Cook County Health and Hospitals System (CCHHS) Board Meeting - May 25, 2018
What did the Board decide:
The CCHHS Board committed to add coders & billing staff, increase training and clinical documentation, and enforce performance standards for all employees who affect the revenue cycle process in order to improve revenue recovery.
Dr. Shannon, CCHHS CEO, spoke at some length about the issue of revenue recovery, explaining, “We recognized this as a challenge years ago, and embedded strategies in the strategic plan to meet the challenge.” Until 2014 billing was simplistic, but now the system has 20 payer contracts. Despite the challenges, patients and local taxpayers have benefited: taxpayer liability has been reduced by 75% since 2009, and the system has been able to redirect $2.5b to other Cook County needs over the last ten years. The system dispensed $300m in charity care in 2017 without additional resources from local taxpayers.
Other Data Presented to the Board:
The Health and Hospitals system will allocate about $1m this year, and $2m next year, to staff a continuum of behavioral health services to be provided to detainees at the Cook County Juvenile Temporary Detention Center (population 200-250), similar to the services provided at the Cermak Clinic.
To Watch For:
Will there be a state budget by May 31? If not, the hospitals system is at risk for cash flow problems!
Observers - Linda Christianson and Marcia Powers Meeting Length - 3 hours
Individual authors are credited at the end of each report.