The Observation Deck

As long as they have been retained for the year, one question that I would love to pose to
Subsidium:

Why don't your projections take into account the ACA and the fact that insured Americans
especially mid and low income Americans are getting insurance?

There is no figuring of that growth, 12 million more this year.

I have a team taking it apart but this is one of many questions that keep popping up.


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Jim O'Bryan wrote:As long as they have been retained for the year, one question that I would love to pose to
Subsidium:

Why don't your projections take into account the ACA and the fact that insured Americans
especially mid and low income Americans are getting insurance?

There is no figuring of that growth, 12 million more this year.

I have a team taking it apart but this is one of many questions that keep popping up.


.

Jim,

If you could, ask the following questions of your team:

1) For 2014, individual-market enrollment grew by how many millions?

2) For 2014, approximately how many individuals lost employer coverage?

3) For 2014, what was the net increase in individual market coverage?

4) For 2014, Medicaid/CHIP enrollment increased by how many millions?

5) For 2014, the number of Americans with health insurance increased by_______,
and Medicaid/CHIP accounted for ____% of the increase?



Scott

Scott Meeson wrote:

Jim O'Bryan wrote:As long as they have been retained for the year, one question that I would love to pose to
Subsidium:

Why don't your projections take into account the ACA and the fact that insured Americans
especially mid and low income Americans are getting insurance?

There is no figuring of that growth, 12 million more this year.

I have a team taking it apart but this is one of many questions that keep popping up.


.

Jim,

If you could, ask the following questions of your team:

1) For 2014, individual-market enrollment grew by how many millions?

2) For 2014, approximately how many individuals lost employer coverage?

3) For 2014, what was the net increase in individual market coverage?

4) For 2014, Medicaid/CHIP enrollment increased by how many millions?

5) For 2014, the number of Americans with health insurance increased by_______,
and Medicaid/CHIP accounted for ____% of the increase?

Scott

Scott

I can ask them, not sure they will know.

We have only looked at the report to see what could be missing. Or how they got to any
of its findings. And example was one person noticed that one of the largest health care
providers in the area and the nation was left out. It is also a group looking for a westside
hospital, the Veteran's Hospital. But Subsidium was not told to find what to replace
Lakewood Hospital with. That would be 1,100 medical jobs in Lakewood overnight, but not
address Lakewood resident's healthcare. We did notice the City makes more money
potentially with a Chapter 11 filing. Which would freeze funds and allow the City to try
various forms of reorganization.

But I am more than willing to through it into the mix.

.

There is no hole in the Subsidium projections.

The Cleveland Clinic would have been very happy to continue to operate Lakewood Hospital until 2026. In 2026 the Clinic would have refused to renew the lease. They would then leave behind an empty outdated facility without any customers that was millions in debt.

That was the plan for at least the last 10 years.

The Board and the City could have fought that plan but they were not interested.

The interesting thing is that Lakewood Hospital could have been a first class money making facility even without the expansion of Medicaid. The losses at the Hospital were driven by uncompensated care. Medicaid expansion would have added $15 million per year in revenue to Lakewood Hospital with the existing customer base.

If the Board and Foundation were interested in health care in Lakewood they then could have built on that profitability to build a 120,000 square foot family health center that would have fed business to Lakewood Hospital.

Instead they chose to destroy the hospital in exchange for a substandard facility that is designed to fail.

Some of the proposals from Subsidium to replace Lakewood Hospital were walking trails, dog parks and mobile health units. How can we trust people that act on proposals like that?

The uninsured rate in 2009 was about 14%. The rate is now about 13%. The decline is mostly attributed to the expansion of Medicaid.

The Hospital is coming down, the recreation center is going up and the Family Health Center will close five years after it opens.