BDO: "Fourteen hospitals are financially in danger zone"



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Hospitals in good financial health work better and better. But a group of fourteen hospitals is sinking more and more financially and is in the danger zone. This concludes BDO in the resistance test for hospitals
  14 de facto hospitals in bankruptcy
. Photo: Fotolia

It seems, financially, that it is right to go with hospitals. The average number reported in "BDO 2018 referral hospitals" increased from 7.1 in 2016 to 7.2 in 2017. At 25.6%, average solvency exceeds the magic limit of 25% for the first time. Liquidity is unchanged overall. With 32 of the 66 hospitals on the BDO list, the financial situation improves. But appearances are deceptive. A group of 14 hospitals shows insufficient results and is therefore financially in the danger zone. "If their number of years is insufficient, they are certainly at risk of technical bankruptcy," explains Chris van der Laak, partner at BDO, in an explanation. "They are kept alive by health insurers and banks. Suspension of payment at MC Slotervaart and MC IJsselmeer hospitals

MC Slotervaart and MC IJsselmeer hospitals suspended

MC Slotervaart and MC IJsselmeer hospitals both obtained a moratorium on 23 October 2018. applied for. At the bottom of the list in 2016 was the hospital of Amstelland, which has not yet filed an approved annual report for 2017.

Yield has been declining for years

It is disturbing that hospital performance has been declining for years. From 2.7% in 2013 to 1.2% in 2017. The common result of 66 hospitals, that is to say without the UMC, decreased from 2 million euros to 211 million. 39; euros. For small and medium sized hospitals, the decrease in average score was 8% and 16%, respectively. Large hospitals saw their results increase by an average of 7%. Nevertheless, according to BDO, small hospitals are catching up financially. Indeed, they have less debt and more cash than in 2016. "If you have more cash, you'd better keep control of your own future. Otherwise, you depend on health insurers and banks, "says Van der Haak.

Health care law threatens

BDO warns of health care incident. coalition agreement puts extra pressure on already weak and declining hospital performance Van der Haak doubts the feasibility of framework agreement for hospitals "It is courageous to put growth in zero, but with the aging of the population, the growing demand for care and the shortage of staff, this is not realistic.We find that hospitals can not cope with the declining Continuing on the current road will result in an explosion of waiting lists. "

New Business Model Hospitals

According to BDO, the only way out is a new business model for hospitals. In doing so, they must abandon the growing volume of care. Hospitals have an interest in using the right care in the right place, preventing disease and digitizing. To make an appropriate business case, they must enter into long-term agreements with the health insurers. "We do not yet see this trend across the width. If hospitals require a 15% increase in the volume of care, you can conclude that they are not yet adopting this line of thinking. "

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