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Consultant urges Henry County to favor Medicare MCO admissions to help Hillcrest reach break-even
Summary
Plymouth consultant Jeremy Brune presented December claims and revenue breakdowns, and recommended the facility shift admissions toward Medicare MCO-certified residents, saying that payer category is where the facility will break even.
Jeremy Brune, a consultant from Plymouth, presented the committee with a claims report for December and an overview of Hillcrest’s revenue mix, explaining how income is split among Medicare, Medicare MCO, the VA and private-pay residents. Brune identified Medicare MCO as the payer category that would allow the facility to reach break-even on costs.
Brune recommended operational changes to prioritize admitting Medicare MCO-certified residents; the committee asked questions about his year-to-date findings and the financial trade-offs of changing admissions focus. No formal admissions policy was voted on at the meeting.
