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The Use of a Break-even Analysis: Financial Analysis of a Fast-track Program
| Content Provider | Scilit |
|---|---|
| Author | Saywell, Robert M. Cordell, William H. Nyhuis, Allen W. Giles, Beverly K. Culler, Steven D. Woods, John R. Chu, David K. W. McKinzie, Jeffry P. Rodman, George H. |
| Copyright Year | 1995 |
| Description | Journal: Academic Emergency Medicine To calculate the financial break-even point and illustrate how changes in third-party reimbursement and eligibility could affect a program's fiscal standing. Demographic, clinical, and financial data were collected retrospectively for 446 patients treated in a fast-track program during June 1993. The fast-track program is located within the confines of the emergency medicine and trauma center at a 1,050-bed tertiary care Midwestern teaching hospital and provides urgent treatment to minimally ill patients. A financial break-even analysis was performed to determine the point where the program generated enough revenue to cover its total variable and fixed costs, both direct and indirect. Given the relatively low average collection rate (62%) and high percentage of uninsured patients (31%), the analysis showed that the program's revenues covered its direct costs but not all of the indirect costs. Examining collection rates or payer class mix without examining both costs and revenues may lead to an erroneous conclusion about a program's fiscal viability. Sensitivity analysis also shows that relatively small changes in third-party coverage or eligibility (income) requirements can have a large impact on the program's financial solvency and break-even volumes. |
| Related Links | http://onlinelibrary.wiley.com/doi/10.1111/j.1553-2712.1995.tb03628.x/pdf |
| Ending Page | 745 |
| Page Count | 7 |
| Starting Page | 739 |
| ISSN | 10696563 |
| e-ISSN | 15532712 |
| DOI | 10.1111/j.1553-2712.1995.tb03628.x |
| Journal | Academic Emergency Medicine |
| Issue Number | 8 |
| Volume Number | 2 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 1995-08-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Academic Emergency Medicine Public Health and Health Services Emergency Department Fast Track Breakāeven Analysis Collection Rate Financial Analysis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Emergency Medicine |