PhillyDeals: Analyst sees pressure on hospitals from Medicare cuts

July 19, 2011|By Joseph N. DiStefano, Inquirer Staff Writer
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  • A Janney Capital Markets analyst warns that additional cuts to Medicare and Medicaid could hurt hospitals, forcing them to say no to some treatments.
  • A Janney Capital Markets analyst warns that additional cuts to Medicare and Medicaid could hurt hospitals, forcing them to say no to some treatments. (DANIEL ACKER / Bloomberg…)
  • House Majority Leader Eric Cantor's Medicare and Medicaid proposals came under fire in a report. (SUSAN WALSH / Associated…)
  • President John Fry wants Drexelto expand toward Center City. (LAURENCE KESTERSON / Staff…)

Additional cuts to Medicare and Medicaid would put additional pressure on hospitals, [squeezing] already thin 2 percent to 4 percent operating margins," Janney Capital Markets analyst Joseph D. Foresi wrote in a report to clients last week.

"Proposed Medicare and Medicaid cuts, $350 billion over 10 years, by House Majority Leader Eric Cantor (R., Va.), would be in addition to $500 billion in reduced Medicare payments as part of (President Obama's) Patient Protection and Affordable Care Act," Foresi added.

Since "Medicare and Medicaid reimbursements [pay] 56 percent of all care provided by hospitals," the additional proposed cuts will ensure that "the problem is expected to get worse going forward."

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What to do? Foresi expects hospitals to impose "a value-purchasing program" that would force doctors to find cheap alternative treatments, forcing market discipline on the health-services market.

That would put hospitals and doctors (rather than insurers or Congress) in the nasty but necessary position of having to say no to patients who want costly treatments.

That may be bad for hospitals, doctors, and patients, as things are currently run.

But change is always an opportunity for someone.

In this case, Foresi writes, it may be good news for health-care consulting firms like Huron Consulting Group Inc. and Navigant Consulting Inc., which could enjoy "solid long-term demand trends" as desperate providers seek help cutting costs so they can stay in business.

 

$17M for Alteva

Warwick Valley Telephone, a publicly traded phone service in Upstate New York and rural northwest New Jersey, says it is paying $17 million for Alteva L.L.C., the Philadelphia business-Internet and voice-over-Internet protocol firm founded by William Bumbernick, former Rhone-Poulenc-Rohrer executive and Gloucester County Republican politician.

The deal includes $11 million cash up front, $4 million in Warwick stock (it is publicly traded), and $2 million in "performance-based payments," according to Warwick officials.

Warwick plans to merge its US Datanet phone business with Alteva, boosting Warwick sales 30 percent, Warwick boss Duane W. Albro said in a statement. Alteva boss David Cuthbert called the two firms "complementary."

Alteva employs 26, is currently looking to hire six more - account managers and network engineers - and expects to continue expanding as a part of Warwick.

 

Planning Commission

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