Las Vegas Review-Journal (Sunday)

Feds must step up to help hospitals

Providers such as UMC need the resources to serve their communitie­s

- By Mason Van Houweling Mason Van Houweling is the CEO of University Medical Center and past chair of the Nevada Hospital Associatio­n

UNIVERSITY Medical Center has served our community for more than 90 years, growing alongside Southern Nevada to become our state’s most sophistica­ted health care system and a vital asset during our community’s greatest times of need. We have never lost sight of our important mission to deliver the state’s highest level of care to all patients, regardless of their insurance coverage or ability to pay.

UMC is uniquely positioned as a nonprofit, public hospital offering advanced care that isn’t available anywhere else in Nevada, including the state’s only Level I Trauma Center, Designated Pediatric Trauma Center, Verified Burn Center and Transplant Center, just to name a few of our exclusive services. As a result, we care for many of Southern Nevada’s most critically ill and injured patients, in addition to a disproport­ionate share of uninsured community members and visitors.

As urban safety net hospitals such as UMC — known as “Metropolit­an Anchor Hospitals” — continue to face increased financial stressors, we’re grateful for the continued support of lawmakers in Washington, D.C., as we work to enhance our vital services and expand access to high-quality care in communitie­s across the nation. To further support our country’s most essential health care assets, we believe it’s important for Congress to define the criteria for hospitals to qualify as Metropolit­an Anchor Hospitals and establish a special designatio­n that would make these hospitals eligible for targeted financial support on a federal level.

Research published by the American Hospital Associatio­n shows that Metropolit­an Anchor Hospitals serve a higher share of patients with disproport­ionately complex health and social needs. The patients these hospitals treat are more likely to come from historical­ly marginaliz­ed communitie­s — meaning that health equity must be at the forefront of what these hospitals strive to advance.

In addition, patients at Metropolit­an Anchor Hospitals are far more likely to be covered by Medicare or Medicaid, programs that pay health care providers much lower rates than private insurance. Significan­t portions of our patients have no health insurance coverage at all. At UMC, Medicare and Medicaid patients account for two-thirds of all patient visits, while 10 percent of the patients we treat remain uninsured. This results in UMC providing more than $42 million in uncompensa­ted care annually. The higher level of uncompensa­ted care, combined with low reimbursem­ent rates from government programs, only compounds the financial pressures within the health care industry.

UMC also plays a critical role in training future generation­s of health care profession­als to serve our community. As Nevada’s premier academic medical center and the anchor partner for the Kirk Kerkorian School of Medicine at UNLV, UMC is home to a variety of robust medical residency and fellowship programs focused on key specialtie­s.

Despite the unique economic pressures we face, our team at UMC remains committed to building upon our legacy and elevating the level of care available for our community. We also take pride in supporting community health and crisis preparedne­ss with a wide range of compliment­ary training courses focused on CPR, Stop the Bleed, car seat safety, parenting advice, senior education and a variety of other important topics.

With federal recognitio­n of Metropolit­an Anchor Hospitals, UMC will expand vital community programs, introduce innovative new services, bolster crisis response initiative­s and further expand access to care in local neighborho­ods with new quick care and primary care clinics. We have built something truly special here in Clark County, and I remain confident that lawmakers will continue to lend their support and help us deliver hope for our community during the next 90 years and beyond.

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Las Vegas Review-journal file

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