Managed Care Nothing New for St. Mary's

By Gauen, Pat | St Louis Post-Dispatch (MO), September 27, 1993 | Go to article overview

Managed Care Nothing New for St. Mary's


Gauen, Pat, St Louis Post-Dispatch (MO)


IMAGINE PAYING A hospital a fixed amount and saying "cure me."

You now have a ridiculously simplified explanation of the change to "managed health care" proposed by President Bill Clinton.

Some people are rejoicing and others cowering. But Richard Mark is the only one I know who reacts with a chuckle.

Not that there is so much to chuckle about down at St. Mary's Hospital in East St. Louis. It lost something like $6.5 million in 1990, the year Richard came to work as chief operating officer.

It's just that Richard knows St. Mary's has been in the "managed care" business for years. Not by choice. But when almost all your patients either have no insurance or are covered by Medicaid or Medicare - with strict payment limits - well, managed care is what it is.

This is not another down-and-out in East St. Louis story, loaded with gloom and despair. Nope. St. Mary's is doing much better these days.

It lost only $20,000 last year, and may finish 1993 in the black. It scraped together enough to replace a $400,000 CAT scanner. Heck, it even has tentative plans to build a clinic for 15 doctors and dentists next door.

I wandered down to the hospital Thursday to hear Richard's angle on Clinton's big health care reform speech the night before.

It turns out that Richard heard it, and also studied one of the 245-page Clinton health plan synopses that leaked out earlier.

"Something is going to change, that's for sure," he said. "It could help us a lot, or it could hurt us a lot. We don't know yet."

Before moving on, I've got to fill in a little history here.

The fortunes of St. Mary's, once the medical powerhouse of Metro East, fell with the fortunes of the town that surrounds it. Most patients, like most residents of the 70,000 people in its immediate area, are poor.

The emergency room teems with a mix of sick people who failed to get early care, people shot in street wars and accident victims from busy highways plied by commuters who usually don't give St. Mary's a second thought.

It's a busy place, filling about 90 of its 115 beds each day. It handles 1,100 trauma cases a year. There are 65 doctors on staff, 484 employees in all. The budget is about $28 million a year.

An order of Roman Catholic nuns from Indiana operates the hospital on a non-profit basis. Not expecting a profit is very appropriate when about 92 of every 100 patients either have no means whatsoever to pay or are covered only by Medicare (for the old) or Medicaid (for the poor). …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Managed Care Nothing New for St. Mary's
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.