Defining Anesthesia Profitability
Anesthesia profitability has been defined in many ways over the years, but rarely has it been defined in a way that actually relates to the fundamental economics of the specialty. Physician anesthesiologists used to define it in terms of their own compensation. A profitable practice was one where the physicians earned a good income. This assumed that (a) the volume of services was strong and consistent, and (b) the payer mix was favorable such that the yield per billed unit was above average. While this might have been a good way to designate favorable practices from those that would need a subsidy, it does little to actually measure profitability in a way that allows for its assessment or improvement. The reality today is that most anesthesia practices require some level of financial support from the hospitals they serve. The question is why and how things could be improved.
The Five Factors
Five distinct factors determine the economics of a given practice, and every practice is unique with regard to how each factor influences the overall equation. Failure to delineate each and track it over time will necessarily result in an inaccurate understanding of the current situation and an imperfect assessment for potential viability over time. Here’s a look at these factors:
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Summing It All Up
These are the five main management challenges for today’s practices. Having the knowledge, the data and the resources to deal with them all is what defines today’s successful practices. It used to be that great practices were defined by consistent and superior clinical outcomes. Quality is still a requirement, but now it is ultimately profitability that is the predictor of success.
What then is the best way to measure profitability? Let us take a lesson from business. Large corporations constantly measure and monitor the profitability of each division. Unprofitable divisions are either restructured or sold off. How does this apply to anesthesia? Each anesthetizing location is essentially a distinct line of business and should ideally be profitable. In other words, the revenue potential of each operating room should cover the cost of the anesthesia manpower required to cover it.
Many anesthesia providers will argue they know which venues are profitable and which are not. The question is how they use this information to impact and influence the decision-making of the hospital administration to improve profitability. We all know that most anesthesia practices have more and better data with regard to what actually happens in the operating rooms and delivery suites than the hospital or any of its departments. This is the specialty’s trump card that must be played with finesse.
In other words, most management reports help identify the symptoms but not the actual health of the practice. The application of true cost accounting is essential for the success of today’s anesthesia businesses. The goal of every practice should be to help the administration define what coverage and call makes sense and how their decisions could be best enhanced with the insights of anesthesia.
If you have questions for us on this topic, please contact your account executive or reach out to us at info@anesthesiallc.com.