Report: ProHealth Care lags area providers in cost efficiency
Study looked at what hospitals would charge comparable patients

By DANIEL KURT - GM Today Staff 

May 17, 2008


CITY OF PEWAUKEE - ProHealth Care, which operates Waukesha Memorial Hospital and Oconomowoc Memorial Hospital, lags behind the four other main health care providers in the Milwaukee area in its pricing.

That was the conclusion of a report released Friday by City of Pewaukee-based consulting firm The Benefit Services Group Inc.

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The organization analyzed claims paid by insurers, self-funded plans, workers’ compensation, health maintenance organizations and other commercial payment systems.

In the report, BSG said it tried to account for factors that tend to skew a provider’s costs: the degree of sickness experienced by the patients they treat and the amount of payment they receive from Medicare and Medicaid, which often reimburse hospitals at a lower rate than private insurers. Its objective, therefore, was to determine what different hospital groups would actually charge if serving the same patient.

For full story, go to the electronic version of The Freeman. Click here to access the electronic version.

Daniel Kurt can be reached at dkurt@conleynet.com


This story appeared in The Freeman on May 17, 2008.