New York Academic Centers Face More Financial Challenges Than Facilities Elsewhere

Academic medical centers in New York City have had significantly lower margins than their counterparts in other parts of the country, due to problems such as a higher Medicaid mix and more competition, according to a release by the United Hospital Fund.

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A UHF study found that while New York academic medical centers perform better financially than any other group of hospitals in the city, they do not perform as well as academic medical centers in the rest of the country.

The Fund identified four key factors that hamper financial performance of academic institutions in New York, compared with similar institutions elsewhere.

  1. Their length of stay was 26 percent longer than for the best-performing tier of academic medical centers nationwide and was even 11 percent longer than the third tier.
  2. Their proportion of Medicaid patients was higher and their proportion of private pay patients was lower than at the other academic institutions.
  3. Their proportion of surgical admissions was one-quarter to one-third lower than at the other institutions.
  4. They faced much more competition than other academic medical centers, which have virtual monopolies on tertiary and quaternary services in their markets.

The New York academic medical centers in the United Hospital Fund study were Montefiore Medical Center, Mount Sinai Hospital, NYU Hospitals Center and NewYork-Presbyterian Hospital.

Read the United Hospital Fund’s release on academic medical centers.

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