JEFFERSON CITY, Mo.-Missouri hospitals with higher-than-expected deaths of newborns don't have formal transfer agreements with tertiary-care hospitals and don't transfer high-risk infants as often as other hospitals. Those are among the findings of a Missouri Department of Health study of obstetric care. Released last month in "consumer" booklets, the study compares available services, cost, quality and outcomes at hospitals throughout the state. Hospital charges for vaginal delivery can vary by $2,000 or more, while charges for Caesarean delivery vary by about $5,000, the state said. Private hospitals with the lowest charges have the highest overall satisfaction rates, the study said.
ST. LOUIS-AJL, a three-hospital network is talking with five insurance carriers about forming a joint managed-care organization, said Richard Grisham, AJL chairman and chief executive officer of one member, 746-bed St. Anthony's Medical Center. AJL's other members are 871-bed St. John's Mercy Medical Center and 369-bed St. Luke's Hospital (Aug. 30, 1993, p. 10). Executives hope to market a managed-care product within six months if AJL negotiates a joint venture with an insurer. If it doesn't form a joint venture, it will buy a company or apply for a license to operate its own, Mr. Grisham said. That will delay its entry into the managed-care business until mid-1995.
PUEBLO, Colo.-Foundation Health Corp. will begin business in Colorado this summer with the $8.1 million acquisition of a small managed-care organization. Southern Colorado Health Plan had revenues of $10.6 million in 1993. It has 7,100 members in Pueblo, Colorado Springs and Canon City. Foundation, based in Rancho Cordova, Calif., had revenues of more than $1.5 billion in 1993. It has been expanding its operations in the South and Southwest. It recently filed for HMO licenses in Texas and Florida.