DALLAS-St. Paul Medical Center and Dallas Family Hospital have signed an affiliation agreement to provide services in southwestern Dallas. St. Paul is owned by the Daughters of Charity National Health System, and Dallas Family is owned by Universal Health Services, King of Prussia, Pa. The agreement will not affect the ownership, names or management of the hospitals. However, the affiliation will streamline transfers between the two hospitals and expand educational opportunities for the staffs, officials said.
DENVER-Saint Joseph Hospital will cut 176 full-time positions, or about 6% of its work force, by Nov. 1. Earlier this month, it eliminated a vice president and 10 department director positions by combining responsibilities. For example, marketing director and planning director were merged into a single position. The layoffs are the first at the 512-bed hospital in many years, said Sister Marianna Bauder, its president and chief executive officer. In the past year, its average length of stay dropped to 4.6 days from 5.3 days, Sister Bauder said. In fiscal 1994, ended May 31, the hospital earned $8.9 million on net operating revenues of $169 million. In fiscal 1993, it earned $9.3 million on net operating revenues of $166 million.
JEFFERSON CITY, Mo.-Missouri is soliciting bids from managed-care organizations to cover 150,000 Medicaid recipients in the St. Louis area. Proposals are due Dec. 1, and the state expects to award contracts in January 1995, said Donna Checkett, director of Missouri's Division of Medical Services. The state now spends $180 million for those recipients' healthcare. Within two years, Missouri plans to offer Medicaid managed-care plans in most parts of the state, Ms. Checkett said. Next summer, it will test a managed-care program for disabled people in Columbia, Mo. Meanwhile, its application for a Medicaid waiver to offer benefits to low-income, uninsured residents still is being reviewed by HHS (Aug. 8, p. 100). "It would be optimistic to think that we'll have approval by early spring," Ms. Checkett said. "I don't, however, have any reason to think it's not going to be approved." Originally, the state expected approval this month, but HHS is taking longer to review requests because it has received so many, she said.