Eight-hospital Detroit Medical Center said that unless its finances improve within 90 days it will cut services or close one or more of its three hospitals that continue to lose money. Detroit Receiving Hospital and University Health Center, Hutzel Women's Hospital and Barbara Ann Karmanos Cancer Institute "have performance challenges directly associated with the level of uncompensated care or inappropriate reimbursement rates," system President and CEO Arthur Porter said in an e-mail to physicians and staff last week. Porter said possible remedies include asking for higher Medicaid HMO rates for deliveries and a city tax to support indigent care, as well as working with state and county officials to develop emergency room funding strategies. In addition, the hospitals may strengthen their screening processes to direct nonemergency patients to city clinics and reduce elective procedures for uninsured patients, Porter said. Detroit Medical has recorded losses totaling $300 million since 1998 and projects a loss this year. -- by Mark Taylor
DMC considers hospital closures, service cuts
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