The result was a 6.8% decrease in revenue per visit, even though total net patient service revenue increased 0.4% on higher volume.
Inpatient discharges increased 1.4%, but Methodist blamed high-deductible health plans for holding down commercial admissions. Tennessee is not a Medicaid expansion state, and Methodist said higher unemployment and limited enrollment in exchange plans also contributed to more self-pay patients.
However, outpatient volumes jumped 14.2%, with Methodist attributing 4.7% of the increase to a greater number of employed physicians and 3.4% to its new hospital in Olive Branch, Miss.
But the same factors that contributed to higher volume also drove up its expenses for the year. Salary and benefit expenses increased 10.2%, and supply costs, 6.1%, as the system added more clinicians to its payroll and also acquired more physician practices.
Methodist saw a $2.5 million loss in the quarter on revenue of $387.3 million compared to a $42.8 million surplus on revenue of $375.7 million in the first quarter of 2013. Its excess margin was 0.6%, compared with 8.8% last year.
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