Forecasting hospital reimbursement

The changes in reimbursement to hospitals by third party payers make it essential for hospital administrators to forecast their hospitals' reimbursement potential. Although models have been developed to predict and maximize census, forecast future demand for hospital care, and forecast the revenue budget, none of the models addresses how the physician directly affects the hospital reimbursement potential through office practice admissions. This study analyzes the admitting physician's patients by third party payer and presents a method to assist in using a physician's past hospital admissions to forecast a hospital's admissions and reimbursement potential.