CHOMP plans deep cuts to budget

CHOMP plans deep cuts to budget

There are 29 comments on the Monterey County Herald story from Jul 22, 2010, titled CHOMP plans deep cuts to budget. In it, Monterey County Herald reports that:

Faced with a decline in revenue and with cost-cutting efforts falling behind, Community Hospital of the Monterey Peninsula officials are planning to slash the hospital's budget by nearly twice what they originally planned.

Join the discussion below, or Read more at Monterey County Herald.

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Willowhouse

Monterey, CA

#1 Jul 22, 2010
My health insurance company, as well as others, have put both CHOMP and SVMH on the no go to list by raising the deductible for going to them. Both CHOMP and SVMH fees are way out line with other hospitals in the state. Their fees have to go down to levels that are more acceptable to the insurance companies if they want their business.
Joe

Seaside, CA

#2 Jul 22, 2010
Why hasn't CHOMP cut their CEO's salary? Last year they tried to play hardball with the teacher's union and the teacher's union won-they will pay to send union members to any other hospital they choose.
CHOMP employee morale must be low as they watch the hospital expand while they cut jobs. Seems like any other large business.
Where is CHOMP's "human touch?"
DawgEStyle

United States

#3 Jul 22, 2010
At the rate things are going, pretty soon you'll have CHOMP volunteers working as nurses in the emergency room.
Dr who knows

Monterey, CA

#4 Jul 22, 2010
Sad to see this especially since the top CHOMP administrators all received large 2009 Bonuses which was in addition to their large salaries. The administrators refuse to take any type of reduction themselves. They rather layoff $10/hr workers by the dozens who have families to feed and bills to pay.
Pack in Packer

Monterey, CA

#5 Jul 22, 2010
Ranked 13th in the US for most beautiful hospitals??

There's your answer right there, Chomp is spending more on how it Looks rather than on how it cares for Patients and Employees. I wonder if they still have the $1 million endowment for their koi (fish) pond??
Monterey Resident

San Jose, CA

#6 Jul 22, 2010
I really love the new cafeteria and have you soon the new gift shop or how about the many sitting area renovations. Oh wait, now we find out that they were not necessary !!!!!!!!!! CHOMP is a great hospital and an essential part of our lives on the peninsula but who made those costly decisions ???? I am sick of this nonsense. They take away the 1,000 scholarship for Jr. volunteers and cry about money and now making cuts to (ALWAYS) the low paying jobs. How about start making cuts at the top first and save many lower paying jobs.....
SFO

Tacoma, WA

#7 Jul 22, 2010
CHOMP and SVMH has always been for the well to do and the rich. They bailed out Natividad and Mee Memorial because they dont want to see the so called "other patients" here in Monterey County. Personnally, I like the care they provide at Natividad, high quality healthcare. CHOMP on the and SVMH on the other hand wants to look good vice providing quality/affordable healthcare. My two cents. You wanna bet they are either blaming this thing on the help on Natividad or the so called "other patients".
taxpayer

Salinas, CA

#8 Jul 22, 2010
Everyone...boycott this hospital..they not only charge Blue Shield and Blue Cross patients more than ANY other Hospital in Calif ( the Chomp Doctors will not negotiate with Blue Shield/Cross) but also they have messed up many peoples blood work...so try other Hospitals that respect your hard earned money. Also, CHOMP has agreed to help free of charge all ILLEGALS whereas you with Insurance....they charge higher to make this up.

boycott this hospital for your own health safety adn also for your community
taxpayer

Salinas, CA

#9 Jul 22, 2010
remember the Doctors there are the top three highest paid Doctors in ALL Hospitals WEST of Iowa. The Doctors will NOT agree to rates with Blue Shield/Cross as do ALL other Hospitals nationwide. They are greedy Doctors. Go to Salinas Valley Medical and you save over 25% in Hospital costs with the same care if not better.
taxpayer

Salinas, CA

#10 Jul 22, 2010
Dr who knows wrote:
Sad to see this especially since the top CHOMP administrators all received large 2009 Bonuses which was in addition to their large salaries. The administrators refuse to take any type of reduction themselves. They rather layoff $10/hr workers by the dozens who have families to feed and bills to pay.
the doctors at chomp are to blame as well due to them not negotiating with Blue shield,etc...so I will not go there due to Doctors greed
again

Hollister, CA

#11 Jul 22, 2010
When I first moved here 5 years ago from the Bay area, my self-paid medical insurance jumped up 25% purely because of the change in address. I checked other insurers and they all charge a similar premium over other areas of California.

Obviously, no one would tell me the reason, but I think I understand. Monterey County, except for the enclaves of Carmel, PB, and PG, is overwhelmingly poor - employed in agriculture or tourism. Most medical recipients are uninsured, on Medicaid, or MediCare. There are no Fortune 50 companies here. To compensate for all these extremely low payers, the insurance companies charge people like me exorbitantly high insurance premiums.

A few years ago, I needed an emergency ride to CHOMP. The ambulance charged a very high sum, very little of which was covered by my insurance. When I discussed the matter with the company clerk,she told me that 80% of their patients never pay their bill anyways. I paid in full, but I guess I was in the small minority.

Some time later, I needed a head MRI. CHOMP charges twice that of a private facility in Watsonville. MRI's are just commodity services, and so I went to the cheaper place.

CHOMP (and Salinas Valley) should rethink its mission. There are not enough young rich or well-insured people around here to support beautiful waterfalls, marble lobbies, original paintings, and beautiful landscaping. The rich in Monterey County are also old - and thus only need to "pay" Medicare rates for care, even if they are multi-millionaires as many of them are.

I am tired of personally subsidizing the old, the poor, and the uninsured. This should be a global responsibility, not one hoisted on people like me. I can move to Santa Barbara and get an immediate decrease in my medical premiums.
again

Hollister, CA

#12 Jul 22, 2010
I missed this part:
"The number of patients with lower-paying government insurance rose to a record 73 percent"

I assume that this means Medicare, MediCal, and the uninsured (most of whom would be immediately sent to Natividad). If true, CHOMP has much fewer insured patients than most hospitals in the USA. This is not survivable, except with massive infusions of public money. As I alluded in a previous post, the rich old person pays just as much as a poor old person for medical services (effectively zero).

Oh well, I will miss the lobby, the waterfalls, the gourmet coffee.
Randy Watson

Salinas, CA

#13 Jul 22, 2010
Administrators, doctors, insurance companies...all the same to blame...in the end, the people of the Peninsula take it up the a**
Native

New Cuyama, CA

#14 Jul 22, 2010
Dr who knows wrote:
Sad to see this especially since the top CHOMP administrators all received large 2009 Bonuses which was in addition to their large salaries. The administrators refuse to take any type of reduction themselves. They rather layoff $10/hr workers by the dozens who have families to feed and bills to pay.
Maybe Admin should start learning how to answer phones, clean pt rooms, etc., etc...soon there wont be many employees left to do the basics!
Marina resident

Kamuela, HI

#15 Jul 23, 2010
Thank you OBAMACARE and all the illegals that are treated in the ER daily and don't even pay a dime.. yet I pay higher prices because of "them". WAKE UP AMERICA!
Yeah Right

Monterey, CA

#16 Jul 23, 2010
Marina resident wrote:
Thank you OBAMACARE and all the illegals that are treated in the ER daily and don't even pay a dime.. yet I pay higher prices because of "them". WAKE UP AMERICA!
ummm, Obama care? That has been going on way before Obama dude...

Since: Jan 09

Location hidden

#17 Jul 23, 2010
again wrote:
I missed this part:
"The number of patients with lower-paying government insurance rose to a record 73 percent"
I assume that this means Medicare, MediCal, and the uninsured (most of whom would be immediately sent to Natividad). If true, CHOMP has much fewer insured patients than most hospitals in the USA. This is not survivable, except with massive infusions of public money. As I alluded in a previous post, the rich old person pays just as much as a poor old person for medical services (effectively zero).
Oh well, I will miss the lobby, the waterfalls, the gourmet coffee.
I agree with most of what you've said in your posts, and would like to make a few points.

Most of CHOMP's aesthetics are long paid for. Additionally, crazy though it may seem to some, having a pleasant environment contributes to people's overall health. Patients and staff are less stressed. For staff, this means less sick time and fewer mistakes. For patients, this contributes to a faster recovery time (= less time in-house = smaller bill).

Regarding the uninsured, "most of whom would be immediately sent to Natividad", unfortunately, it's not quite that simple. Nearly all of those patients come through the ER. By law, they've got to be seen and assessed (start the cost meter). If they do, in fact, have some kind of crisis (as many/most do since they're not receiving regular medical care and by the time they seek treatment, their situation requires emergent attention), they've got to be stabilized before they can be transferred. If that stabilization includes some life-saving interventional procedure, the bill is now, at a minimum, in the tens of thousands of dollars.

Your assessment of "the rich in Monterey County" using Medicare is one of my pet peeves. The MPCC members who brag about only paying $10 a prescription or $25 a doctor visit are, in essence, having part of their country club membership underwritten by the local healthcare community (in the form of write-off for under-reimbursement), the federal government and, ultimately the rest of us in the tax-paying community.
Mikey

Los Gatos, CA

#18 Jul 23, 2010
Fire the administration. Overpaid.
again

Berkeley, CA

#19 Jul 23, 2010
Eleve, you are certainly one of the most thoughtful, insightful posters I have ever encountered.

I know that ER's must assess and stabilize all comers. I would be interested to see how many uninsured patients CHOMP actually treated last year.

I haven't made it to MPCC for months, but I did spent a few hours today at Spanish Bay (I'm semi-retired). Same idea. Lots of boring old folks. Unfortunately, the table next to mine was occupied by a local GI guy and his family/office staff. Is there anything more suffocating than to endure the trivial blather of a doctor during his lunch break? This particular one was some chubby, ultra-nerdy, middle-aged guy of no particular distinction, except that he has an MD. As such, he regaled his table with the frustrations of appropriate coding for colonoscopies.

It is really puzzling to me. Doctors are smart, well-off, and daily handle life and death issues. Yet in any social setting, they are peevish, narrow-minded, politically-unaware,and uncultured.
Joseph Blough

United States

#20 Jul 23, 2010
eleve wrote:
<quoted text>
I agree with most of what you've said in your posts, and would like to make a few points.
Most of CHOMP's aesthetics are long paid for. Additionally, crazy though it may seem to some, having a pleasant environment contributes to people's overall health. Patients and staff are less stressed. For staff, this means less sick time and fewer mistakes. For patients, this contributes to a faster recovery time (= less time in-house = smaller bill).
Regarding the uninsured, "most of whom would be immediately sent to Natividad", unfortunately, it's not quite that simple. Nearly all of those patients come through the ER. By law, they've got to be seen and assessed (start the cost meter). If they do, in fact, have some kind of crisis (as many/most do since they're not receiving regular medical care and by the time they seek treatment, their situation requires emergent attention), they've got to be stabilized before they can be transferred. If that stabilization includes some life-saving interventional procedure, the bill is now, at a minimum, in the tens of thousands of dollars.
Your assessment of "the rich in Monterey County" using Medicare is one of my pet peeves. The MPCC members who brag about only paying $10 a prescription or $25 a doctor visit are, in essence, having part of their country club membership underwritten by the local healthcare community (in the form of write-off for under-reimbursement), the federal government and, ultimately the rest of us in the tax-paying community.
If the MPCC members knew what retired military members pay for their prescriptions and doctor visits they'd be jealous. Coverage for a single retiree is $19/month, for a family of any size $38/month. Doctor visit copay is $12. Prescriptions are $3 for generic,$9 for brand name, and for a very few medications it is $22. Inpatient hospital care is $11/day. Outpatient surgery is $25, including 90 days of aftercare.

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