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            Dr. Katz addresses absorption of SUNY Downstate patients and potential financial impacts
1:05:37
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59 sec
Dr. Mitchell Katz discusses the current and potential future impacts of SUNY Downstate's service reductions on Health + Hospitals, particularly Kings County Hospital. He also touches on the financial implications of possible Medicaid cuts. Key points include:
- Kings County Hospital has already absorbed some patients due to SUNY Downstate's service closures
- H+H can generally manage increased patient volume if insurance coverage remains intact
- H+H's lower cost structure compared to private hospitals allows them to operate efficiently on Medicaid reimbursements
- Potential Medicaid cuts could pose significant financial challenges if patients lose insurance coverage
- Dr. Katz emphasizes that H+H's ability to absorb additional patients depends on maintaining current insurance coverage levels
- He warns that loss of insurance coverage would lead to increased uncompensated care, straining H+H's finances
                                
                                    Mitchell Katz
                                
                            
                            
                                            
                                            1:05:37
                                        
                                        So we are much fuller because of that, but we will keep staffing up depending upon what happens to that hospital.
                                    
                                            
                                            1:05:49
                                        
                                        And again, you know, before there are any drastic Medicaid cuts, we can generally fund ourselves increased volume if it's just the volume.
                                    
                                            
                                            1:06:01
                                        
                                        If we're not building anything, if we're generally insurance will pay us our costs.
                                    
                                            
                                            1:06:07
                                        
                                        Our costs are much lower than Mount Sinai, much lower than NYU because we don't pay people what they pay them.
                                    
                                            
                                            1:06:14
                                        
                                        So we can generally make it work on Medicaid.
                                    
                                            
                                            1:06:18
                                        
                                        But obviously if there are a lot of people who lose insurance coverage, then we'll have the same expense because losing Medicaid doesn't make you healthier, or in fact it makes you sicker.
                                    
                                            
                                            1:06:29
                                        
                                        So the same number of people will come, but now there'll be no paying source.
                                    
                                            
                                            1:06:33
                                        
                                        So that would take us to a different area.
                                    