Several Seton Hospitals Accept Cost Plus

According to information obtained from http://www.raconline.org/ , Seton Highland Lakes and Seton Edgar B. Davis Hospitals, members of the Seton family of hospitals, are designated critical access hospitals. As such, each hospital has agreed to cost-plus 1% reimbursement from Medicare. According to this website, this cost-plus 1% reimbursement from Medicare is “intended to improve financial performance.”

There are over 1,300 hospitals across the United States that participate as critical access hospitals. While we like the cost-plus approach, we wonder how a hospital can expect to “improve financial performance” with only a 1% margin. We think a 12% margin is more fair and reasonable.