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Covering hospital finances: Challenges

June 11, 2012

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Dr. Satish Chandraprakasam talks with a patient at the JFK Clinic in St. Louis. Photo: Mercy Health

Our popular business beat basics series is now available all in one place in ebook form for your convenience. Go here to download the Reynolds Center’s free ebook, Business Beat Basics.


Now is a great time to begin covering hospital finances.

Hospitals are 30 percent of U.S health care spending. And given the size of the federal deficit, hospitals will almost certainly face tough times ahead (though their longterm growth is a good bet).

All roads to a balanced budget go through Medicare and Medicaid. Medicare especially took a big whack in 1997 when the budget was last put in balance.

Other issues to keep in mind on the hospital beat are:

  • Never rely on documents alone for a story. Interview! A big gain or loss usually has many factors. Use the documents here to inform the reporting and use reporting to illuminate these documents.
  • Try to avoid numbers only stories. Find people who are affected. The ultimate point is how finances are affecting patients and their caregivers.
  • Hospital PR folks are not going to be much help on difficult stories. But getting information from the documents above may compel PR reps to release more information.
  • Don’t try to figure out audited financial statements by yourself, especially in the beginning. It’s a recipe for failure. Obtain the documents and find independent academic experts who can review them and teach you what the best questions are. They can also be quoted.
  • Use the power of your peers. Consider joining the Association of Health Care Journalists, the nation’s leading group of health reporters. AHCJ has strict rules on not taking money from the industries that health reporters cover. The group’s list serv can pick the brains of 1,100 journalists on deadline. AHCJ also offers tip sheets and conference sessions on hospital finances that can deepen your reporting. It’s the quickest, most cost effective support out there.


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