Spencer Hellwig, Saratoga County administrator, takes part in the discussion on issues surrounding Maplewood Manor at a meeting of the Saratoga County Public Health Committee on Monday, Sept. 10.
Photo by Julie Cushine-Rigg.
continued Brown said she doesn’t think the facility was under bedded to the extent reflected in the report. The committee discussed ways to fill the beds at Maplewood Manor, such as drawing more patients from Saratoga Hospital.
“I just don’t see why we’re not taking the 28 to 34 patients at Saratoga Hospital who are currently waiting for a bed,” said Yepsen. She said in 2010 there were 98 patients admitted to the home from the hospital, and in 2011that number was 57. So far for this year, 23 patients from the hospital have been admitted.
Medicaid at heart of gap
“We’re losing more than we’re gaining by taking them, they’re the at-risk people for nonpayment,” said Ballston Supervisor Patti Southworth.
Southworth said the county loses approximately $750,000 in this manner from patients who are not Medicaid eligible. The Harris Beach report found 82 percent of Maplewood patients are covered by Medicaid, but “in 2010 ,the daily cost per patient was $317, while the Medicaid reimbursement rate for such patients was $160 per day, leaving a deficit per patient, per day of $157. As this report indicates, that dynamic will only get worse with time.”
“The state reimbursement has not kept pace with the cost, and not kept up the county bearing the brunt of this,” said Supervisor Thomas Wood, chairman of the Board of Supervisors.
According to Brown, the current cost for one patient per day at Maplewood Manor for a private room is $342. For a semi-private room, the rate is $322.
“I feel we provide excellent care here. We have a very low employee turnover rate and that has a positive impact on our care. Staff has become family to many residents. Our biggest asset is our employees,” said Brown.
The full Maplewood Manor report is available atsaratogacountyny.gov.