National financial impact analysis for a COVID-19 Compensation agreement

About the collaboration

LOGEX closely collaborated with 20 volunteer hospitals on behalf of the Dutch Hospital Association (Nederlandse Vereniging van Ziekenhuizen, NVZ) to test the financial impact and potential risks of a national COVID-19 compensation agreement that aimed to provide financial security for hospitals amidst the national COVID-19 outbreak.

The challenge

In July 2020, after extensive negotiations, the Dutch Hospital Association (NVZ) and the Association of Health Insurers (Zorgverzekeraars Nederland, ZN) reached a landmark agreement to guarantee financial security for hospitals amidst the national COVID-19 outbreak. In order to ensure sufficient capacity for COVID-19 care, hospitals deferred regular treatments, which had a significant impact on their earnings. The national agreement allowed hospitals to cover their fixed costs, aiming to provide financial stability in the healthcare system. The national agreement allowed hospitals to cover their fixed costs, aiming to provide financial stability in the healthcare system. Compensation, however, was applied through generic parameters, while hospitals were not equally hit by the effects of COVID-19. In this unprecedented situation with many unknowns, the NVZ approached LOGEX for support in conducting an in-depth financial ‘stress-test’ by means of a financial P&L forecast among 20 of its member hospitals across the country.

It was vital to test and understand the financial impact of the COVID-19 compensation scheme, its potential sensitivities or risks, in order to make a well-informed decision on an arrangement that aims to provide financial security for the Dutch hospitals.

The solution

Leveraging insights and experience of its Financial Control portfolio, LOGEX worked closely with 20 individual hospitals to develop a detailed P&L Forecast for the remainder of 2020, including the expected effects of the national agreement and various sensitivity analyses.

LOGEX’s deep knowledge of hospital financial control helped the hospitals and the NVZ develop a better understanding of the sensitivities and potential risks or opportunities of the compensation scheme, to a level that otherwise would not have been possible within the highly demanding timeframe. Furthermore, partnering with LOGEX allowed the NVZ to focus more of their efforts on managing the already challenging negotiations, backed with clear and quantified insights.

Financial Control

Our Financial Control suite enables you to gain mastery over patient volumes, resources and finances for the entire organization, leading to better financial performance—with the numbers to prove it.

We cover the full spectrum of financial and operational processes, from costing and budgeting to forecasting and contracting. 

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  • Costing
  • Budgeting
  • Forecasting

Our activity-based costing model empowers you to:

Calculate, apply, and optimize

Make cost calculations for healthcare providers that are easy to understand, apply, and optimize.

Maximize the flow of resources

Allocate resources and costs to patients, care activities and episodes.

Benchmark and improve

Benchmark unit costs with national and international peers to identify areas for improvement.

Deliver, regulate and meet standards

Deliver information to national regulators automatically and in full compliance with National Cost Collection requirements.

Our activity-based budgeting model makes it possible to:

Build and benchmark budgets

Seamlessly link volumes, resources and finances in one budget.

Anticipate and respond to future demand

Match the deployment of resources and manpower to the future demand for care.

Zero in on areas for improvement

Determine how portfolio choices impact operations, and spot areas for improvement.

Involve physicians and managers in budgeting

Bottom-up budgeting functionality facilitates collaboration with non-financial stakeholders.

Our forecasting model enables you to:

Forecast and monitor volume, revenue and cost

Stay on top of expected vs. realized volumes, revenues and costs on a near real-time basis.

Analyze and factor risk into payer contracts

Automate value-at-risk calculations for all contractual agreements with commissioners.

Leverage machine learning algorithms

Build and maintain reliable, easy-to-access forecasts based on machine learning algorithms.

Produce timely, compliant reports with ease

Deliver periodic financial results that are fully compliant with national regulations.

LOGEX’s Financial Solution team was able to:

  • Develop a detailed financial forecast in an extremely challenging year
  • Help analyze, identify and quantify variable elements in the hospital cost base
  • Help review and standardize each hospital’s cost base, for comparison with 20 hospitals
  • Consolidate findings in a management report to the NVZ board with (anonymized) results from the analysis
  • Invest significantly for the national interest conducting an extensive analysis for 20 hospitals and consolidating findings in a timeframe of under 2 months, leveraging the team’s experience as well as LOGEX’s Financial Control platform

LOGEX support on conducting the financial stress-test (Elandproef) significantly helped concretize discussions between the NVZ and ZN. These talks would likely have been severely more challenging without a solid analysis as a base.

Would you like to learn more about measuring and improving your organization’s financial performance?

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