The systems include 68 hospital campuses, more than 1,100 care delivery sites, nearly 14,000 employed, independent and academic physicians and two health plans.
Health systems continued either pouring money into their facilities or expanding presence and scope of services last month, according to HIMSS Analytics.
Immigrants accounted for nearly 13 percent of premiums paid to private plans but only about 9 percent of insurers’ expenditures, according to a new study in Health Affairs. The cost of care for the group of native-born customers, however, exceeded their premiums.
The penalties for some facilities will be as much as 3 percent, the maximum allowed under federal law, which can translate into tens of thousands in lost revenue.