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Hospitals want their beds to be full. Photo: Pat Greenhouse / The Boston Globe via Getty

Executives from 21 not-for-profit hospitals and health systems offered some starkly conflicting messages this week as they mingled with bankers, bondholders and hedge fund analysts at the J.P. Morgan Healthcare Conference in San Francisco.

What they said: Strong inpatient volumes are a priority — but they are also committed to "value-based care" that, in theory, leads to fewer inpatient hospital stays as more people get care in outpatient sites or at home.

Here's what some hospital executives said this week:

  • Admissions in the most recent financial quarter were "a little bit softer than we wanted," said Dean Swindle, chief financial officer of Catholic Health Initiatives.
  • Adventist Health System CEO Terry Shaw highlighted his organization's focus on "acute-care growth."
  • Tony Speranzo, CFO of Ascension, said profit margins at the $23 billion Catholic health system were down this year "due to soft volumes."
  • Multiple hospital systems said they were working to improve their "revenue cycle" — industry jargon for billing and collecting money from patients.
  • Systems like Aurora Health Care in Wisconsin are "acquiring" patient visits by investing in advertising and building brand loyalty.

The bottom line: Hospitals tell the public they want to keep people healthier and reduce the number of patient admissions, which would inherently reduce their revenue. But the truth is they still want their inpatient beds filled whenever possible.

Go deeper

A new Washington

Photo: Stefani Reynolds/Getty Image

D.C. Mayor Muriel Bowser said Friday that the city should expect a "new normal" for security — even after President-elect Biden's inauguration.

The state of play: Inaugurations are usually a point of celebration in D.C., but over 20,000 troops are now patrolling Washington streets in an unprecedented preparation for Biden's swearing-in on Jan. 20.

Mike Pence calls Kamala Harris to offer congratulations and help

Mike Pence. Photo: Chip Somodevilla via Getty

Vice President Mike Pence called Vice President-elect Kamala Harris on Thursday to congratulate her and offer assistance in the transition, the New York Times first reported.

Why it matters: The belated conversation came six days before the inauguration after a contentious post-election stretch. President Trump has neither spoken with President-elect Joe Biden, nor explicitly conceded the 2020 election.

Updated 2 hours ago - Health

The coronavirus variants: What you need to know

Illustration: Aïda Amer/Axios

New variants of the coronavirus circulating globally appear to increase transmission and are being closely monitored by scientists.

Driving the news: The highly contagious variant B.1.1.7 originally detected in the U.K. could become the dominant strain in the U.S. by March if no measures are taken to control the spread of the virus, the Centers for Disease Control and Prevention said Friday.

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