Carlos Migoya Sees Deal With Hmos New Price Structure And Lures For Highincome Patients As Way To Cure Jackson

After a 10-month stint balancing the City of Miami’s cash-strapped budget at no pay, Carlos Migoya now takes on a more challenging role with a six-figure salary.

Mr. Migoya, a longtime banking executive, was selected to lead Jackson Health System as president and chief executive officer at a time the organization is financially in critical condition.

His initial strategy is not to cut services, he said, but will involve some layoffs.

A search committee directed to find Jackson’s next CEO agreed Mr. Migoya was the right man for the job, but some have criticized Mr. Migoya’s selection because he doesn’t have health care management experience.

Jackson’s problems are concentrated on the business side, not the health care side, Mr. Migoya said, because the hospital is considered a top comprehensive health care provider.

The hospital’s financial troubles, he said, stem from charging more for some medical services and paying higher salaries than competing local hospitals.

"We’ve had a much higher pricing that’s kept revenues away, and a high expense structure, of which the combination of the two created the losses," he said. "We need to change that."

In this role, which he took on in April, Mr. Migoya listed as a top priority adjusting prices for day-to-day medical services that Jackson offers to be more competitive with other hospitals in South Florida.

To increase revenues, he plans to attract HMOs, a type of managed-care company, to do business with Jackson, as well as create a first-class service line to draw more affluent patients.

Mr. Migoya shared his plans and priorities with Miami Today reporter Yudislaidy Fernandez at the Jackson complex in Miami’s Health District.Read the complete issue of Miami Today online. Subscribe to e-Miami Today.You’ll have access to original, local Miami business information that is found nowhere else anywhere you have Internet access. To read this profile article in its entirety, subscribe to e-MiamiToday. With the e-MiamiToday you will be able to read the entire contents of Miami Today online exactly as it appears in print. Or order this issue, to receive a regular printed copy of this week’s Miami Today. You may also subscribe to the printed edition of Miami Today to receive the newspaper every week by mail. If you are reading this in Miami Today’s “Online Archive” as an archived web page and would like to see the entire article that was published, call Miami Today, 305-358-2663 and ask for the Circulation Department.   Top Front Page About Miami Today Put Your Message in Miami Today Contact Miami Today © Copyright 2011 Miami Today designed and produced by Green Dot Advertising and Marketingvar gaJsHost = ((“https:” == document.location.protocol) ? “https://ssl.” : “http://www.”);document.write(unescape(“%3Cscript src='” + gaJsHost + “google-analytics.com/ga.js’ type=’text/javascript’%3E%3C/script%3E”));var pageTracker = _gat._getTracker(“UA-4990655-1”);pageTracker._initData();pageTracker._trackPageview();