Health care — A growing economic sector in Southern Nevada

During the Great Recession, people still got sick, had surgeries, experienced accidents and had babies. But with record unemployment, many Las Vegans — without health insurance or other means to pay for services — ended up in emergency rooms.

“Reflecting back on that time frame, we saw an increase in the overall cost to provide health care on both a short- and longer-term basis,” said Don Giancursio, CEO of UnitedHealthcare of Nevada, in a recent email interview. UnitedHealthcare is an operating division of UnitedHealth Group, the largest single health carrier in the U.S. and one of Nevada’s largest non-gaming employers.

“The ACA (Affordable Care Act) has completely changed the health insurance marketplace for the overwhelming majority of Americans,” he said. “Product offerings, pricing and benefit coverages are far more standardized than before. For some cohorts of the population, this is viewed favorably; for others, not so favorably.”

Giancursio went on to explain that “affordability depends on where you sit.”

And he means that quite literally: Health insurance price coverage cannot be determined by pre-existing conditions other than ZIP code, age and smoking status. Nevada as a whole saw Medicaid recipients nearly double from approximately 335,000 to around 600,000 with the implementation of the ACA.

bar chart of health care costs for Las Vegas metro

AS ECONOMY IMPROVES, SHELVED PROJECTS GET UNDERWAY

Karla Perez, regional vice president of The Valley Health System, estimates an approximately 11 percent expansion of hospital beds in the Las Vegas market by 2016’s end.

“You’re not seeing that (kind of expansion) anywhere in the nation,” she said in a recent interview with the Las Vegas Business Press.

Henderson Hospital is set to open later this year near Galleria Drive and U.S. Highway 95 as part of the integrated health village Union Village. Also in Henderson, the Siena Campus of St. Rose Dominican Hospitals recently opened a 220,000-square-foot addition with 96 private patient beds.

Spring Valley Hospital is adding a four-story tower, and both Centennial Hills and Southern Hills hospitals are adding more patient beds and services. In the northwest, MountainView Hospital is undergoing a $90 million expansion.

DOCTORS’ GROUPS ALSO EXPANDING

“We’ve had to absorb 100,000 new patients into our practice (since the implementation of the ACA), and to do that, we had to grow our medical group significantly,” said Dr. Robert McBeath, president and CEO of Southwest Medical Associates, one of Nevada’s largest multispecialty medical groups. “We’ve gone from about 275 physicians to over 350 in the last 18 months.”

In fall 2017, the UNLV School of Medicine will accept its inaugural class of 60 students. In the meantime, local hospitals have stepped up the number of residency programs in hope that the newly minted specialists will decide to make Southern Nevada their home.

“We started 28 new residents at Valley Hospital in July,” said Dr. Andy Eisen, chief academic officer for The Valley Health System and president of the Clark County Medical Society. “We are focusing on what the needs are in the community. Twenty of the 28 are in family medicine and internal medicine.”

The Valley Health System also includes Centennial Hills, Desert Springs, Spring Valley and Summerlin hospitals, as well as the new Henderson Hospital.

ENTIRE INDUSTRY UNDERGOING SEISMIC SHIFT

Post-recession, providers are being encouraged (and paid) to keep people healthy and put more decision-making in the hands of the patient via technology.

With more people having access to health care and baby boomers turning 65 at the rate of 10,000 people a day across the nation, telemedicine seems to be the wave of the future. The 2014 American Community Survey 1-Year Estimates reported the national 65-or-older population as 46.8 percent male and 53.2 percent female.

“We went live with a dedicated telemedicine program on Jan. 1, 2014,” said McBeath. “Over the last 24 months, we’ve seen over 13,000 telemedicine consult patients.”

Local Dr. Samir Qamar, CEO and founder of MedLion, the country’s largest direct primary care company, is set to launch his telemedicine device, MedWand, this year. The invention allows doctors to hear heart and lungs, look at ears, eyes, nose or throat, and take pulse and temperature and convey the results to the doctor in real time via a telemedicine visit. Qamar has partnered with the Internet company Doctor On Demand to integrate MedWand into its business model.

HEALTH CARE INDUSTRY GROWTH

Recovery from the recession, a future medical school, increased numbers of insured, hospital expansion and a fundamental shift in the health care delivery system have all created more job opportunities in health care.

Even though local nursing programs have stepped up their number of graduates, experienced nurses are still in short supply, according to Wayne Cassard, system director of Human Resources for The Valley Health System. He said approximately 50 to 60 percent of Valley’s nursing hires are from out of state.

“Whenever we recruit outside of Las Vegas, we really are focusing on trying to find experienced nurses who want to move to Nevada,” he said.

With the growth of Electronic Medical Record requirements, information technology specialists and medical coders are also in short supply.

“To find experienced coders is somewhat of a challenge,” Cassard said. “We actually work with coders all over the country because the work they do can be done remotely.”

Growth in the local health care support system is creating “incredibly important jobs for the folks in Southern Nevada,” Eisen said.

Hospital staffing, 2008-15

Full-Time Equivalents* at acute hospitals, Clark County

Quarter R.N. L.V.N./L.P.N. Aides and orderlies Other FTEs Total FTEs
2008 Q1 6,626 322 1,099 7,136 15,184
2009 Q1 6,686 268 1,137 6,804 14,903
2010 Q1 5,547 163 1,065 8,202 14,986
2011 Q1 5,190 144 1,024 8,511 14,879
2012 Q1 5,588 118 1,250 8,070 15,038
2013 Q1 6,682 135 1,164 7,908 15,898
2014 Q1 6,231 100 1,287 8,345 15,974
2015 Q1 6,165 52 1,358 7,794 15,378

*An FTE is a standard unit of measurement of the hours equivalent to one full-time employee in order to compare part-time and full-time workers.

**Does not include contracted employees

SOURCE: Center for Health Information Analysis for Nevada

ad-high_impact_4
News
Ceremony Recognizes Refugee Students, Graduates
Rosy Mibulano, a graduate of Las Vegas High School who came to America from the Congo in 2015, was recognized in a ceremony for refugee students in Clark County. Like many other students relocated to Las Vegas from countries around the world, Rosy had a challenging high school experience, from learning English to adjusting to American customs and taking care of her family. On top of that, she wants to go to school to become a nurse so she can take care of her mother, who suffers from diabetes. The annual Refugee Recognition Ceremony celebrates the enormous lengths these young adults go through to create a new life for themselves. (Madelyn Reese/Las Vegas Review-Journal)
Paul McCartney is worth over $1 billion
Sir Paul McCartney is one of the most celebrated and accomplished musicians in history. He just turned 76 on June 18. McCartney grew to international fame with the Beatles and went on to become a wildly successful solo musician. Paul McCartney’s net worth is estimated at $1.2 billion, according to Celebrity Net Worth. In 2017, McCartney landed the No. 13 spot on Forbes’ list of the world’s highest-paid musicians, earning $54 million for the year. On Thursday, June 20, McCartney will release a double A-side single featuring two new songs, "I Don't Know" and "Come On to Me." McCartney has yet to announce a title of his new album or when it will be released. Th album is expected to be released before he headlines the Austin City Limits Music fest in October.
Water leak at Mandalay Bay convention center
The convention center area of Mandalay Bay in Las Vegas experienced major flooding Tuesday afternoon. Credit: Melinda Cook
Hollywood Memorabilia Up For Grabs at Las Vegas Auction
Elvis Presley's car, Marilyn Monroe's bras, Han Solo's blaster, and Jerry Lewis's "Nutty Professor" suit are just some of the items that are up for auction at Julien's Auctions at Planet Hollywood June 22 and 23. The auction's viewing room at Planet Hollywood is open to the public 11 a.m. to 6 p.m. daily through Saturday at Planet Hollywood. (Madelyn Reese/Las Vegas Review-Journal)
Indoor farming in Southern Nevada
Experts discuss Nevada's indoor farming industry. (Bailey Schulz/Las Vegas Review-Journal)
Former Fontainebleau could have become a Waldorf Astoria
Months after developer Steve Witkoff bought the Fontainebleau last summer, he unveiled plans to turn the mothballed hotel into a Marriott-managed resort called The Drew. But if Richard “Boz” Bosworth’s plans didn’t fall through, the north Las Vegas Strip tower could have become a Waldorf Astoria with several floors of timeshare units. (Eli Segall/Las Vegas Review-Journal)
New Springs Preserve Exhibit Shows Off "Nature's Ninjas"
"Nature's Ninjas" arrives at the Springs Preserve, in an exhibit and live show featuring critters that come with natural defenses, from armadillos to snakes, poison dart frogs to scorpions and tarantulas (Madelyn Reese/Las Vegas Review-Journal)
CrossRoads of Southern Nevada psychiatric urgent care to open in Las Vegas
Jeff Iverson, who operates the nonprofit sober living facility Freedom House, is opening a private addiction treatment center that will operate a detoxification center and transitional living for substance users trying to recover. (K.M. Cannon/Las Vegas Review-Journal)
Metro Capt. Jaime Prosser gives update of officer-involved shooting
Metro Capt. Jaime Prosser provides an update about an officer-involved shooting at Radwick Drive and Owens Avenue in the northeast Las Vegas on Thursday. A robbery suspect was shot and killed. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
Wayne Newton surprises burglars
Wayne Newton and his wife, Kathleen, arrived at their southeast Las Vegas home shortly before midnight on Wednesday to find two burglars inside their house. The burglars fled and were seen heading north through the property. Las Vegas police quickly set up a perimeter and launched an extensive search of the area, but the suspects were able to escape. It was unclear if the burglars got away with anything of value. Several items, under the watchful eyes of the police, were seen on the ground near the home's main driveway. Neither Newton, nor his wife, were injured. The Newtons were not available for comment.
Police Officers Turn Off Body Cameras
In four separate body camera videos from the Route 91 Harvest festival shooting released Wednesday, officers in a strike team are instructed to turn their body cameras off and comply with the request.
Debra Saunders reports from Singapore
Las Vegas Review-Journal White House correspondent talks about the historic summit between President Donald Trump and North Korea's leader Kim Jong Un.
How long will North Korea's denuclearization take?
In Singapore, Las Vegas Review-Journal White House correspondent Debra Saunders asks President Donald Trump how long North Korea's denuclearization will take. White House video.
LVCVA purchase of gift cards hidden
A former LVCVA executive hid the purchase of $90,000 in Southwest Airlines gift cards in records at the agency. Brig Lawson, the senior director of business partnerships, said the money was for promotional events and did not disclose that it was for gift cards. Lawson also instructed Southwest employees to submit invoices without mentioning the purchases were for the cards. More than $50,000 of the cards cannot be accounted for. The convention authority is publicly funded . Lawson recently resigned.
Kim Jong Un visits Marina Bay Sands in Singapore
North Korean leader Kim Jong Un and his entourage visited the Marina Bay Sands in Singapore briefly Monday night, local time. (Video by Philip Chope)
Coca-Cola Bottle Purse Has 9,888 Diamonds
Designer Kathrine Baumann and jeweler Aaron Shum set the Guinness World Record for most diamonds (9,888) set on a handbag. The Coca Cola bottle-shaped purse was on display at the Coca Cola Store on the Strip. (Madelyn Reese/Las Vegas Review-Journal)
Sentosa Island a pleasure resort with a pirate past
The site of Tuesday's U.S.-North Korea summit is known for theme parks and resorts. But before that, it was known as a pirate island. (Debra Saunders/Las Vegas Review-Journal)
Judge Sandra Pomrenze's comment about girl's hair
Nevada Races Full of Women From Both Sides
It's already been a historic election season for women in politics. Record numbers of women are running for political office all over the country - including Nevada. (Madelyn Reese/ Las Vegas Review-Journal) @MadelynGReese
East Las Vegas home damaged by fire
Clark County Fire Department crews responded to a house fire in east Las Vegas Thursday morning. (Bizuayehu Tesfaye/Las Vegas Review-Journal) @bizutesfaye
911 call: Mom tries to get to son shot at Route 91
A woman stuck on the interstate during the Route 91 Harvest festival shooting on Oct. 1, 2017, in Las Vegas, tries to get to her son. 911 call released by Las Vegas police.
Las Vegas 911 caller reports people shot on Oct. 1
A 911 caller on Oct. 1, 2017, reports several people shot at the Route 91 Harvest festival in Las Vegas.
911 call from woman under stage in Las Vegas shooting
A 911 call from a woman underneath the stage at the Route 91 Harvest festival during the Oct. 1, 2017, Las Vegas shooting.
LVCVA facing scandal over gift cards
LVCVA is facing a growing scandal over airline gift cards. LVCVA bought $90,000 in Southwest Airline gift cards between 2012 and 2017. Now auditors can’t account for more than $50,000 of the cards. CEO Rossi Ralenkotter and his family used $16,207 in gift cards on 56 trips. Brig Lawson, the senior director of business partnerships, was responsible for buying and distributing the cards. He recently resigned.
Siblings separated in the foster care system get a day together
St. Jude's Ranch for Children and Cowabunga Bay Cares program partnered to bring 75 siblings together for the day to play on the water slides and in the pools at the Henderson water park. (K.M. Cannon/Las Vegas Review-Journal)
People flee the Route 91 Harvest festival on Oct. 1, 2017
Las Vegas police released footage from a camera on Mandalay Bay of the Route 91 Harvest festival on Oct. 1, 2017
Aaliyah Inghram awarded medal of courage
Aaliyah Inghram, a 10-year-old girl who was shot while protecting her 18-month-old brother and 4-year-old cousin during a shooting on May 8, awarded medal of courage. Bizuayehu Tesfaye/Las Vegas Review-Journal @bizutesfaye
Las Vegans Pack Public Lands Open House
A crowd filled the Clark County Library conference room Tuesday afternoon where Clark County officials hold their first -- and possibly only -- public meeting on plans to open almost 39,000 acres of federal land for development just outside the Las Vegas metropolitan area. County commissioners are set to vote June 19 on a potentially controversial resolution seeking federal legislation that would set aside tens of thousands of acres for conservation while giving Nevada’s largest community more room to grow. (Madelyn Reese/Las Vegas Review-Journal)
Police search Henderson Constable's home and office
Las Vegas police served search warrants Tuesday at Henderson Constable Earl Mitchell's home and office. The investigation was sparked by a Las Vegas Review-Journal story showing Mitchell wrote himself $70,000 in checks, used ATMs at casinos and video poker bars, and traveled to places his adult children live. All using county funds. Police refused to comment but Mitchell's attorney said he did nothing wrong.
Vegas Golden Knights fans shows his colors for community
Vegas Golden Knights superfan Lynn Groesbeck has wrapped his new truck with Knights logos and images. He loves how the Golden Knights are bringing community back to Las Vegas. People stop him on the street to take photos and share his support. (K.M. Cannon/Las Vegas Review-Journal)
Business
Opendoor isn't the typical house flipping company
Unlike most house flippers, the company aims to make money from transaction costs rather than from selling homes for more than their purchase price.
The Venetian gondoliers sing Italian songs
Gondolier Marciano sings a the classic Italian song "Volare" as he leads guests through the canals of The Venetian in Las Vegas. (K.M. Cannon/Las Vegas Review-Journal)
Building In Logandale
Texas homebuilder D.R. Horton bought 43 lots in rural Logandale. (Eli Segall/Las Vegas Review-Journal)
Indoor farming in Southern Nevada
Experts discuss Nevada's indoor farming industry. (Bailey Schulz/Las Vegas Review-Journal)
Former Fontainebleau could have become a Waldorf Astoria
Months after developer Steve Witkoff bought the Fontainebleau last summer, he unveiled plans to turn the mothballed hotel into a Marriott-managed resort called The Drew. But if Richard “Boz” Bosworth’s plans didn’t fall through, the north Las Vegas Strip tower could have become a Waldorf Astoria with several floors of timeshare units. (Eli Segall/Las Vegas Review-Journal)
LVCVA CEO Rossi Ralenkotter announces plans to retire
Rossi Ralenkotter, CEO of the LVCVA, on Tuesday confirmed a Las Vegas Review-Journal report that he is preparing to retire. Richard N. Velotta/ Las Vegas Review-Journal
Cousins Maine Lobster to open inside 2 Las Vegas Smith’s stores
Cousins Maine Lobster food truck company will open inside Las Vegas’ two newest Smith’s at Skye Canyon Park Drive and U.S. Highway 95, and at Warm Springs Road and Durango Drive. Cousins currently sells outside some Las Vegas Smith’s stores and at Fremont Street and Las Vegas Boulevard. (K.M. Cannon/Las Vegas Review-Journal)
Las Vegas home prices to continue to rise, expert says
Lawrence Yun, chief economist at the National Association of Realtors, gives homebuyers a pulse on the Las Vegas housing market. (Eli Segall/Las Vegas Review-Journal)
NV Energy announces clean energy investment
The company is planning to add six solar projects in Nevada, along with the state's first major battery energy storage capacity. Bailey Schulz/Las Vegas Review-Journal
3 Mario Batali restaurants on Las Vegas Strip to close
Days after new sexual misconduct allegations were made against celebrity chef Mario Batali, his company announced Friday that it will close its three Las Vegas restaurants July 27. Employees of Carnevino Italian Steakhouse, B&B Ristorante and Otto Enoteca e Pizzeria, all located in The Venetian and Palazzo resorts, were informed of the decision Friday morning. Bastianich is scheduled to visit the restaurants Friday to speak to employees about the next two months of operation as well as how the company plans to help them transition to new positions.
Nevada has its first cybersecurity apprenticeship program
The Learning Center education company in Las Vegas has launched the first apprenticeship program for cybersecurity in Nevada. It was approved by the State Apprenticeship Council on May 15. (K.M. Cannon/Las Vegas Review-Journal)
Las Vegas union members voting to authorize the right to strike
Thousands of Las Vegas union members voting Tuesday morning to authorize the right to strike. A “yes” vote would give the union negotiating committee the power to call a strike anytime after June 1 at the resorts that fail to reach an agreement. (Todd Prince/Las Vegas Review-Journal)
Small businesses struggle to find qualified candidates
A 2018 survey found that over two-thirds of small businesses in Nevada find it somewhat to very difficult to recruit qualified candidates. Bailey Schulz/Las Vegas Review-Journal
Nevada secretary of state website offers little protection against fraudulent business filings
Property developer Andy Pham tells how control of his business was easily seized by another person using the secretary of state website.
Caesars may be going solo in its marijuana policy
Several Southern Nevada casino companies aren’t following Caesars Entertainment’s lead on marijuana testing.
How much is the Lucky Dragon worth?
Less than a year-and-a-half after it opened, the Lucky Dragon was in bankruptcy.
Gyms and discount stores take over empty retail spaces
Grocery stores used to draw people to shopping centers. But many large retail spaces have been vacant since 2008. Discount stores like goodwill and gyms like EOS Fitness are filling those empty spaces, and helping to draw shoppers back in. K.M. Cannon/Las Vegas Review-Journal
Funding source of Las Vegas stadium for the Raiders is sound, expert says
The stadium is funded in part by $750 million of room taxes, the biggest such tax subsidy ever for a professional sports stadium. Robert Lang, executive director of Brookings Mountain West and The Lincy Institute at UNLV, says that is a good use of public funds. (Richard Velotta/Las Vegas Review-Journal)
Las Vegas needs light rail, expert says
Robert Lang, executive director of Brookings Mountain West and the Lincy Institute said he is afraid of a "congestion mobility crisis." Las Vegas needs a light rail system, he said, to accommodate the city's growing number of attractions. (Richard Velotta/Las Vegas Review-Journal)
Three takeaways from Wynn Resorts' Earnings Call
Matt Maddox came out swinging in his first earnings conference call as Wynn Resorts chief executive officer, boasting of record Las Vegas quarterly revenues and applicants lining up for work.
Star Wars VR Comes to Las Vegas
Sneak peak at the new "Star Wars: Secrets of the Empire" VR experience at the Grand Canal Shoppes.
Elaine Wynn continues her fight to change Wynn Resorts board
Elaine Wynn, the largest shareholder of Wynn Resorts Ltd., is seeking to kick a friend of her ex-husband Steve Wynn off the company’s board of directors. (Todd Prince/Las Vegas Review-Journal)
Zillow is getting into house flipping in Las Vegas
Las Vegas Review-Journal real estate reporter Eli Segall says flipping houses has waned in popularity after the housing bubble burst.
Ellis Island Buys Mt. Charleston Lodge
Ellis Island, which operates a casino, brewery and hotel just off the Strip, purchased the Mt. Charleston Lodge in early April.
Casinos to be penalized for allowing drug-impaired customers to gamble
Nevada Gaming Commission Chairman Tony Alamo talks about an amendment making casinos subject to the same disciplinary standards of preventing people to gamble if impaired by drugs as they are for letting them play while intoxicated by alcohol.
Terrible Herbst to open large travel center in Southern Nevada
The 50,000-square-foot commercial travel center will include 96 fuel pumps and the third White Castle restaurant in Southern Nevada. Wade Tyler Millward reports.
Art Bell’s Top 10 Shows
A selection of radio host Art Bell’s most popular shows.
Hooters owner talks about room upgrades at his hotel-casino
George Ruff, founder and senior principal of Trinity Hotel Investors L.L.C., owner of Hooters Hotel and Casino in Las Vegas, talks about recent room upgrades at the hotel. K.M. Cannon/Las Vegas Review-Journal
Passengers Discuss Allegiant Air
Allegiant Air passengers voice their views on the airline at McCarran International Airport on April 16, 2018. (Bailey Schulz/Las Vegas Review-Journal)
Longtime Las Vegas attorney John Momot dies at age 74
Criminal defense attorney John Momot, who represented mob figures and even played himself in the movie “Casino,” has died.
TOP NEWS
News Headlines
ad-infeed_1
ads_infeed_2
Local Spotlight
Home Front Page Footer Listing
Circular
You May Like

You May Like