But shortly after Wednesday’s meeting, Migoya and his team talked to him. Lapciuc said they emphasized that perhaps 60 UM doctors that Jackson wanted for its centers were upset by the uncertainties of negotiations and were getting offers from competitors. The doctors needed an agreement to feel comfortable staying, Migoya’s team told Lapciuc.
Lapciuc said that Migoya agreed to provide more specifics to the agreement, including a timeline specifying that within 60 days there would be a formal operating agreement that could be vetted by an outside law firm. Migoya also said he’d try to get a completely new deal done within six months and report to the board monthly on his progress.
Lapciuc said UM had agreed to the timeline, but refused to budge on money. The medical school is in the midst of laying off almost 1,000 full-time and temporary workers to deal with severe financial problems. In April, Jackson laid off more than 900 workers to fix its own financial difficulties.
On Thursday, Migoya read the board a letter from Pascal Goldschmidt, dean of the medical school, saying this year’s agreement “is an important transition contract” that “allows both organizations to adapt and plan for key medical services while ensuring continuity of the highest quality, necessary medical care for our community.”
Goldschmidt acknowledged: “There is much hard work ahead for both organizations.”
In January, Jackson started to completely revamp its UM relationship from lump-sum payments to paying fair market value for specific UM services. “We can build a new Jackson with physicians for our needs,” said Donn Szaro, then Jackson’s chief strategy officer. The new arrangement would create a “completely revised, new relationship.”
Szaro, who died in March, wanted to get that deal done by June 1. Migoya said Jackson is still following Szaro’s vision, but it’s going to take more time.
Arriola, a former Miami city manager, doesn’t believe it can be done. Once a huge UM supporter, he said Wednesday, that UM no longer had any interest in Jackson. “They have said they don’t want to live with us. They have used us and they have spit us out.”
On Thursday, Arriola said that since 2007, when UM bought Cedars Medical Center, across the street from Jackson Memorial, UM has been a rival, not a partner. “They have to worry about their own hospital ... This is a bad marriage. Let’s have a happy divorce.”