MHA Today | August 6, 2018

August 6, 2018

MHA Today: News for Healthcare Leaders

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August 6, 2018

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

What You Need To Know This Week

  • Watch for an Issue Brief from MHA on the final FY 2019 payment and policy updates for the Hospital Inpatient Propsective Payment System and Long-Term Care Hospital Prospective Payment System.

HIDI Tech Connect


HIDI HealthStats — How Effective Are Medicaid MCOs At Managing Care In Missouri?

Staff Contact: Mat Reidhead

In May 2017, Medicaid managed care was expanded statewide in Missouri, adding 240,000 new MCO enrollees. The August 2018 edition of HIDI HealthStats examines managed Medicaid delivery models in Missouri and evaluates the effectiveness of MCOs to deliver efficiencies and cost savings while improving health outcomes for enrollees.

HIDI HealthStats Among the high-cost MCO patients during the 12 months after expansion were nearly 2,600 individuals with 10 or more hospital visits during the year. The range of hospital inpatient and ED visits for these patients during the 12-month period included 629 enrollees with 10 visits, to one enrollee with eight diagnosed chronic conditions and one behavioral risk factor who had 91 visits and $363,000 in hospital charges. Figure 3 shows the distribution of Medicaid MCO enrollees with 10 or more hospital inpatient or ED visits during the 12 months following statewide managed care expansion in Missouri.

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Consider This ...

The average age of first-time mothers is 26, up from 21 in 1972, and for fathers it’s 31, up from 27. Women with college degrees have children an average of seven years later than those without.

Source: The New York Times