MHA Today | November 30, 2018

MHA Today: News for Healthcare Leaders

linkedin twitter facebook
November 30, 2018

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


Herb Kuhn, MHA President & CEO This week, the U.S. Department of Health & Human Services announced the Federal Medicaid Assistance Percentage rates for 2020. FMAP rates are a function of each state’s per capita income relative to all other states. States with relatively stronger economies have lower match rates. Missouri’s 2020 rate increased by .25 percent to 65.65 percent, which means Missouri’s federal match will be approximately one-third state, two-thirds federal.

For Missouri, it was a good news/bad news proposition. Even a small increase in FMAP can add up to real money. The quarter-percent increase could result in state general revenue savings of about $15 million in state fiscal year 2020. That’s good news for budget makers who struggle with finding general revenue to fund state priorities.

On the other hand, it’s hard to argue that Missouri losing ground in per capita income — the FMAP adjustment driver — is good news. It wasn’t all that long ago when Missouri was a 60/40 state, reflecting a healthier economy. But at the end of the day, what this all means is that Missouri is falling behind relative to other states. From another vantage point, this week’s FMAP announcement is our “canary in a coal mine” moment.

There’s good news in that Gov. Mike Parson saw these and other early warning signs and has moved on a couple of important initiatives ― the state’s workforce and infrastructure. And this week, he signaled engagement on another issue important to economic vitality ― the economic and physical health of rural Missouri and Missourians. On Tuesday, Parson will hold a rural health summit in Bolivar at Citizen’s Memorial Hospital. MHA was asked to attend, and I will be making a presentation about the status of rural health in Missouri.

It’s no secret that rural hospitals are facing challenging times. Even as rural hospitals’ relevance as economic and health care delivery anchors within rural communities increases, the struggle to recruit and retain the workforce; improve individual, population and community health; and remain financially viable, continues to grow. Rural residents already travel farther to access care. When rural hospitals close, medical deserts can appear.

The health care workforce underpins Missouri’s economy. Four of Missouri’s top 10 employers are health systems. And, in most rural communities with a hospital, the hospital is the largest employer and an essential source of well-paying jobs.

Rural communities need access to the care provided at rural hospitals — including primary care providers that might not be available without rural hospitals, and the clinics rural hospitals support. Moreover, rural communities need the economic boost provided by their hospital and hospital employees.

Parson has made building Missouri’s workforce and infrastructure a top priority. Next week’s forum will provide an opportunity to look broadly at policies to improve rural health care. Strengthening rural health care, with hospitals as the center, makes sense for Missouri. The same is true for investments in the health care workforce.

The governor’s attention to rural health is a very good sign.

I’m always interested in what you’re thinking.
Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Strengthens Nursing Home Oversight
CDC Issues Reports On Mortality
HRSA Announces Funding Opportunity For Rural Residency Development

Regulatory News
the latest actions of agencies monitoring health care

CMS Strengthens Nursing Home Oversight

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced actions to strengthen nursing home oversight to ensure facilities are adequately staffed. CMS will share data with states when potential issues arise about staffing levels, clarifying how facilities should report hours and deduct time for staff meal breaks, and provide facilities with new tools to help ensure their resident census is accurate. CMS Administrator Seema Verma stated, “CMS is taking important steps to protect nursing home residents based on potential risks revealed by new payroll-based staffing data.”

Back To Top


Quality and Population Health

CDC Issues Reports On Mortality

Staff Contact: Daniel Landon

The Centers for Disease Control and Prevention issued a report on U.S. mortality in 2017, as well as analyses of multi-year trends in mortality from suicide and drug overdose.

Back To Top



HRSA Announces Funding Opportunity For Rural Residency Development

Staff Contact: Jim Mikes

The Health Resources and Services Administration is accepting applications for the Rural Residency Planning and Development Program. The purpose of this grant program is to develop new rural residency programs, or Rural Training Tracks, in family medicine, internal medicine and psychiatry. HRSA has scheduled a technical assistance webinar for 1 p.m. Monday, Dec. 17, to help applicants understand, prepare and submit an application.

Back To Top


Did You Miss An Issue Of MHA Today?

November 26, 2018
Active Shooter Resources Available For Missouri Hospitals
TJC Posts Update To Specifications Manual Addendum 2018B1

November 27, 2018
Part D Rule Aims To Lower Costs
DHSS Issues Health Guidance On Acute Flaccid Myelitis
CDC Updates Outbreak Alert On Hypocoagulopathy Associated With Synthetic Cannabinoids
CDC COCA Hosts Call On Multiple-State Hepatitis A Outbreak
CMS Updates QRDA Category I Conformance Statement Resource For CY 2018 eCQM Reporting

November 28, 2018
OIG Releases Report Citing Wage Index Vulnerabilities
Medicare Surgical Procedure Pricing Tool Available For Consumers
CMS Releases Marketplace Enrollment Data, Enhances Enrollment Process
HIDI Releases Second Quarter 2018 VBP Payments Model
CMS Updates eCQI Resource Center

November 29, 2018
CMS Finalizes Rule To Penalize Drug Manufacturers
Missouri’s Medicaid Match Rate Increases For Fiscal Year 2020
MLN Connects Provider eNews Available
MHA Announces Quality & Safety Showcase
CMS Announces IQR Education Session

Consider This ...

Saturday, Dec. 1, is World AIDS Day. Data show that there are regions in the U.S. that have a disproportionate number of people with HIV. Specifically, southern states account for 38 percent of the U.S. population but account for 51 percent of annual HIV infections.

Source: Centers for Disease Control and Prevention