MHA Today | January 23, 2019

January 23, 2019
MHA Today: News for Healthcare Leaders

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January 23, 2019

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


In This Issue
MHA Advocates On Poison Control Funding
Senate Appropriations Committee Studies Parson’s Budget Proposal
Legislative Committee Discusses TCD Funding
MHD To Delay Outpatient Hospital Pharmacy Reimbursement Cuts
AHA Offers Webinar On Violence Intervention
U.S. Senator Roy Blunt Visits Northwest Medical Center
Cox Barton County Hospital Names New President

Advocate
state and federal health policy developments


MHA Advocates On Poison Control Funding

Staff Contact: Daniel Landon

MHA testified to state Senate and House appropriations committees to express opposition to one component of the governor’s proposed budget for the fiscal year that begins July 1, 2019. It calls for an additional $500,000 in hospital Federal Reimbursement Allowance funds to support the state’s Poison Control Center operated by SSM Cardinal Glennon Medical Center. The FRA funding would supplant $500,000 for the center from other sources. MHA pointed out the substantial role the FRA already plays in funding the Poison Control Center. Expanding that role would place a disproportionate burden on hospitals with an offsetting benefit to others who also benefit from the Poison Control Center.

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Senate Appropriations Committee Studies Parson’s Budget Proposal

Staff Contact: Brian Kinkade

Missouri State Budget Director Dan Haug presented highlights of Gov. Parson’s budget plan for fiscal year 2020 to the Senate Appropriations Committee on Wednesday morning. Consistent with MHA’s overview, Haug’s presentation highlighted the workforce and infrastructure as the governor’s top priorities for the coming year. The majority of senators’ questions focused on the governor’s recommendation to use general revenue funds for the debt service on $350 million in bonds issued by the highway department to repair 250 bridges across the state. Haug expressed confidence in revenue forecasts being sufficient to support what he described as Gov. Parson’s prudent budget in light of poor collection performance year-to-date, which he attributed to income tax under-withholding caused by errors in Department of Revenue withholding tables. Haug says the error only will delay the collection of taxes, but ultimately will not lower the amount of income tax owed by Missourians. Haug pointed out that thanks to a last-minute surge in general revenue collections last fiscal year, the state has sufficient cash on hand to substantially mitigate the impact of a shortfall in this year’s collections.

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Legislative Committee Discusses TCD Funding

Staff Contact: Daniel Landon

A state House committee that will consider the appropriation bill for the Dept. of Health and Senior Services received an overview of the governor’s proposed budget from department officials. Legislators questioned officials about funding for the department’s role in administering the Time Critical Diagnosis program. Dept. Director Randall Williams, M.D., said that funding for the three FTEs serving as TCD program staff would be paid from the departmental “core” budget, so no new decision item was put forward. The committee chair voiced concerns, noting that the funding was vetoed by Gov. Parson in June of 2018, and therefore, cannot be part of the core budget. The issue will be revisited as the budget bill is reviewed by the committee. Williams mentioned the department is meeting with stakeholders to consider improvements to the TCD program and options for funding them. Williams specifically mentioned his engagement with MHA in exploring ideas.

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MHD To Delay Outpatient Hospital Pharmacy Reimbursement Cuts

Staff Contact: Brian Kinkade

The MO HealthNet Division has delayed the implementation of the outpatient pharmacy reimbursement change to Monday, April 1. The change originally was scheduled for Friday, Feb. 1. Under the new policy, outpatient pharmacy reimbursement will be changed from a percent of charge to the reimbursement hierarchy used for retail pharmacy reimbursement; hospitals “carved-in” as 340B providers for Missouri Medicaid will be reimbursed WAC minus 25 percent.

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Quality and Population Health


AHA Offers Webinar On Violence Intervention

Staff Contact: Jackie Gatz

The American Hospital Association is hosting a webinar at noon on Thursday, Jan. 24, focused on violence intervention. In this webinar, hear how a small team at Detroit Medical Center Sinai-Grace Hospital believed in the ability of the emergency department and the surrounding community to work together to address some of the ills that produce toxic stress and render communities unhealthy. They will share how this program is achieving success by improving individual health and lifestyles, engaging young adults in an impactful and meaningful way, and improving overall community health. More information and registration is available at AHA’s website.

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Noteworthy


U.S. Senator Blunt visits Northwest Medical CenterU.S. Senator Roy Blunt Visits Northwest Medical Center

Staff Contact: Dana Dahl

Northwest Medical Center in Albany, Mo., hosted U.S. Senator Roy Blunt on Monday to explain how the hospital and the hospital foundation have worked together to improve access to health and other related services through expansion of their emergency department and new clinic building.

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CEO Announcements


Cox Barton County Hospital Names New President

Staff Contact: Carol Boessen

Following a nationwide search, CoxHealth has named Chris Wyatt as the new president of Cox Barton County Hospital in Lamar, Mo., effective early February. Wyatt most recently served as CEO of Cavalier County Memorial Hospital and Clinics in North Dakota, where he led a significant financial turnaround of the critical access hospital. Wyatt replaces Darren Bass who has been serving as interim president since October 2018 when Wendy Duvall left. Bass returns to his role of president of Cox Monett Hospital and system vice president of Community Hospital Group. A list of president/CEO changes is available online.

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Consider This ...

An estimated 80 million to 100 million Americans have nonalcoholic fatty liver disease, which causes the liver to swell with dangerous levels of fat. Roughly seven million of those are adolescents and teenagers.

Source: The New York Times