Transcript Slide 1

MHA Update
HFMA
Western Michigan
Chapter
Sept. 18, 2013
Marilyn Litka-Klein
Vice President, Health Finance
Michigan Health & Hospital Association
1
Who is the MHA?
• Advocacy organization representing all hospitals in
Michigan.
• Activities include:
– State advocacy on proposed legislation, including
Medicaid funding and policy activities
– Federal advocacy and policy on Medicare and
Medicaid issues
– MHA Keystone Center – Quality Improvement
Initiatives
– BCBSM Contract Administration Process
• Unique to Michigan
2
Payer Issues
• The role of the MHA is to assist in resolving
systematic payer issues.
• Hospital contracts determine many terms and
conditions and take precedence.
• Communicate issues to Marilyn Litka-Klein or
Vickie Kunz at the MHA.
3
Medicare
•
•
•
•
•
•
•
IPPS & LTCH Final Rules
IRF Final Rule
SNF Final Rule
IPF Update Notice
OPPS Proposed Rule
Medicare Advantage
FY 2015 Wage Index Education
4
IPPS Final Rule Overview
•
•
•
•
•
•
•
•
•
Net operating rate update = +0.4 percent
Limited coding adjustments
Medicare DSH policy changes
Inpatient admission guidance
VBP Program: FY 2016-2019 program changes
Readmissions Reduction Program: FY 2014 and 2015
HAC Reduction Program: FY 2015
IQR Program updates voluntary EHR-based reporting
Expiration of low-volume adjustment criteria and MDH
program
5
Payment Rate Updates
Federal Operating and
Hospital-Specific Rates
Federal Capital Rate
Marketbasket (MB) Update/Capital Input Price
Index
+2.5%
+0.9%
ACA-Mandated Productivity MB Reduction
-0.5%
—
ACA-Mandated Pre-Determined MB Reduction
-0.3%
—
American Taxpayer Relief Act (ATRA)-Mandated
Retrospective Coding Adjustment Reduction
-0.8%
—
Inpatient Admission Guidance Offset
-0.2%
-0.2%
Net Rate Change
(EXCLUDING BUDGET NEUTRALITY)
+0.7%
+0.7%
6
Capital Payment Update
• FY 2014 federal capital rate of $429.31, up
from the current $425.49.
− a 0.9 percent increase.
7
MS-DRGs
• CMS proposes to maintain the current 751 MSDRGs. No major changes
• 85% of MS-DRGs will have weight change of +/- 6%.
• Link available in MHA Advisory Bulletin #1348, from
Aug. 12 to Excel file which compares current to final
weights. Nov. 2012 claims analysis to estimate
impact of updated MS-DRG weights.
8
Impact on Top MS-DRGs
MS-DRG
Description
% Change
470
Major Joint Replace/Reattachment
Lower Extremities w/o CC/MCC
↑2.4%
871
Septicemia w/o MV96+ hours with
MCC
↓ 1.5%
392
Esophagitis, Gastro & Misc Digest
Disorder w/o MCC
↑0.3%
292
Heart failure & shock with CC
↓ 1.0%
291
Heart failure & shock with MCC
↓ 0.9%
9
Cost Outlier Threshold
• Final 2013 threshold:
• Final 2014 threshold:
$21, 821
$21,748
• Represents a 0.3% decrease in the cost outlier
threshold, resulting in slightly more cases being
eligible for outlier payments.
• Threshold is adjusted annually based on CMS’
projections for total outlier payments to ensure that
total outliers payments equal 5.1 percent of total
IPPS payments.
10
DSH & IME Payments
• Days for labor & delivery services will be included in
the Medicare GME payment calculations beginning
Oct. 1, 2013.
− This policy would reduce GME payments to hospitals and
may impact the eligibility of hospitals seeking SCH status.
• CMS recently adopted this policy change for
Medicare DSH purposes.
11
DSH Changes – Cont.
• Readopted policy of counting the days of
patients enrolled in MA plans in the Medicare
fraction of the traditional DPP percentage.
– CMS is appealing a recent court ruling that
disallowed the inclusion of these days.
12
Medicaid SSI Category
•
•
•
MSA data available to validate their SSI ratio information
provided by CMS and used for Medicare DSH payment
calculations.
Medicaid patient days found that are not included in CMS
file, potential to increase Medicare DSH payments.
See MHA Advisory Bulletin #1343 from May 6.
13
FTEs at CAHs
• Teaching hospital may not claim FTE resident
training that occurred at a CAH.
– However, if the CAH itself incurs the costs of training,
then the CAH may receive 101% of the reasonable cost
incurred for resident training.
14
Expiring IPPS Provisions
•
Low volume adjustment - $10.7 million
•
Medicare Dependent Hospital Status - $1.2 million
15
Wage Index
• No major changes for calculating the wage index, rural floor
budget neutrality or administrative reclassification rules.
• FY 2014 index based on hospital data from CRs ending during
FY 2011 and occupational mix data from the calendar 2010
survey.
• National FY 2014 occupational-mix adjusted average hourly
wage: $38.3698.
• See link to Michigan AWI values in A/B #1348, dated Aug. 12.
16
CBSA Definitions
• CMS did not make any changes to the current
CBSA definitions based on the 2010 census but
indicates that it will do so for FY 2015.
17
Wage Index Timeline
Sept. 3 – Applications due to the MGCRB for FY 2015
reclassification requests.
• Approved requests good for FY 2015 – 2017.
Sept. 12 – Wage Index Navigator Web Demo (Free)
Sept. 3 – Release of PUFs for FY 2015 AWI
Oct. 1 – Effective date of FY 2014 AWI
Oct. 9 – MHA Wage Index Workshop (webinar) (Free)
FY 2015 AWI will be based on data from cost report FYEs:
Oct. 2011 – Sept. 2012.
18
Overview: ACA DSH Changes Medicare
Current DSH $ ($12.772 B)
25%
Paid Under Traditional
Method
75%
Dedicated to New
Pool
Step 1:
Reduce Pool
[relative to insurance pick up
rates]
Step 2:
Distribute Pool
[based on uncompensated
care]
19
Medicare DSH Reductions
• By the numbers:
− Estimated total DSH funding for FY 2014 = $12.772 B
− Estimated 25% rate-based and paid under traditional formula = $3.193 B
− Estimated 75% for uncompensated care payments = $9.579 B
• Policy for reducing funding dedicated to uncompensated care
payment:
− Use CBO’s March 2010 and May/July 2013 insurance rate estimates
•
•
FY 2013 = 18% uninsured individuals
FY 2014 = 17% uninsured individuals (up from 16% in proposed rule)
− Result = 5.6% reduction; amount for uncompensated care payment =
$9.033 B (about $546 M cut)
•
[(16% / 17% - 1) = 5.6% plus legislated 0.1 percentage point = 5.7%]
20
Medicare DSH Redistributions
• Distribution of funding dedicated to uncompensated care
payment:
− Use low-income patient days as proxy
•
•
Medicaid days and Medicare SSI days
numerators of current DSH % calculation
− CMS may use cost report worksheet S-10 in future years
•
Cites unreliable data as decision to use proxy
− Calculate uncompensated care payment factor
•
Hospital's low-income patient days relative to all DSH hospital lowincome patient days.
•
See Supplemental Table released as part of final rule.
21
DSH Changes – Cont.
• Revised methodology expected to reduce Medicare
DSH payments to Michigan hospitals by $37 million to
$44 million in FY 2014.
• $14 M - $16.5 M decrease due to total $564 million cut.
• $23M - $27.5 M cut due to methodology change
• Pending federal legislation to delay for 2 years.
• Some hospitals will see increases
22
Medicare DSH Changes – Cont.
• DSH payments continue on a per-discharge basis through the
claims process based on a CMS-estimated claims amount.
• CMS will determine DSH eligibility(15% DPP)and reconcile
traditional DSH payments based on actual program year cost
report data.
• The data and factors used to determine each hospital’s
uncompensated care payment distribution are fixed and will
not change at time of settlement.
23
Medicare Changes to Inpatient Status
• CMS finalized its proposal for patient to spend two
midnights in hospital
− Would “presume” these are ok
• Anything less than 2 two midnights would be
outpatient, unless documentation in medical record
supports need for inpatient care
− These have been most of RAC denials nationally
• Time in ER & OBS will be considered in 2 midnight
24
Inpatient Status – Cont.
• Procedures on “Inpatient Only” list would not be
required to meet two midnight requirement.
• Hospitals can submit questions to CMS at
[email protected]
25
Readmissions Reduction Program
• Began Oct. 1, 2012 (FY 2013)
• Medicare payment reduction increasing from 1
percent to 2 percent in FY 2014 and then increasing
to 3 percent in FY 2015.
26
Readmissions Reduction – Cont.
• Data from
− July 1, 2009 – June 30, 2012
• Defines a readmission as a hospital admission within 30
days from the date of discharge from the index hospital
(the initial hospitalization hospital)
• Hospitals either maintain full payment levels or be subject
to payment penalty of up to 2% in FY 2014 for all IPPS
discharges if readmission rate higher than national average
for 3 medical conditions.
− Acute Myocardial Infarction
− Heart Failure
− Pneumonia
27
Readmission – Cont.
• Starting with FY 2015, CMS has the authority to
expand the policy to additional conditions.
• FY 2015, CMS will evaluate readmissions for
patients admitted for:
− COPD
− Total hip and knee arthroplasties
28
Readmissions – Cont.
• Unlike VBP, readmissions reduction program is not
budget-neutral.
− Nationally, is expected to cut IPPS payments by $175 million
in FY 2014, down from $300 million in FY 2013.
− FY 2013 policy expected to reduce Michigan IPPS payments
by approximately $12 million.
• 55 of Michigan’s 95 hospitals will be subject to penalty
in FY 2014.
29
Value Based Purchasing
• Program is self-funded by hospital “contribution”
• Proxy factors included in final rule - FY 2014 final factors not
expected until October.
• Contribution based on Medicare FFS payment*
− 1.0% reduction in FY 2013
− FY 2014 Reduction increases to 1.25%
− 2.0% reduction for FY 2017 and beyond
• VBP performance determines P4P amount
• Budget-neutral
– Redistributive
– Best performers win, others break even or lose
– VBP payments are netted against contributions
*Payment reductions exclude IME, DSH low-volume hospitals and outliers.
30
Medicare VBP Evolution
31
Inpatient Quality Reporting Program
• For 2014 payment determinations, hospitals required to
report on a 55 quality measures.
• For FY 2015, hospitals required to report on 59 measures.
• For FY 2016, hospitals required to report on 57 measures in
order to receive the full IPPS marketbasket update.
– Hospitals that fail to comply are subject to a 2.0 percentage
point reduction to the IPPS marketbasket update for the
applicable year.
32
HAC Reduction Program Overview
• ACA-mandated – must start in FY 2015
• First program policies outlined in 2014 rule
• 1% reduction in IPPS payments for hospitals with
highest HAC “scores”
− Would penalize 25% of hospitals nationally
− Expected to reduce IPPS payments by about $300 million
annually.
33
HAC Reduction Program – Cont.
• CMS will evaluate hospitals on risk-adjusted HAC rates
from all or portions of care provided in 2011, 2012 and
2013 on a total of 3 measures across two domains.
• Domain 1 – (35%) 1 Agency for Healthcare Research
and Quality (AHRQ) Patient Safety Indicator (PSI)
composite measure calculated from Medicare claims
data, PSI-90, which includes 8 individual PSI measures.
34
HAC Reduction Program – Cont.
• Domain 2 – (65%) Will include 2 CDC Healthcare
Associated Infection (HAI) measures collected via the
National Healthcare Safety Network (NHSN).
• Scoring methodology will calculate a Total HAC score for
each eligible hospital, with each individual risk-adjusted
HAC measure on a scale from 1 to 10 points, where
deciles are created.
35
IPPS Final Rule Impact
• Hospital-specific DSH analysis distributed Aug. 13.
• Hospital-specific overall impact analysis distributed
Aug. 20, to CEOs, COOs, CFOs and RDs.
• Included detailed summary of final rule.
• Distribution included Directors of Patient Safety & Quality
Improvement.
• Impact report reflects readmissions and VBP factors.
− VBP factors not final at this time as the CMS continues to review
the data.
36
2% Sequestration Cut
• ATRA delayed to March 1.
• 2% cut was applied to Medicare FFS claims beginning for dates
of service on/after April 1.
− effective 2013 – 2021
− mandated by the Budget Control Act of 2011.
• Michigan annual impact projected at $144M.
− IPPS payments reduced $95 million
− OPPS payments reduced $34 million
• May apply to MA payments depending upon hospital
contractual agreement with MA plans.
• Also applies to other Medicare payments including GME, bad
debts, EHR incentive payments.
37
LTCH Final Rule
• Base rate $40,607.31 for those that submit quality data;
$39,808.74 for those that don’t comply.
• “25% Rule” – after a 5-year moratoria and additional one-year
statutory relief.
− Reduces payment to an IPPS-comparable amount for referrals from
general acute hospitals that exceed a 25 percent threshold.
• Desire to focus LTCH on the treatment of “medically stable but
high-acuity patients” known as “chronically critically ill” (CCI).
38
LTCH Final Rule – Cont.
• Full LTCH payment for patients who met CCI
criteria upon discharge from acute hospital.
• Non-CCI patients would be paid an IPPScomparable amount.
• CMS will include further details in FY 2015
proposed rule.
39
LTCHQR Program
• Beginning with FY 2014 payments, LTCHs must
submit data on 3 quality measures being collected
in FY 2012 or be subject to 2 percentage point
penalty.
• Adoption of proposal to add three new measures
for the FY 2017 reporting program.
40
Inpatient Rehab Facilities
• Net 2.3 percent increase after:
Plus 2.6 percent marketbasket update
Plus 0.5 percent to expand outlier payments
↓Minus 0.5 percentage point productivity
adjustment
↓Minus 0.3 percentage point ACA-mandated
adjustment
Facility-specific analysis to be available soon.
41
Inpatient Rehab Facilities – Cont.
Change in Facility-Specific Factors:
• Rural adjustment: reduced from the current 18.4
percent to 14.9 percent
• LIP adjustment factor: reduced from the current 0.4613
to 0.3177
• Teaching adjustment factor: increased from the current
0.6876 to 1.0163
42
IRF 60 Percent Rule
• Facility must demonstrate that at least 60 percent of its patients
meet specific criteria including the need for intensive rehab
services for 1 or more of 13 listed conditions.
• For FY 2014, CMS improved its proposal related to codes eligible
for the 60 percent rule presumptive compliance test.
− CMS removing only 261 codes instead of 331 initially proposed.
− Postponed reduction in qualifying codes until FY 2015, to coincide with
transition of ICD-10-CM.
43
SNF Final Rule
Net 1.3 percent increase in per diem rates after:
 plus 2.3% MB update
 minus 0.5 percentage point forecast error adjustment.
 minus 0.5 percentage point multifactor productivity
adjustment
44
Inpatient Psych Facilities
• No major changes – so no comment period.
• Net 2.3 percent increase after:
Plus 2.6 percent marketbasket update
Plus 0.5 percent to expand outlier payments
Minus 0.1 percentage point productivity adjustment
Positive 0.3 percent point increase to reflect a change
in the proportion of outlier payments.
Facility-specific analysis to be available soon.
45
2014 OPPS Proposed Rule
• Net 1.8% increase in APC rates after:
plus 2.5% MB update
minus 0.4 percentage point productivity adjustment.
minus 0.3 percentage point ACA-mandated
pre-determined reduction.
• After budget neutrality, net 2 percent rate increase.
• Conversion factor from $71.313 to $72.728.
46
Increase OPPS Statewide Impact Report
47
APC Payment Weights
• Collapsing the “level of service” codes for 5 ED codes and 5
Clinic Visit codes into a single level of payment for each type
of visit.
• Impact will vary by hospital but $30 million increase
statewide.
• Current clinic payments range from $56.77 to $175.79 per
visit. New proposed payment rate: $96.86.
• Current Part A E/D payments range from $51.20 to $344.71
per visit. New proposed payment rate: $245.76.
48
Proposed Shift in APC Categories
Status
Indicator
Current
2013
Proposed
2014
Clinic or Emergency Department Visit
V
17
7
Significant Procedures, Multiple Reduction Applies
T
183
163
Significant Procedures, No Multiple Reduction
S
133
161
Ancillary Services
X
38
-
Pass-Through Devices Categories
H
3
-
Non-Pass-Through Drugs/Biologicals
K
326
288
Comprehensive APCs for Device-Dependent Services
J1
-
29
Partial Hospitalization
P
4
4
Blood and Blood Products
R
34
34
Brachytherapy Sources
U
16
16
Pass-Through Drugs and Biologicals
G
33
16
S/T
82
82
869
800
Number of APC Categories
New Technology
Total
49
Impact on Top APCs
MS-DRG
Medicare
Discharges
Description
% Change
0246
16,847
Cataract Procedures with IOL Insert
↓ 2.85%
0080
15,548
Diagnosis Cardiac Catheterization
↓ 9.87%
0083
10,047
Coronary or Non-coronary Angioplasty
↑12.05%
0377
9,124
Level II Cardiac Imaging
↑51.57%
0412
8,989
IMRT Treatment Delivery
↑14.5%
50
OPPS Proposed Rule – Cont.
• The CMS proposes a 37% increase to the outlier threshold
of $2,025, increasing it to $2,775 to maintain total outlier
payments at 1% of total OPPS payments.
• Outlier payments made when the cost of a service or
procedure exceeds 1.75 times the APC payment amount
plus the fixed dollar threshold.
51
Outpatient Quality Reporting Program
• For 2015, hospitals would be required to report on the same
25 quality measures as 2014.
• For 2016, CMS proposes to remove two measures and add five
new measures which assess:
• 1 measure - Healthcare personnel influenza vaccination rates
• 2 measures - cataract surgery outcomes
• 2 measures - colonoscopy follow-up.
52
OP Supervision Requirements
• CMS proposes to end its moratorium on enforcing
direct supervision policy for outpatient therapeutic
services provided in CAHs and small rural PPS
hospitals.
53
Outpatient Therapy
• Currently, CAHs not subject to the O/P therapy
cap, although the cost of O/P therapy services
accrues toward the cap.
• Effective Jan. 1, the CMS proposes to fully apply
the therapy cap to services provided in a CAH.
54
Device Dependent APCs
• CMS proposes to create new 29
“comprehensive APCs”.
• Replace 29 existing device-dependent APCs
where CMS has defined the service cost as high
when compared to the other costs associated
with delivering the service.
55
Expansion of Payment Packaging Policy
• Outpatient Lab Services - CMS proposes to package
payment for nearly 1,100 services currently paid
separately under the Clinical Lab Fee Schedule (CLFS).
• Ancillary Services – CMS proposes to package
payment for 425 items/services currently paid
separately.
56
OPPS Packaging – Cont.
• Procedures described by add-on codes – 176 of
which are currently paid separately would be
packaged.
• Diagnostic tests on the bypass list – 103 items
currently paid separately under the OPPS are
proposed for packaging or separate payment based on
certain conditions.
• Device removal procedures – 71 items currently paid
separately would be packaged.
57
OPPS Packaging – Cont.
• Drugs that function as supplies or devices when used in a
surgical procedure – 30 items/services – 27 currently paid
separately.
• Drugs that function as supplies when used in a diagnostic test
or procedure – 4 items/services; 2 of which are already
packaged.
• DME – 147 items/services paid under the DME fee schedule.
58
Medicare Advantage Plans
• As of July 2013, 28 plans in Michigan, with 493,000 or
approximately 27% of Michigan’s 1.8 million Medicare
beneficiaries enrolled.
− Up to 20 plans in some counties.
• Review MA payment rate for all plans.
• CAH entitled to Medicare cost reimbursement.
• Each MA plan may determine own utilization model and is
not required to maintain electronic transactions.
• Many MA have instituted “RAC-like” utilization programs.
• Matrix of MA plans by county available at MHA website –
updated quarterly, with MHA Monday Report article.
− Sept. 9 Monday Report.
59
MA Plans & Sequestration
• CMS payments to plans were reduced for enrollment
periods beginning on/after April 1, 2013.
• Individual hospital contracts govern whether payments
will be reduced.
• In cases of non-contracted plans, plans have discretion
whether to pass the 2% cut on to hospitals.
• See May 13 Monday Report.
60
Medicare Wage Index Opportunities
• Baker Healthcare Consulting, Inc. (Webinar)
Oct. 9 – 9 a.m.– Noon
• See MHA Advisory Bulletin # 1349 in
Aug. 26 Weekly Mailing for Registration info.
61
Medicaid Issues
62
Medicaid Expansion
• Expected to cover about 450,000 low-income adults
who are currently uninsured but fail to meet current
eligibility requirements.
• Who would qualify?
− Individuals that are at least 19 years old.
− Those that are single, working with annual earnings up to
$15,856 or in a family of four with earnings up to $32,499.
• Based on 138% of 2013 FPL
• Governor signed bill Sept. 16
63
Medicaid Payment Reform
• Jan. 1, 2014 target implementation – MSA is considering a
phase-in approach.
• Seven meetings to date.
• Representatives include small, medium, and large hospitals
and CAHs
• Several ideas discussed:
· statewide inpatient rate with hospital adjustors,
· Increase in output payments financed with reduced input rates
· Recognition of hospital mission in payment adjustors.
· DSH
· HRA
64
Integrated Care Project
• Phased-in implementation of pilot project expected
to begin July 1, 2014.
See Aug. 26 Monday Report for link to CMS FAQ
document.
• Hospitals responsible to negotiate payment
parameters in their contracts.
• Regional implementation
– 4 regions comprised:
– 8 SW counties
Macomb County
– UP
Wayne County
65
Integrated Care Project – Cont.
• First quarterly forum held June 25 in
Dearborn.
• Next forum to be held in Michigan’s Upper
Peninsula likely in October.
• RFP from integrated care organizations
(ICO) due to state Sept. 10
66
DSH Audits
• Beginning with audits of FY 2011 DSH
ceilings, hospitals subject to DSH payment
recoveries if audits indicate DSH payments
exceeded their actual DSH ceilings.
• Prior year audit reports available on MSA’s
website.
67
DSH Audits – Cont.
• FY 2009 DSH audit results indicate that 27
hospitals would have had payment recoveries
totaling $111 million.
• 2010 audit report due to MSA 9/30/13.
• 2010 audit report due to CMS 12/31/13.
68
Revised DSH Policy
• MSA will use a multiple-step DSH process:
– Initial DSH calculation
– Interim DSH settlement
– Final DSH audit-related redistribution
69
DSH Calculation
• FY 2013 Step 1 - completed by MSA late July / early Aug. –
Hospital opportunity to review MSA data and opt to
decline or reduce DSH payments.
• FY 2011 Step 2 - MSA expects to complete Jan. 31.
• FY 2012 Step 2 – MSA expects to complete April 30.
70
Interim DSH Settlement
• MSA would recalculate DSH ceilings, payments
and Medicaid utilization rates using new cost
report data.
• MSA would recover and reallocate funds to other
eligible hospitals for that specific pool.
– During 2013, the MSA would use data from cost
reports ending during calendar year 2012 to complete
this step.
71
Final DSH Settlement
• Final DSH audit would occur three years after state fiscal
year.
• Would recover and reallocate funds for public hospital
DSH to remaining eligible hospitals for that pool then
funds recovered from other DSH pools plus unspent funds
recouped would be reallocated to eligible hospitals.
72
FY 2013 DSH Payments
• Payments from $45 million regular DSH pool and
$60 million tax-funded DSH pool to be distributed
Sept. 26.
• Payment amounts by hospital not yet available.
73
Medicaid Interim Payments
• MSA released a final policy to change from bimonthly to monthly MIP and CIP payments
effective July 1, subject to CMS approval.
• This change is expected during FY 2014 Q1.
74
FY 2014 Hospital Tax Base
• MSA correspondence on changes:
• Reporting of QAAP tax expense
• Retail pharmacy revenue
• Reporting of bad debts
• Deadline to submit amended cost reports was
September 17.
• CRs for FYEs Oct. 2011 – Sept. 2012.
75
BCBSM
• West Michigan Narrow Network announced in June
targeting private and Medicare-eligible individuals in Ken,
Muskegon, and Oceana Co.
• Narrow network of Mercy Health providers including 4
hospitals and over 700 local physicians.
• Offered on Michigan’s health insurance exchange beginning
Oct. 1, with coverage effective Jan. 1, 2014.
• Access to BCN network for services not available through
Mercy Health.
76
BCBSM
• Southeast Michigan Narrow Network HMO and exclusive
provider organization (EPO) announced in July for 2015.
• Lenawee, Livingston Macomb, Monroe, Oakland, St. Clair,
Washtenaw & Wayne Co.
• RFPs distributed for both HMO and EPO.
• Targeted market is individual (non-group) consumers
through online Health Insurance Marketplace, BCBSM and
agents.
• MHA has submitted questions regarding the ability to use
the PHA for a narrow network product.
77
MHA Resources
•
Monday Report is available FREE to anyone and is distributed via email each
Monday morning.
– Go to website and select “Newsroom”, then Monday Report
•
MHA Monday Report – electronic publication issued weekly
•
Request password if you don’t have one.
– Email Donna Conklin at [email protected] to obtain MHA member ID
number
•
Advisory Bulletins – Extensive communications available only to MHA
members, as needed. (Require password to obtain from website).
•
Hospital specific mailings as needed for various impact analyses, etc.
•
Periodic member forums
•
See mha.org for other resources.
•
Monthly Financial Survey provides free benchmarking of financial and
utilization statistics.
78
???Questions???
Marilyn Litka-Klein
Vice President, Health Finance, Policy & Health Delivery
Michigan Health & Hospital Association
110 West Michigan Avenue, Suite 1200
Lansing, MI 48933
Phone: (517) 703-8601
Fax: (517) 703-8637
email: [email protected]
79