MDHHS Releases Outpatient Hospital 340B Billing Final Policy

The Michigan Department of Health and Human Services (MDHHS) recently released a final policy to modify hospital outpatient billing requirements for drugs purchased through the 340B drug pricing program. Existing policy requires 340B hospitals to bill 340B drugs at acquisition cost. Effective for dates of service on or after Jan. 1, 2024, hospitals may bill up to usual and customary charges for 340B acquired physician-administered drugs or products when provided in the hospital outpatient setting. This policy also revises the hospital outpatient 340B acquisition cost reporting and discontinues the 340B final settlement adjustment process. The MDHHS expects this change will have no reimbursement impact.

In addition, the policy revises 340B hospital cost reporting requirements. Annually, starting by December 2024, hospitals will be required to report 340B cost data for all Medicaid outpatient fee-for-service claims paid during the prior fiscal year.

Questions regarding this process should forwarded to the MDHHS Drug Rebate Specialist.

Members with questions should contact Vickie Kunz at the MHA.

 

2023 Legislative Session Recap

capitol building

capitol buildingThe Michigan Legislature officially adjourned sine die for the calendar year Nov. 14. The top priority for the association this fall was opposing harmful, one-size fits all nurse staffing ratio legislation (House Bills 4550-4552 and Senate Bills 334-336). The House Health Policy Committee took testimony on the legislation where the MHA and member nursing leaders participated, but the committee did not take the legislation up for a vote and will not do so this calendar year. While much attention was dedicated to opposition to nurse staffing ratio legislation, the final weeks of session included action on a variety of other bills that impact Michigan hospitals and health systems. Below is a summary of where proposed legislation currently stands that the MHA has been monitoring.

Affordable Care Act State Codification – Signed by the Governor

The legislature acted on a group of bills that add protections found in the Affordable Care Act to Michigan law. Governor Whitmer signed House Bills (HBs) 4619-4623 and Senate Bills (SBs) 356-358 into law and they are now Public Acts (PAs) 156-163 of 2023. These new laws memorialize important protections for Michiganders such as no-cost essential services, including preventive, mental health and emergency services. The MHA supported this bill package throughout the legislative process.

Violence Against Healthcare Workers – Awaiting Governor’s Signature

HBs 4520 and 4521, which increase the penalties for assaulting a healthcare worker, are headed to the governor’s desk to be signed into law. These bills are a positive step in ensuring violence against healthcare workers is not tolerated. The MHA continues to work on more opportunities to protect the healthcare workforce from violence in the workplace.

Auto No-Fault Updates – Passed the State Senate

The MHA continues to advocate for targeted updates to the state’s auto no-fault insurance law. SBs 530 and 531 passed the Senate and were referred to the House Insurance and Financial Services Committee. The MHA supports the changes proposed in this legislation, including moving reimbursement rate tiers back to the 2021 levels, smoothing the indigent volume factor timeline and creating an appropriate definition of Medicare rates for the purpose of auto no-fault insurance claim reimbursement.

Telemedicine Access – Passed the State House

HBs 4131, 4213, 4579 and 4580, which provide payment parity for telehealth services and provide limitations on the ability of health plans to dictate site specific visit requirements, were voted out of the House. The MHA supported the bipartisan package, which codifies many provisions in place during the public health emergency (PHE). The legislation makes additional changes to support the provider ability to serve patients and protect in-person visits that are vital to health outcomes. The bills were referred to the Senate Health Policy Committee.

Sharps Containers – Passed the State Senate

The Senate unanimously passed SB 482, which lifts the state’s 90-day disposal requirement for sharps containers. The MHA membership voiced concerns about the 90-day disposal requirement, which mandated sealing and disposing of containers before they reach their ¾ fill mark. The FDA regulated containers are costly and difficult to obtain, as hospitals experienced following a manufacturing facility fire. Disposal of partially full containers contributes to unnecessary and preventable medical waste. The MHA worked directly with the bill sponsor, Sen. Kristen McDonald Rivet (D-Bay City), on this legislation to address concerns about cost, access and environmental impact. The MHA supports this important policy change that will directly benefit the membership.

Behavioral Health Parity – Passed the State Senate
The Senate approved SB 27, which would ensure behavioral health parity laws are meaningfully applied at the state level, with a strong bipartisan vote. The MHA-supported legislation was referred to the House Health Policy Committee. Similarly, the House Health Policy Committee reported out HB 4707, which would specify behavioral health parity, in addition to other services that would be required to be covered. HB 4707 awaits a vote by the full chamber.

Maternal and Infant Health – Passed Committee

HBs 5167-5173, which present several opportunities to support maternal and infant health, were reported out of the House Health Policy Committee. The MHA worked closely with the bill sponsors and committee chair on the legislative language and supports several bills in the package, including:

  • HBs 5167 and 5168, which allow for coverage of blood pressure monitors by commercial insurance and Medicaid for individuals who are pregnant or within the postpartum period.
  • HB 5169, which allows for mental health screenings to take place in postpartum follow up and pediatric settings when clinically appropriate. This bill was paired with HBs 5170 and 5171 that require insurance coverage for those screenings.
  • HB 5172, which sets up an opportunity for the state to publish maternal levels of care verifications and offer incentive payments for participation in verification and safety bundle utilization.

This package of bills awaits a vote by the full House and further legislative action is anticipated in the new year.

Rare Disease Advisory Council – Reported out of Committee

The Senate Health Policy Committee reported out HB 4167, which creates the Rare Disease Advisory Council, after being approved by the full House earlier in the year. The MHA supports this legislation and expects further action on it in 2024.

Breast Milk Donor HIV Testing – Reported out of Committee

The House Health Policy Committee reported out HB 4728, which updates the requirements for testing a breast milk donor for HIV or an HIV antibody. The proposed legislation removes the requirement to test a donor quarterly, while retaining the requirement for initial testing for potential donors. The MHA supports this legislation. HB 4728 is awaiting a vote by the full House.

340B Contract Pharmacy Legislation – Introduced

MHA member covered entities continue to share concerns about manufacturer-imposed limitations on contract pharmacy arrangements. The MHA worked with Rep. Alabas Farhat (D-Dearborn) to introduce legislation prohibiting contract pharmacy arrangement discrimination. HB 5350 was officially introduced on the last day of session for the year and referred to the House Health Policy Committee.

Interstate Nurse Licensure Compact – Introduced
HB 4935, also known as the Michigan Nurse Licensure Compact (NLC), would enter Michigan into the national Nurse Licensure Compact. The NLC allows registered nurses to have one multistate license with the privilege to practice in their home state and other compact states. Permanent relocation to another compact state requires obtaining licensure in the new state, as the nurse’s residency has changed. HB 4935 would declare Michigan a compact participating state, allowing the mutual recognition of nursing licenses among the other member compact states. The bill was referred to the House Health Policy Committee.

Opposition to Repeal of Local Government Labor Regulatory Limitation Act

The Senate did not take a vote on SB 171, sponsored by Sen. Sean McCann (D-Kalamazoo). The bill repeals the local government labor regulatory limitation act, which prohibits localities from regulating employment relationships. Repealing this act would allow for a local unit of government to impose local labor ordinances such as a higher local minimum wage than the state, or potentially institute local staffing and scheduling regulations. The MHA and a coalition of other business and employer groups oppose this legislation over concerns of a patchwork of local regulations that could jeopardize access to healthcare services in Michigan.

Additional MHA Supported Legislation Signed by or Awaiting Signature from Gov. Whitmer

  • SB 219 preserved many PHE flexibilities regarding vaccinations and testing services offered by a pharmacist at a local pharmacy. Michigan continues to see post-PHE declines in vaccination rates. Promoting increased access points for individuals to get vaccinated is a public health benefit and one the MHA supports. Gov. Whitmer signed SB 219 into law in late July 2023.
  • HBs 4495-4496 cleaned up aspects of the Health Michigan Plan Act (HMP), including removal of cost sharing requirements that have proved to be exceedingly burdensome, and the elimination of language requiring the repeal of the HMP if state costs ever exceeded state savings. The HMP has increased access to healthcare throughout the state, providing coverage for over a million Michiganders. The MHA supported this legislation, which the governor signed into law in July 2023.
  • HBs 4616 and 4617 prohibit mental health professionals from providing conversion therapy to a minor. The MHA supported the legislation, which Gov. Whitmer signed into law in August 2023 and are now PAs 117 and 118 of 2023.
  • SB 384 and HBs 4362-4364 make positive changes to state law related to organ donation. SB 384 prohibits insurance discrimination against a living organ donor and HBs 4361-4364 allow for increased opportunities to identify as an organ donor. These changes have the potential to increase organ donation, helping the many individuals in need of transplants. The MHA supported this bill package which, Gov. Whitmer signed into law in November 2023. The bills are now PAs 100-102 and 192 of 2023.
  • SB 227 will update the state’s child caring institution licensing laws to align with emergency intervention language used in the Mental Health Code. Specifically, this legislation is important to any facility interested in becoming licensed as a Pediatric Residential Treatment Facility (PRTF) and alignment between the Mental Health Code and the licensing structure for child caring institutions. SB 227 is headed to the governor’s desk for her signature.
  • SB 133 would create the Overdose Fatality Review Act. The MHA worked closely with the bill sponsor to ensure language in the bill accurately includes and reflects the role hospitals play in their communities. The governor is expected to sign the bill into law soon.
  • SB 410 rescinds limitations on products liability for drugs with FDA approval. The MHA supports SB 410 which Gov. Whitmer is expected to sign.

Information on healthcare bills proposed during the 2023-2024 legislative session can be found through the MHA state legislative bill tracker.

Members with questions on any of the bills should contact Adam Carlson or Elizabeth Kutter at the MHA.

MHA Monday Report Oct. 30, 2023

MHA Monday Report

capitol buildingHealthcare Worker Protections Pass State Senate

Legislation increasing penalties for violence committed against healthcare workers was approved by the Michigan Senate in a bipartisan vote during the week of Oct. 23. The MHA-supported bills increase fines for assaulting a healthcare professional …


Strategic Action Planning Session with MHA Service Corporation Board

The MHA Service Corporation board focused on supporting MHA Strategic Action Plan priorities to address workforce support and innovation, viability, behavioral health improvement, health equity and more during their Oct. 18 planning session. The …


MDHHS Proposes 340B Billing and Reporting Changes

The Michigan Department of Health and Human Services (MDHHS) recently released a proposed policy to modify hospital outpatient billing requirements for drugs purchased through the 340B drug pricing program. Existing policy requires 340B hospitals to …


Clinician Q & A: Pregnancy and Infant Loss

Pregnancy and infant loss tragically impacts individuals and families at all walks of life across the state and country. While every case is different, this is often a result of miscarriage, ectopic pregnancy, stillbirth, neonatal …


Patient Safety: A Case-based Innovative Playbook for Safer Care Published

Patient Safety: A Case-based Innovative Playbook for Safer Care (Second Edition) is a recently published book that serves as a must-read resource for those seeking to enhance patient care and create a culture of safety …


MHA Strategic Action Plan to be Reviewed Nov. 9

In the new program year, the MHA is focused on several critical issues like viability, workforce resilience and wellbeing, behavioral health and health equity.   The MHA will host a virtual member from 2 to …


The Keckley Report

Paul KeckleyAre Employers Ready to Engage the Health Industry Head On?

“Last week, Kaiser Family Foundation (KFF) released its Annual Employer Health Benefits Survey which included a surprise:

The average annual single premium and the average annual family premium each increased by 7% over the last year. …

My take: these findings show that employers are not prone to drastic changes in health benefits for their employees despite recognition it is expensive and unaffordable to small companies and for many of their own employees.  But many large self-insured employers (except those in government, education and healthcare) are poised to make significant changes next year. They recognize themselves as the primary source of profits enjoyed by insurers, hospitals, physicians, drug companies and others.  They’re developing multi-year at risk direct contracts, value-based purchasing arrangements, primary care gatekeeping, narrow networks, restricted formularies, alternative care models and more to that leverage their clout. They’re going on offense. …”

Paul Keckley, Oct. 23, 2023


News to Know

  • The Centers for Medicare & Medicaid Services recently announced the 2024 Medicare Parts A & B amount for deductibles, coinsurance, premiums and the Part D income-related monthly adjustments.
  • The National Commission to Address Racism in Nursing is accepting requests for funding proposals for new or ongoing programs and interventions that work to eliminate racism in nursing.

MHA in the News

MDHHS Proposes 340B Billing and Reporting Changes

The Michigan Department of Health and Human Services (MDHHS) recently released a proposed policy to modify hospital outpatient billing requirements for drugs purchased through the 340B drug pricing program. Existing policy requires 340B hospitals to bill 340B drugs at acquisition cost. Effective for dates of service on or after Jan. 1, 2024, hospitals may bill up to usual and customary charges for 340B acquired physician-administered drugs or products when provided in the hospital outpatient setting. This policy proposes to revise the hospital outpatient 340B acquisition cost reporting and discontinues the 340B final settlement adjustment process. The MDHHS expects this change will have no reimbursement impact.

The policy also proposes to revise 340B hospital cost reporting requirements. Annually, starting by December 2024, hospitals will be required to report 340B cost data for all Medicaid outpatient fee-for-service claims paid during the prior fiscal year.

340B hospitals are encouraged to review the proposal and submit comments to the MDHHS by Nov. 28, 2023. Hospitals are also encouraged to contact Vickie Kunz regarding issues identified by Nov. 20.  Questions regarding this process should forwarded to the MDHHS Drug Rebate Specialist.

Members with questions should contact Vickie Kunz at the MHA.

MHA Monday Report July 17, 2023

MHA Monday Report

MHA Service Corporation Board Highlights Solutions and Successes

The MHA Service Corporation board held its final meeting of the 2022-2023 program year focused on supporting the MHA Strategic Action Plan priorities of workforce sustainability, financial viability, achieving health equity and improving access …


capitol buildingGovernor Creates New Department to Support Workforce and Talent Development

The Michigan Legislature may be on summer recess but work in the state capitol continues. The governor made headlines the week of July 10 with the creation of a new state department, the Michigan Department of Lifelong Education, Advancement …


CMS Releases Proposed Rule to Update Home Health PPS

The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule to update the home health prospective payment system (PPS) for calendar year 2024. The proposed rule includes updates to the …


Webinar Series Explores AI, Resilience and Other Topics

The MHA and other state hospital associations are hosting a webinar series in partnership with the Huron Consulting Group Aug. 10 through Nov. 9 from 1 – 2 p.m. EST. The content will help registrants …


HHS Releases 340B Proposed Remedy

The Department of Health and Human Services (HHS) recently released its proposed remedy for the unlawful payments cuts for certain hospitals that participate in the 340B drug discount program following the June 2022 unanimous Supreme …


Understanding Value-Based Payment Models Can Enhance Patient Care, Lower Costs

Over the last few decades, the healthcare industry has experienced a significant shift from fee-for-service  payments to value-based payments. Value-based care delivery models, which base payment on outcomes versus the number of services


MI care mattersMHA Podcast Explores Harmful Nurse Staffing Legislation

The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities. On episode 31, MHA CEO …


The Keckley Report

Paul KeckleyThe Five Most Important Questions Hospitals Must Answer in Planning for the Future

“As hospital leaders convene in Seattle this weekend for the American Hospital Association Leadership Summit, their future is uncertain.

Last week’s court decision in favor of hospitals shortchanged by the 340B drug program and 1st half 2023 improvement in operating margins notwithstanding, the deck is stacked against hospitals—some more than others. …

Most hospitals soldier on: they’re aware of these and responding as best they can. But most are necessarily focused only on the near-term: bed needs, workforce recruitment and staffing, procurement costs for drugs and supplies and so on. Some operate in markets less problematic than others, but the trends hold true directionally in every one of America’s 290 HRR markets. …“

Paul Keckley, July 10, 2023


Adam CarlsonMHA in the News

Michigan Advance published a story July 9 on the healthcare priorities included in the fiscal year 2024 state budget. Adam Carlson, senior vice president, advocacy, MHA, is quoted multiple times in the story regarding funding …

MHA Monday Report Feb. 13, 2023

MHA Monday Report

MHA Board of Trustees Reviews State and Federal Advocacy Options to Further Strategic Priorities

The MHA Board of Trustees began its Feb. 8 meeting with a federal advocacy briefing from federal lobbyist Carlos Jackson with Cornerstone Government Affairs. Jackson highlighted the policy and funding threats and opportunities healthcare providers …


capitol buildingFiscal Year 2024 Executive Budget Recommendation Released

Gov. Whitmer released her executive budget recommendation Feb. 8 for fiscal year 2024. The proposed budget fully protects traditional hospital line items for Medicaid and the Healthy Michigan program, continues targeted rate increases from recent budget cycles and includes …


MHA and Rural Members Advocate on Capitol Hill

The MHA and rural hospital leaders visited Capitol Hill in Washington D.C. Feb. 7-9 to advocate for specific rural healthcare policies as part of the National Rural Health Association’s Rural Health Policy Institute event. …


Registration Available for MHA Keystone Center Safe Patient Handling Conference

Registration is now open for the MHA Keystone Center Safe Patient Handling Conference. The all-day event will take place April 13 at the Ann Arbor Marriott Ypsilanti at Eagle Crest. In partnership with the MHA Keystone Center, EarlyMobility.com …


January MA Enrollment Increases by 33,000 Beneficiaries

Medicare Advantage (MA) enrollment in Michigan totaled approximately 1.25 million in January, an increase of 33,000 beneficiaries since October. The January enrollment is spread across 48 MA plans that are currently operating in the state, …


The Keckley Report

Paul KeckleyWave Two Value-Based Care: The Five Market Shifts that Will Reset the Payment Environment for Providers

“Wave One of the Value Based Care environment was marginally effective: CMS’ alternative payment models showed promise but savings to Medicare fell short of expectations per MedPAC. Medicare Advantage enrollment grew but plan sponsors were overpaid by Medicare. Hospital avoidable readmissions and complications efforts have been successful but the pandemic economy decapitated hospital resources necessary to compete in the value-based environment. Wave One is a mixed bag. …

The Wave Two Value Agenda in U.S. healthcare will impact every player and be messy. The backdrop of the 2024 Campaign cycle and post-pandemic economy mean impetus will shift from resource-constrained Medicare to the private sector as both offer significant but distinct opportunities for lower spending. And the revolution of generative AI assures shortcomings of the system—diagnostic error, administrative waste, fraud—will be widely exposed. …”

Paul Keckley, Feb. 6, 2023


News to Know – Feb. 13, 2023

  • Prospective payment system hospitals are reminded that any requests for corrections to the January public use file data being used by the Centers for Medicare and Medicaid Services to develop the fiscal year 2024 Medicare wage index must be received, along with supporting documentation, by the Medicare Administrative Contractor by Feb. 15, 2023.
  • The MHA is offering its popular Healthcare Leadership Academy program on March 13-15 and May 15-16.
  • MHA Endorsed Business Partner Demand Workforce/Qodex will host a free 30-minute webinar on Mission Impossible: Let’s Talk About How to Heal Your Staffing Crisis at noon ET Feb. 22 to discuss healthcare trends in staffing including creative approaches to deliberately using your nursing workforce.

MHA in the NewsMHA CEO Brian Peters

The MHA received media coverage the week of Feb. 6 regarding a variety of topics, including the fiscal year 2024 executive budget recommendation, the role food insecurity has as a social determinant of health, the new state House Behavioral …

MHA Monday Report Feb. 6, 2023

MHA Monday Report

MHA Testifies During First House Health Policy Committee Hearing

The first hearing of the new legislative session for the House Health Policy Committee was held Feb. 2. Led by Chair Julie Rogers (D-Kalamazoo), new committee members heard testimony from advocacy organizations about the state of public health in Michigan. …


Implicit Bias Trainings Available to Meet LARA Requirement

The Department of Licensing and Regulatory Affairs revised Public Health Code – General Rules to allow asynchronous teleconferences or webinars as acceptable modality of training as part of the implicit bias training standards for all professions licensed or registered under …


MHA Ludwig Community Benefit Award Accepting Nominations

Hospitals taking part in local efforts to enrich the overall welfare of their communities are encouraged to nominate those programs for the 2023 MHA Ludwig Community Benefit Award. First presented in 1990, the annual award honors MHA-member healthcare …


MHA Annual Meeting Sponsorship Opportunities Available

Just as hospitals and health systems have changed their strategies to adapt to the new environment, MHA education programming and sponsorships have changed to deliver more value. The MHA team are designing in-person events tied to the priorities of the …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Medical Liability and Denney Damages

In last month’s CEO Report, we focused on the new political environment in Lansing, with a host of first-time lawmakers taking office, Democrats assuming majority control of both chambers of the legislature and a host of …


The Keckley Report

Paul KeckleyThe Big Tech Advantage in U.S. Healthcare

“This week, 100 of the Fortune 500 will report earnings for 2022 and heightened attention will be on four tech giants–Apple Inc., (AAPL); Amazon (AMZN) Meta Platforms Inc.(META) and Alphabet Inc.(GOOG). Comparatively, reports this week by Pfizer, Merck and Eli Lilly will get industry attention but news about these technology-giants will extend to a much wider audience. Why? …

2023 will be pivotal to U.S. healthcare’s future: it’s the transition year from pandemic adaptation buoyed by emergency-relief funds and opportunistic private equity plays in capital-starved sectors to a normalcy that’s unprecedented. … “

Paul Keckley, Jan. 30, 2023


Brian PetersMHA in The News

The MHA received media coverage the week of Jan. 30 regarding the 340B drug pricing program and the lack of child psychiatrists in northern Michigan. Crain’s Detroit Business published an op-ed Feb. 1 from MHA CEO Brian Peters on …

Media Recap: 340B & Child Psychiatry Access

Brian Peters

Brian PetersThe MHA received media coverage the week of Jan. 30 regarding the 340B drug pricing program and the lack of child psychiatrists in northern Michigan.

Crain’s Detroit Business published an op-ed Feb. 1 from MHA CEO Brian Peters on how the 340B drug pricing program benefits hospitals. The placement of the op-ed follows recent criticism of the program in the media on how the program generates savings for hospitals and health systems.

“Michigan has some of the best state-level 340B protections in our country that prioritize access to care for vulnerable patients,” said Peters. “The program is funded through drug company discounts and not taxpayer dollars. Reducing the availability of 340B simply means even higher profits for drug companies. As the Michigan Legislature begins a new session, it is important to remember that for three decades, the 340B drug pricing program has received bipartisan support and helped hospitals from Detroit to the Upper Peninsula.”

In a separate story, Laura Appel, executive vice president of government relations and public policy, MHA, appeared in a story that looks at the shortage of child psychiatrists in rural and northern Michigan and the challenges it presents to children and families accessing care. The story originally written by Capital News Service was picked up by publications such as the Midland Daily News, Cadillac News, Ludington Daily News and City Pulse.

Members with any questions regarding media requests should contact John Karasinski at the MHA.

Comments Due for 340B Administrative Dispute Resolution Process

The U.S. Department of Health and Human Services (HHS) issued a proposed rule Nov. 30 to establish the 340B Administrative Dispute Resolution (ADR) process implementing a formal manner for resolving disputed claims. The ADR process would provide a forum for addressing overcharges by drug manufacturers and establish a deadline for ADR panel decisions. The ADR process is critical for ensuring integrity of the 340B program, which is vital for hospitals and the vulnerable patients they serve, particularly given the staffing challenges and unprecedented inflationary increases hospitals continue to experience. The MHA drafted its comments and encourages 340B hospitals to review the proposed rule and submit comments by 5 p.m. Jan. 30. Commenters should include the HHS Docket No. “HRSA-2021-000X” when submitting their letters.

Members with questions should contact Katie Jaskolski at the MHA.

MHA Monday Report Jan. 16, 2023

MHA Monday Report

capitol buildingNew State Legislative Session Begins

The new session for the 102nd Michigan Legislature kicked off during the week of Jan. 9 with swearing in ceremonies in both the House and Senate. Michigan Democrats in the majority started the session by introducing legislation to repeal right …


Rural Emergency Hospital Webinar on Requirements and Conversion Process

Hospitals interested in learning more about the new Rural Emergency Hospital (REH) designation are encouraged to attend an upcoming webinar from 12:30 p.m. to 2 p.m. ET Jan. 18 hosted by Mathematica and the Rural Health Redesign Center (RHRC) for …


MDHHS Expands Behavioral Health Service Providers Covered by Medicaid

The Michigan Department of Health and Human Services (MDHHS) issued a bulletin Jan. 5 to expand the types of providers who can perform Medicaid-covered, non-physician outpatient behavioral health services. Effective Feb. 4, Medicaid will cover and reimburse outpatient behavioral health …


Federal Court Rules on 340B Underpayment Remedy

A recent United States District Court for the District of Columbia ruling allows the Department of Health and Human Services (HHS) to propose a remedy for hospital 340B drug underpayments for calendar years 2018 to 2021. …


Hospitals Pursue Health Equity to Honor Martin Luther King Jr.

Rev. Martin Luther King Jr. once said, “Of all the forms of inequality, injustice in healthcare is the most shocking and inhumane.” As we honor Dr. King today and the legacy he created striving for racial equality, the MHA and …


The Keckley Report

Paul KeckleyThe Escalating, Ironic Tension Between Insurers and Hospitals

“Blistering attacks on hospitals were a staple in media coverage in 2022. Comparatively, health insurers escaped unscathed. …

The near-term tension between hospitals and insurers will continue as affordability and transparency concerns mount. In tandem, government efforts to shift incentives to value-based payment models will expand as large employers and national plans implement more aggressive risk sharing agreements. The roles of the two sectors will converge in response to market demand. In anticipation, Deloitte, among others, merged its payer and provider practices to prepare its clients for the change. …”

Paul Keckley, Jan. 9, 2023


News to Know

MHA offices will be closed and no formal meetings will be scheduled Jan. 16 in honor of Martin Luther King Jr. Day.