MHA Monday Report April 26, 2024

MHA Member Testifies on Healthcare Legislation, Staffing Agency Bill Introduced

Hills and Dales Hospital President and CEO Andrew Daniels testified April 25 in the House Health Policy Committee on legislation removing timelines on disposal of sharps containers. Senate Bill 482, which was initiated by …


MDHHS Announces $10 Million Maternal Health Reimbursement Opportunity

The Michigan Department of Health and Human Services (MDHHS) announced April 22 its intention to reimburse Michigan birthing hospitals for committing to participate in The Joint Commission Maternal Levels of Care Verification Program and …


CMS Seeks Comments on Proposed Transforming Episode Accountability Model

The Centers for Medicare & Medicaid Services (CMS) included a proposal to create a new mandatory alternative payment model, the Transforming Episode Accountability Model, in the fiscal year 2025 hospital inpatient prospective payment system …


LEO Launches Second Round of Going Pro Talent Fund Grants

The Michigan Department of Labor and Economic Opportunities (LEO) recently opened the second round of Going Pro Talent Fund grants, which will distribute a portion of the $11 million remaining from the first round of …


MHA EventsFinal Reminder: Register Now for the 2024 Communications Retreat

It is not too late to register for the 2024 MHA Communications Retreat, scheduled from 8:30 a.m. to 4 p.m. May 7 at the Henry Center for Executive Development in Lansing. Members are encouraged to …


Requests for Information Required for SLCGP Grant

The Michigan Cybersecurity Planning Committee is requesting additional information from applicants who previously expressed an interest in participating in the Fiscal Year 2022 State and Local Cybersecurity Grant Program Funds (SLCGP). This program aims to …


CMS Releases FY 2025 LTCH PPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service long-term care hospital (LTCH) prospective payment system (PPS) for fiscal year 2025. Specifically, the rule proposes: …


The Keckley Report

Hospitals declare War on Corporate Insurance: Handicapping the Players

“At the Annual Meeting of the American Hospital Association in DC last week, its all-out attack on “corporate insurance” was a prominent theme. In the meeting recap, AHA CEO Rick Pollack made the influential organization’s case:

“This year, there was special focus on educating policymakers that our health care system is suffering from multiple chronic conditions. These include continued government underpayment, cyberattacks, workforce shortages, broken supply chains, access to behavioral health, and irresponsible behavior by corporate commercial health insurance companies, among others — that put access to services in serious jeopardy.” …

This war has been simmering. It’s now a blaze. The outcome is uncertain despite the considerable resources both will spend to win.”

Paul Keckley, April 22, 2024


News to Know

MHA Endorsed Business Partner Medical Solutions is hosting a free webinar Empowering Rural Care: Dynamic Staffing Solutions and Retention Methods from noon – 1 p.m. ET May 8 with special guest, Patti Artley, chief nursing officer at Medical Solutions.

 

Updates on Medicare Advantage Enrollment in Michigan

The MHA recently updated its analysis of Medicare enrollment data to reflect Medicare enrollment as a percentage of each county’s total population and the split for Medicare between traditional fee-for-service (FFS) and Medicare Advantage (MA). Statewide, 22% of the total population is enrolled in Medicare.

Total Medicare enrollment is approximately 2.21 million with 61% of beneficiaries enrolled in a Medicare Advantage (MA) plan. MA enrollment as a percentage of total Medicare enrollment varies by county, ranging from 45% to 76%. January enrollment is spread across 52 MA plans with up to 30 plans covering beneficiaries in some Michigan counties.

Members with enrollment questions should contact the Health Finance team at the MHA.

Updates on Medicare Advantage Enrollment & Proposed Rule

The MHA recently updated its analysis of Medicare enrollment data to reflect Medicare enrollment as a percentage of each county’s total population and the split for Medicare between traditional fee-for-service and Medicare Advantage (MA). Statewide, nearly 22% of the total population is enrolled in Medicare.

Total Medicare enrollment is approximately 2.21 million, with 60% of beneficiaries enrolled in a MA plan.  MA enrollment as a percentage of total Medicare enrollment varies by county, ranging from 43% to 75%. November enrollment spread across 49 MA plans with up to 32 plans covering beneficiaries in some Michigan counties.

The MHA recently submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the 2025 MA proposed rule. The MHA continues to urge the CMS to hold MA plans accountable for complying with provisions of the 2024 MA final rule and recommend the CMS impose intermediate sanctions, civil monetary penalties or terminate contracts of noncompliant plans.

Members with enrollment questions should contact the Health Finance team at the MHA.

MHA Enrollment Data Analysis Expansion

The MHA recently expanded its analysis of enrollment data to reflect Medicare and Medicaid enrollment as a percentage of each county’s total population and the split for Medicare and Medicaid between fee-for-service and managed care organizations. Statewide, nearly 22% of the total population is enrolled in Medicare and 32% enrolled in Medicaid.

Total Medicaid enrollment, including the Healthy Michigan Plan, is 3.2 million as of April 2023, with 71% of beneficiaries enrolled in one of nine managed care plans. The MHA will update this data monthly as we monitor the impact of the Medicaid redetermination process that requires eligibility be redetermined for all enrollees over the next 12 months. The Michigan Department of Health and Human Services began the process April 1, with some enrollees expected to lose coverage July 1.

Total Medicare enrollment is 2.17 million with 59% of beneficiaries enrolled in a Medicaid Advantage (MA) plan. April enrollment is spread across 48 MA plans with up to 28 plans covering beneficiaries in several Michigan counties. The MHA will also update this data monthly as Michigan’s population continues to age and MA enrollment continues to grow.

Members are encouraged to review the MHA’s COVID-19 PHE webpage for information about the end of the PHE and additional resources.

Members with enrollment questions should contact Health Finance at the MHA.