Thursday, September 21, 2023

$700 Million for Mississippi Hospitals

 Governor Tate Reeves issued the following statement. 

Governor Tate Reeves today announced a series of sweeping Medicaid reimbursement reforms in Mississippi which are estimated to generate approximately $700 million for hospitals across the state.

Today's action includes two hospital payment initiatives that are estimated to generate almost $700 million annually in additional Medicaid funds for Mississippi hospitals.

“Over the course of my tenure, we have constantly looked for solutions to Mississippi’s pressing health concerns. We’ve met with hospitals and doctors, insurance experts and community leaders,” said Governor Tate Reeves. “Today’s action will have a major impact, but this is still just the beginning. Our eyes are set on the future, and we aim to continue ushering in reforms that strengthen Mississippi’s healthcare system no matter where you live in the state.”

The first initiative, known as the Mississippi Hospital Access Program (MHAP), will provide direct payments to hospitals serving patients in the Mississippi Medicaid managed care delivery system. With these directed payments, hospitals would be reimbursed near the average commercial rate, which has been considered the federal ceiling for Medicaid reimbursements in managed care.

The second initiative will supplement Medicaid base payment rates for hospitals by reimbursing inpatient and outpatient hospital services in the fee-for-service system up to the Medicare upper payment limit. This payment mechanism, known as a UPL, is calculated similarly to the one-time emergency payment of $137 million that hospitals received through the Mississippi Division of Medicaid earlier this calendar year.

To minimize the recurring impact of state general fund expenditures, the non-federal share of the directed and supplemental payments will be financed through assessments hospitals pay annually to the Medicaid program through a formula set out in state law.

Hospitals are projected to net an increase of $689 million through these initiatives, after accounting for the funds the hospital made to help finance the initiatives.

The federal Centers for Medicare and Medicaid Services (CMS) must approve both proposals, which are being submitted. If approved, both would be effective as of July 1, 2023.

Governor Reeves also called for prior authorization reform and announced that a working group on health issues would continue to meet to discuss further reforms in the state moving forward. The working group is comprised of the Mississippi Healthcare Collaborative, the Mississippi State Department of Health, the Mississippi Division of Medicaid, and a representative from the Office of Governor Tate Reeves.

A range of medical leaders from across the state participated in constructing the proposals announced today.

“The plan that I’m announcing today is a result of the hard work of the folks standing behind me,” said Governor Reeves. “Over the last four to five months, we’ve worked to put together a proposal that we believe can have a real impact on Mississippi hospitals. I’m thankful for their public service.”



The list of medical professionals includes:


  • Sam Dean, Merit Health River Oaks.
  • Gregg Gibbes, South Central Regional Medical Center.
  • Greg Havard, George Regional Health System.
  • Kent Nicaud, Gulfport Memorial Hospital.
  • Jim Perry and John Davis, Mississippi State Board of Health.
  • Drew Snyder, Mississippi Division of Medicaid.
  • Shane Spees, North Mississippi Health Services.
  • Andy Woodard, Forrest General Hospital.
  • LouAnn Woodward and Alan Jones, The University of Mississippi Medical Center.

During the press conference, Governor Reeves highlighted the impact on several hospitals around the state including:
  • An over $66 million or 50% increase for The University of Mississippi Medical Center.
  • An over $53 million or 337% increase for Forrest General Hospital.
  • An almost $34 million or 233% increase for Singing River Hospital.
  • An over $15 million or 259% increase for Delta Regional Medical Center.
  • An over $10 million or 138% increase for Greenwood Leflore Hospital.
  • An almost $17 million or 213% increase for Southwest Mississippi Regional Medical Center.
  • An over $9 million or 208% increase for Bolivar Medical Center.
  • An over $21 million or 262% increase for South Central Regional Medical Center.
  • An over $33 million or 115% increase for North Mississippi Medical Center.
  • An almost $17 million or 213% increase for Southwest Mississippi Regional Medical Center.

 
The projected financial impact of the proposed investment on state hospitals can be read in full here.
 
Governor Reeves announced the proposals during a press conference which can be viewed here.

 

55 comments:

Pork pork pork said...

Is it an election year?

Anonymous said...

Too late hateful Tate

Anonymous said...

@4:24
Yes it is!
And the pork barrels are fresh, yes indeed!
Tate is going to pass the biscuits!

Anonymous said...

So help the hospitals, not the people. Good grief. Expand Medicaid already.

Anonymous said...

Yet more proof that Tater Tot is here every day.

Anonymous said...

What a smokescreen. All this to help hospitals (good thing) but not patients (really bad thing). Without Medicaid expansion, these people will get charged full bull rates, which they can never pay, and the hospital will again be forced to write off the debt, and the vicious cycle continues. Easy solution, doofus. EXPAND MEDICAID.

Anonymous said...

From the release: "To minimize the recurring impact of state general fund expenditures, the non-federal share of the directed and supplemental payments will be financed through assessments hospitals pay annually to the Medicaid program through a formula set out in state law."

So either the assessments will increase which means rather than let the federal government pay 90% of the costs associated with Medicaid expansion, tater wants to essentially tax the hospitals for it or he's moving money around which is just smoke and mirrors.

Stubbornness and stupidity are a dangerous combination and the gov is demonstrating an alarming amount of both.

Anonymous said...

Thank you Governor Reeves! This is great for the State of Mississippi! Negotiations take time but Governor Reeves opponent knows nothing about negotiating.

But they sure do accept out-of-state contributions. I wonder how much Soro's has spent in Mississippi so far. Anyone know? I'll wait....

Anonymous said...

Been a healthcare provider in multiple roles since 1980. The question that is on the table but being ignored is this “ is access to healthcare a human right or is it a business” . We can see from our European Allie’s how socialized medicine works…. Not many Americans suffering from angina or heart failure will be happy waiting three years for intervention. As a cardiac nurse now dealing with heart failure I find the medical Trinity ( md, insurance and pharmacy) loathe to provide optimal therapy….as a customer as well as a provider I again refer you to the original question posed….

Anonymous said...

If you weren't sure if Tater was all about politics and couldn't give a shit about poor and working class people, now you know. Pure political B.S.

Anonymous said...

We are left to assume a governor has this authority. Surely he ran this by Lynn Fitch. She has a cracker-jack 'AG Opinion Division'.


Secondly: Quoting here, "The first initiative, known as the Mississippi Hospital Access Program (MHAP)..."

We know damn well that MHAP is the abbreviation for MisHAP.

Thirdly: To round out this really bold and manly action by the governor, it's recommended that he start wearing a big, wide-brim cowboy hat, a white one.

Anonymous said...

New campaign slogan!

Late with Tate!

Anonymous said...

this whole county is one big mardi gras float

Anonymous said...

The board of supervisors in Leflore County refused to give their hospital anymore money and the hospital was going to shut down next month. Will this keep it open?

Alt Wrong said...

This means that if approved by the Feds, the state portion would not come out of Mississippi’s general fund, but would be ultimately financed by hospitals and their patients.

Can anyone explain how this does anything meaningful aside from shift down some receivables that still won’t ever be collected?

Anonymous said...

@8:10, 9/21
Three supervisors, Reginald Moore, Eric Mitchell and Robert Collins were attempting to blackmail the city of Greenwood into releasing one of the hospital board members, Marcus Banks. Mr. Banks’ term has expired but the city declined to look for a successor while waiting an appeal from the national Centers for Medicare and Medicaid Service’s (CMS.)The regional Centers for Medicare and Medicaid Service’s in Atlanta denied the initial request from Greenwood Leflore Hospital for critical care access status. The city of Greenwood’s does not feel it is necessary to replace Mr. Banks with the county’s choice if the hospital may be closed next month. In retaliation, these three voted not allow the hospital to draw on its line of credit. Fortunately the hospital had enough reserves to meet the payroll this month. In answer to your question, I am praying this will save GLH and put these 3 clowns out of the equation.

Anonymous said...

The interesting thing for me is there's no sign of or mention of Tim Moore or the Mississippi hospital association. Apparently, as long as Tater in on control, they will be relegated to the back of the bus.

Anonymous said...

The interesting thing for me is there's no sign of or mention of Tim Moore or the Mississippi hospital association. Apparently, as long as Tater in on control, they will be relegated to the back of the bus.

Anonymous said...

Taxing hospitals to cover patient care? Is this truly the power of MSGOP economics?
It’s like they will do anything to prevent a millionaire from having to pay a few thousand to help a poor person!

Anonymous said...

Since we are throwing out those millions maybe you will fund our state search and rescue team.

Anonymous said...

In other words the middle class will be charged more when they need health care. Taxes, Insurance, and out of pocket expenses are about to go up even more.

Anonymous said...

This proves Tate is worried about Brandon Presley. I am a Republican and can see through this.

Anonymous said...

Let’s see. Comes up with a plan just before the election because he has been getting hammered by republicans and democrats alike for not doing anything. This is the same thing he did to infrastructure roads before he became governor. He never did anything but make sure he got Lakeland Drive six laned to his house throwing the middle finger to everyone else in the state outside of R areas about their road priorities. Then one year before election year the House came up with a plan that did not raise taxes. He killed it as Lt. Governor. Then the House ran it out there again in 2018 only to die in the Senate where he was still Lt. Governor. Then low and behold the feds came and mandated closed bridges all over the state. Fall of ‘18 when a special session was called Tate went along with the House plan and it became it centerpiece for his run for Governor in ‘19. It does not surprise me in the least bit he is now taking ideas others have been presenting for some time and trying to be a hero before the election.

Anonymous said...

How many hospitals are receiving any of the $137 million Tate references from the '23 legislature?

I'm hearing: nada.

Anonymous said...

The changes in the MHAP and UPL reimbursement programs the Governor announced today have always been available to make in Mississippi. It’s not something he or Mississippi Medicaid masterminded. So, for 12 years of being Lt. Governor and Governor, he could have instigated these changes. So, we’ve missed out on $8.5 billion during that time? Think maybe there’s an election coming up here soon?

free frontage road for every light governors gated neighborhood said...

Who says an old dog can't learn new tricks?

Next week Tater will probably be campaigning on convincing his supporters to use toilet paper.

Anonymous said...

In the 2019 primary, most, if not all, on that stage were pushing Waller, locked arm-in-arm with the Hospital Association. Now most are gone from MHA and supporting Tater. To paraphrase Churchill, they’ve already established what they are, now they’re just haggling about the price.

Anonymous said...

These sudden “sweeping Medicaid reimbursement reforms” might just prove that Republican turds stink, but feel they can do anything in Mississippi because voters choosing Democrats, that will destroy the state of MS like they have the city of Jackson, that stink a whole lot more, is a much worse option.

With their immoral silence, i.e. their condoning of insane Democrat lawlessness (in order to keep 90% of the minority vote), rich white Democrats, especially the hypocrites that, instead of living in their party/Democrat controlled Jackson, they instead choose to live in safe Republican controlled suburbs (some even with gates protecting their homes/subdivisions),

prove, that even young innocent children being murdered and killed by stray bullets in their lawlessness Democrat controlled cities, is not enough to cause their rich white immoral asses to stand up against the insane crime perpetrated against innocents.

When Democrats grow a set, then fix the insane immoral idiotic crime, we will have a choice.

Anonymous said...

This proposed scam rivals Timbergate and Express Grain.

Anonymous said...

Dollar General Diabetes and other fake food emporiums remain a primary obesity provider for socialized health deterioration in MS.

Anonymous said...

what a weasel. ole tater opposes federal medicaid money until now, when he can announce his plan, which amounts to taking federal funds, providing state funds alongside, but requiring hospitals to pay "assessment fees" to pay the "non-federal" part. In other words, tater is a BS artist.

Anonymous said...

I'll say one thing that mush-mouth, lying opponent of Reeves sure does have a lot of paid trolls in his camp.

Anonymous said...

"If you're five foot three and you're three hundred pounds, taxes ought not pay for your bags of fudge rounds"

Anonymous said...

Smoke and mirrors.

Anonymous said...

Forgive my ignorance and please point me to the audit. Have ALL the hospitals in the state been audited to see exactly how much federal funding each received during the incentivized payments made for diagnosis and treatments from cvid? How many hundreds of millions? No one has medical care in our country - we have doctors who read from a screen and do what the little computer tells them to do. Maximize the payments is the game. Tater is putting a lot in his pocket ... but, but, but, it's for the 'poor'. Yeah right.

Anonymous said...

This could have been done long ago. But let’s do it inside of 60 days of an election.

Whatta Ya Want - Free Rides! When? NOW! said...

@ 8:05 - Tell us in your own words why hospitals should NOT be assessed in order to help pay the "state's portion"?

Another way to ask a liberal that question, is: "Why should the taxpayers of the state be required to pick up the part of the tab NOT paid by federal taxes?

Methinks you might be confused about who the bullshitter is.

Anonymous said...

Maybe I hear hospitals should revisit their spending on administrative roles and how effective they are in doing their job.

From vanity projects, to wasteful spending, to incompetent employees, I’ve seen a lot of waste across this state when it comes to healthcare.

Anonymous said...

The expansion of Medicaid depends on federal monies', what happens if the federal money dries up? From my perspective, if push comes to shove, the only sure thing to be funded in D.C. is the proxy war in Ukraine. The hogs of the military industrial complex must eat. The state can't sustain the Medicaid expansion alone.

Anonymous said...

DEEP sock puppetry on this one KF.

Anonymous said...

Presley has a black Democrat GOTV problem. The timing of this announcement is perfect.

Anonymous said...

@9:23 AM

Let’s talk about wasteful spending for a second.
My elderly mother is currently at Baptist.
Every other night they bring her a cup of melted, room temperature ice cream.
What administrative idiot has approved this?
The cup of sickening fluid end up in the trash can of every single patient.
Nobody eats the tepid melted fluid.

Anonymous said...

I am not voting for Tate Reeves EVER again. I'm sick of seeing people of his mindset pretending to care about anything but themselves and those rotten minded people he is so impressed with. Too many conservatives in other state governments have voiced reasonable arguments on this issue. Yet another politician disconnects from reality.

Anonymous said...

Remember you get what you vote for. So all you Tate haters must love the downward spiral your great President is taking this naton. I know you Presley supporters are happy with the cost of gas, food, skyrocketing interest rates. Shall I go on?

Anonymous said...

GOP death rattle

Anonymous said...

Deceptive politics, basically you have to get approval from the federal government which will take months at the very least and they may not even get approval bc democrats are in control and would rather we EXPAND medicaid but by that time the November election is over, the people won't realize the hospitals never got the money! BS

Anonymous said...

" I know you Presley supporters are happy with the cost of gas, food, skyrocketing interest rates. "

Yes - thank you Dems! ;-)

Anonymous said...

Reeves 60%, Presley 40%. Yawn.

Anonymous said...

12:42pm I know you are happy you are employed and have leaders that care about our sick planet so that your future great-grand kids don't suffer from natural disasters and a cold war. thank you;-)

Quid pro quo said...

This sends tons of money to hospitals which in part personally benefits CEOs and other administrators, many of whom are likely campaign donors.

Anonymous said...

Alan Jones always has to get in there and stand with Woodward for UMMC.

It is hilarious that all these major health system could summarize the leader on this initiative as one person, but UMMC in its ego needs to name two people.

Little symbol for why everyone around the state hates UMMC.

Anonymous said...

What's a 'vanity project'?

Anonymous said...

"GOP death rattle"

Recalls the undertaker when he sees the body move.

Anonymous said...

How is this going to solve the health problems of the working poor?

Anonymous said...

8:49 PM The 3 members of the Leflore County Board of Supervisors made the right decision. They have already given the hospital over $12 million which will never be paid back. They have already had to substantially raise taxes. At this point it would be best for the hospital to go ahead and file bankruptcy before it costs the taxpayers enough $12 million.



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