Professional Documents
Culture Documents
Midwest Edition
Calendar
November 15-16
S09101!H$1B4#07!?11$"40#4$9!?99607! <$93&9#4$9*!>8&'0#$9!!3&'7095!/0'E@!?! 30'4&#.!$=!B$74".!095!D$#430#4$907! 1B&0E&'1!L477!541"611!#8&!"8077&9:&1! =0"49:!8$1B4#071!49!S09101@!OP+QOP(P@ <74"E!H&'&!=$'!A$'&!I9=$'D0#4$9
December 4-5
;4=&>"4&9"&!?77&.!099607!"$9=&'&9"&@! A499&0B$741!<$93&9#4$9!<&9#&'@!?9! &C0D490#4$9!$=!#8&!E&'.!5'43&'1!49!74=&! 1"4&9"&!095!8&07#8"0'&@!<$1#!FG?@ <74"E!H&'&!=$'!A$'&!I9=$'D0#4$9
December 13
<8077&9:&1!49!#8&!J$'75!$=!H$1B4#07! A&':&'1*!?K?!H&07#8!;0L!>&"#4$9! M41#09"&!;&0'949:!<$DD4##&&@!J&%490'! 095!N&7&"$9=&'&9"&*!<84"0:$*!O,,PQO,RP@ <74"E!H&'&!=$'!A$'&!I9=$'D0#4$9
WEBINAR
E-Mail info@payersandproviders.com with the details of your event, or call (877) 248-2360, ext. 3. It will be published in the Calendar section, space permitting.
Noon, CDT
!"#$%&'!()*!(+,(!-!(+,(!%.!/0.&'1!2!/'$345&'1!/6%741849:*!;;<
NEWS
Michigan Medicaid (Continued from Page One)
government will begin with a 100% match for new enrollees for three years. That number will drop to 90% in 2020 and beyond. The report found that the state would save money through 2020 (a total of $1.17 billion). In 2020, when the federal match is 90%, the state would see a net annual cost growing to $52 million by 2023. The state will save money through provider taxes, eliminating the adult benet waiver program; reduction in non-Medicaid mental health benets; reductions in prisoner inpatient medical services; and saving in state employee healthcare costs. These costs and savings among to $983 million through 2023. I hope people get that there is tremendous value in several ways, Udow-Phillips said. She added there is the nancial value because the state now pays for services that would be covered under federal dollars. Moreover, having more people covered will reduce uncompensated care, which trickles down to employers and people paying for private insurance. Udow-Phillips also noted the value of the coverage. In 2020, when the federal coverage is reduced, it will still only cost the state $83 per person, per year for Medicaid coverage. Udow-Phillips said she thinks other states would see similar numbers if they looked at all costs and savings related to the expansion, particular during the 10-year period they analyzed. Even when it moves down to 90-10, we think it will be a good deal for the states even
Page 2
Advertise Here
(877) 248-2360, ext. 2
In Brief
Trinity, Catholic Healthcare East Announce Preliminary Merger Plans
Michigan-based Trinity Health has signed a letter of intent to merge with Pennsylvania-based Catholic Healthcare East, potentially creating a powerhouse of a Catholic hospital network. Under the terms of the currently non-binding deal, Trinity CEO Joseph R. Swedish would become chief of the merged organization. CHE Chief Executive Officer would serve as executive vice president. Consolidating the two systems would create an entity operating 82 hospitals in 21 states with 87,000 employees, inrcluding more than 4,000 physicians. Annual revenue would be more than $13 billion a year. Trinity Health and Catholic Health East are strong Catholic health care systems that share a Gospel-based mission and an unyielding commitment to care for people who are poor and underserved," said Trinity Health Chair Sister Mary Mollison. This consolidation advances the vision of congregations of Sisters that founded these health care ministries, addresses the changing health care environment and takes a bold next step for Catholic healthcare." Both sides noted that the merger is preliminary, and that a definitive agreement and completion date would be announced during the first quarter of 2013. To serve people best in today's healthcare environment, health systems must have ready
if they have a slightly different picture, she said. We published this to help our state, but we also want others to look at our methodology. At this point, however, the numbers on the cost of expansion vary so broadly that it may be difcult of policymakers to determine what it will really look like for their respective states. Milliman Inc. has been hired by a handful of states to try and determine the cost of expansion. A report for the state of Indiana found that should the state not expand through 2020, it would incur $611.7 million in expense through enrollment of those already eligible and other factors; if it expands to 100% of the federal poverty level, it would cost $1.7 billion; and if it fully expands, it would cost $2.5 billion. Studies from Milliman and The Center for Health Policy at University of Nebraska Medical Center have shown that costs will range from $140 million to $766 million should teh Cornhusker State expand its program. The Congressional Budget Ofce has estimated that states will only increase costs by about 3% from what they would have paid without expansion. And the Urban Institute estimates that states will save somewhere between $26 billion and $52 billion through 2019. Jeremy Engdahl-Johnson, spokesperson for Milliman, said the issue really should be looked at on a state-by-state basis. He said there are so many differences, including coverage levels and underwriting, for each state that its almost impossible to make a sweeping statement that expansion would be good or bad overall. TAMMY WORTH
Continued on Page 3
!"#$%&'!()*!(+,(!-!(+,(!%.!/0.&'1!2!/'$345&'1!/6%741849:*!;;<
NEWS
Page 3
Advertise Here
(877) 248-2360, ext. 2
*For our ads, not your hospital
In Brief
access to resources and ideas across the broad spectrum of care, and this consolidation would help us achieve that goal with an exceptional national network, Swedish said. We are excited about the benefits our combined organizations will bring to people and communities nationwide.
Minnesota-based UnitedHealthcare has entered into an alliance with the Nebraska 4-H to help adolescents nd rising rates of obesity. The partnership, called Eat4Health, will send out 4-H members as youth ambassadors to spread the message of healthy living and eating to other young Nebraskans. The program is being administered by the University of Nebraska-Lincoln Extension Service, which provides 4-H programs to all 93 of Nebraskas counties. UnitedHealth has launched similar programs in Florida, Mississippi and Texas. It has presented $30,000 in seed money to start each program, including the new one in Nebraska. About one-third of the nations teenagers are considered overweight or obese. According to data from the U.S. Centers for Disease Control and Prevention, about 28% of Nebraskans are at least overweight. We are fortunate to be able to join with the young people of 4-H in the Eat4-Health program to help make a difference in the lives of so many families in Nebraska, said Kathy Mallatt, president of UnitedHealthcare Community Plan of Nebraska.
To learn more about our products and services, visit our website at www.contexomedia.com
Contexo Media is an independent provider of revenue-enhancing solutions for medical practices to maximize their coding, reimbursement and compliance efforts. Thousands of health care professionals rely on Contexo Medias coding books, software, eLearning and educational workshops to stay on top of critical updates across the fast-changing medical landscape.
19144
!"#$%&'!()*!(+,(!-!(+,(!%.!/0.&'1!2!/'$345&'1!/6%741849:*!;;<
OPINION
Page 4
=$76>&!(*!?116&!@+
/0.&'1!2!/'$345&'1!41! A6%7418&5!&3&'.!B6&150.!%.! /0.&'1!2!/'$345&'1!/6%741849:*! ;;<C!D9!099607!4954345607! 16%1"'4A#4$9!41!EFF!0!.&0'! GE,@F!49!%67H!6A!#$!,+! 16%1"'4%&'1IC!?#!41!5&743&'&5!%.! &J>047!01!0!/KL!0##0"8>&9#*! $'!01!09!&7&"#'$94"!9&M17&##&'C
D77!053&'#4149:*!16%1"'4%&'!095! &54#$'407!49N64'4&1O
GPQQI!(@PJ()R+ 49S$TA0.&'1095A'$345&'1C"$>
U04749:!055'&11O
P,P!VC!W$77.M$$5!X0.*!Y64#&!Z Z6'%09H*!<D!F,[+[
X&%14#&
MMMCA0.&'1095A'$345&'1C"$>
L0"&%$$H
MMMCS0"&%$$HC"$>\A0.&'1A'$345&'1
BM4##&'
MMMC#M4##&'C"$>\A0.&'1A'$345&'1
]54#$'407!Z$0'5
X47740>!UC!KM.&' W&07#8"0'&!Y#'0#&:41# ^09101!<4#.*!U$C _0.!X0'5&9 Y&94$'!=4"&!/'&145&9# B8&!<0>5&9!`'$6A a$11!DC!Y7$##&9*!UCKC ^7&49!Y7$##&9!2!L'&9"8 <84"0:$ U4"80&7!;C!U477&91$9 /'&145&9# W&07#8!b6074#.!D5341$'1!;;< W4:87095!/0'H*!?77C
/6%7418&'
A6%7418&'TA0.&'1095A'$345&'1C"$>
a$9!Y849H>09
D11$"40#&!]54#$'
#0>>.CM$'#8T1%":7$%07C9&# ?S!.$6!5$!9$#!'&"&43&!.$6'!4116&!$S! /0.&'1!2!/'$345&'1!%.!,!/CUC!$9! B6&150.*!A7&01&!"077!GPQQI(@PJ()R+C
B0>>.!X$'#8
!"#$%&'!()*!(+,(!-!(+,(!%.!/0.&'1!2!/'$345&'1!/6%741849:*!;;<
MARKETPLACE/EMPLOYMENT
Page 5
CAN HELP.
We publish advertisements for those seeking new career opportunities for just $1.25 a word. If you prefer discretion, well handle all responses to your ad. Call (877) 248-2360, ext. 2, or e-mail advertise@payersandproviders.com.
!"#$%&'!()*!(+,(!-!(+,(!%.!/0.&'1!2!/'$345&'1!/6%741849:*!;;<