March 4, 2011 | Vol. 5 #9
The MPCA e-Update is a weekly
e-bulletin intended to keep MPCA members updated on issues important to
Community Health Centers. Please feel free to forward this to
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organizations does not represent an endorsement by MPCA, and opinions
expressed by outside authors are not necessarily official positions
or policies of MPCA.
Medicaid Director Briefs House
Subcommittee
Steve Fitton, Director of the
Medicaid Program at the Michigan Department of Community Health, briefed
the House Appropriations subcommittee this week on the Governor's proposed
FY 2012 budget for the Medicaid program. He explained that the Governor has
not recommended cuts to eligibility, rates or services because such cuts
lead to more uncompensated costs to the health care system overall. Mr.
Fitton stated that these costs build in as much as $1,000 to each family
for a commercial insurance policy. These increases lead to more businesses
and individuals dropping insurance, which leads to more uncompensated care
as a result and the vicious cycle continues. In his presentation he stated
that from 2003 to 2009 uncompensated charges at Michigan hospitals
increased by 108% from $1.4 to $2.9 billion. A few changes to Medicaid that
are being proposed include: 1) a reduction of 40% in payment for Graduate
Medical Education (a projected $22.8 million savings in the General Fund);
2) adding behavioral drugs to the preferred drug list (a projected $6.3
million savings to GF); and 3) requiring children with special health care
needs to enroll in managed care plans (a projected $3.7 million savings to
GF). Mr. Fitton also pointed out that protecting Medicaid from major cuts
is totally dependent upon the Michigan Legislature's acceptance of the
entire package of revenue proposals included in the Governor's budget. If
any of these, such as the tax on pensions which would generate $900,000 in
revenue, are not passed it is unlikely that significant cuts to Medicaid
could be avoided.
Want to Help Fight Childhood
Obesity?
Join MPCA for a free webinar on March 10 at 1-2 pm to learn about a
simple group program that can help you reach out to children in your
community with BMI over 85% who are ready to make changes in their current
lifestyle. Register
Registration Open for Second
MPCA Workforce Webinar
The second webinar in a 10-part workforce webinar series hosted by the MPCA HR Network
will be held March 16 at 10 am. Deb Collier, Director of the Michigan
Health Council will discuss Recruit
for Success: Tips, Tools, and Trends. Register
MPCA Coding Webinar Series Kicks
Off March 15
This three-part webinar series
(March 15, 22, 29) offers a comprehensive understanding of coding and how
CHC reimbursement can be affected. Register
Opportunity to Learn from Health
Centers Who are PCMH Recognized
MidWest Clinicians' Network
(MWCN) is hosting a teleconference on March 29 at 12:30 pm ET during which
two Health Centers will share their experience of becoming recognized as a
Patient Centered Medical Home (PCMH). They will provide guidance on
what surveyors are looking for and suggestions on how to demonstrate
compliance, reports, rosters, and more. More
Capital Area RHIO Goes Live
A "Go Live"
celebration was held February 15 in East Lansing to launch the Capital Area
Regional Health Information Organization (RHIO), a functioning, secure,
electronic Health Information Exchange (HIE) that connects hospitals,
laboratories, radiology centers, and physicians. It is the only
community-wide collaborative HIE in Michigan that allows two-way exchange
of information. More
Importance of Tdap Vaccination
Communicated to Michigan OB/GYN Practices
Last week the Michigan
Department of Community Health distributed letters to OB/GYN practices in
Michigan, including Community Health Centers, encouraging the Tdap
vaccination of new parents, grandparents, siblings and those who will be in
contact with vulnerable infants. It also encourages providers to review
their current Tdap vaccination policy and implement a campaign to ensure
all staff members are fully immunized. Updated recommendations for use of
Tdap vaccine from the Advisory Committee on Immunization Practices are
available at www.cdc.gov/vaccines.
2011 HIT Innovation &
Leadership Award Nominations Sought
The Michigan Health Information
(HIT) Commission is seeking nominations for the 2011 HIT Innovation &
Leadership Awards to promote groundbreaking use of technology in the
Michigan health care system. The awards will be announced and presented at
the Wiring Michigan Conference to be held in Ypsilanti on May 18-19. Click here for eligibility criteria and a nomination
form. Nominations are due to Beth Nagel at nagelb@michigan.gov by March 28.
Congress Approves Two-Week
Spending Bill, Negotiations for Long-Term Bill Happening NOW
After Congress approved a two-week Continuing Resolution (CR) this week
that funds the government at reduced levels through March 18, President
Obama signed it into law Wednesday night. The House and Senate still need
to come to agreement on a final long-term funding bill for the remainder of
FY 2011. Negotiations are taking place NOW. While the House of
Representatives passed a bill (HR 1) last month that includes a $1.3
billion funding cut to the Health Centers program, the Senate has not yet
considered HR 1 or drafted its own spending bill. Both chambers must pass
the exact same spending bill for FY 2011. The final bill will likely
determine Health Center funding for the rest of the year. Please contact
your U.S. Senators and Representative (even if you've contacted them on
this issue already) and urge them to OPPOSE cuts to the Health Centers
program and keep Health Center discretionary funding whole at $2.19 billion
-- click here to take action and learn other ways you can
send clear messages about what cuts to Health Center funding would mean to
your Health Center and community.
New Medicaid Prevention
Grants Allow States to Pay Incentives to Enrollees Who Adopt Healthy
Behaviors
HHS announced last week a new $100 million program allowing states to offer
incentives to Medicaid enrollees who adopt healthy behaviors. The program
focuses on behaviors that can cause some of the most critical chronic
conditions. More
HEALTH CENTERS IN THE
NEWS
Family Health Center Opens New
Site in Kalamazoo (MPCA)
Family Health Center, one of
Michigan's 32 Community Health Centers, recently opened a new site in
Kalamazoo to expand services and increase access to dental and behavioral
health care in the community. More
CHASS Breaks Ground for New
Destination for Health and Wellness in Detroit (MPCA)
On Friday, March 4, Community
Health & Social Services (CHASS) Center will break ground for its new
Southwest Center and administrative headquarters at 5635 W. Fort Street in
Detroit. More
Please share articles, photos,
and stories of your Health Center with Dana (Hughes) Lawrence at dlawrence@mpca.net.
Click here for media coverage of Community Health
Centers.
Who Are the Health Center
Patients Who Risk Losing Care Under the House of Representatives' Proposed
FY 2011 Spending Reductions?
(George Washington University)
Researchers at George Washington
University analyzed the characteristics of patients who will lose access to
health care if funding cuts passed by the U.S. House of Representatives are
implemented. They found that those at risk are disproportionately low
income (92%), minority (68%), and either uninsured or Medicaid-insured
(74%). This loss of access to health care can lead to overall higher health
care costs as patients forego primary care and delay treatment. More
2010 National Healthcare Quality
Report / National Healthcare Disparities Report (AHRQ)
These reports show that
improvements in health care quality continue to progress at a slow rate;
however, disparities based on race and ethnicity, socioeconomic status, and
other factors persist at unacceptable high levels. More
MSA Bulletins (Medical Services Administration)
- MSA 11-09: Clarification to Bulletin MSA 10-53
- MSA 11-07: Updates to Medicaid Provider Manual;
Electronic Healthcare Transactions; CHAMPS Provider Helpline and Email
Addresses; Code Updates
- MSA 11-06: Medicaid National Correct Codding
Initiative (NCCI)
Federal Tort Claims Act Medical
Malpractice Program Regulations: Clarification of FTCA Coverage for
Services Provided to Non-Health Center Patients (HHS)
HHS released this in the Federal
Register last week and is accepting comments until April 29. Health Centers
are encouraged to weigh in. More
Tdap Vaccination Strategies for
Adolescents and Adults, Including Health Care Personnel -- Strategies from
Research and Practice
(The Joint Commission)
This new monograph aims to help
health care organizations implement or enhance tetanus, diphtheria, and
acellular pertussis (Tdap) vaccination programs for adolescents and adults,
including health care workers who can both acquire pertussis from and
spread it to patients, other staff, and family members. More
Health Reform Across the States:
Increased Insurance Coverage and Federal Spending on the Exchanges and
Medicaid (Robert Wood Johnson Foundation)
This report estimates the
effects of the Affordable Care Act on states, in particular the increase in
insurance coverage, subsidies in the exchanges, Medicaid enrollments, and
federal spending. More
BPHC Quality Improvement
Planning Learning Series
Click here to access the archive of the first session
held December 10, 2010, on Maximizing
the Effectiveness of Quality Improvement Plans. The second
session, How to Leverage
Resources to Design a Successful Health Center QI Program, will
be held March 10 at 2-3 pm ET. Call-in: 1-888-989-0722, participant
passcode: 2341898. Slides will be emailed and available online prior to the conference call.
Click here for a list of funding opportunities posted
on the MPCA web site.
The
career opportunities listed below were posted on the MPCA website this
week. Click here for additional career opportunities in
Michigan Community Health Centers. Or, subscribe to the MPCA career
opportunities RSS feed -- click here.
- Medical Director, American Indian Health &
Family Services, Detroit, MI
- Full-time Family Practice Physician, Center for
Family Health, Jackson, MI
- Full-time OB/GYN, Center for Family Health,
Jackson, MI
- Part-time Nurse Practitioners, Center for Family
Health, Jackson, MI
- Pharmacist, Center for Family Health, Jackson, MI
- Psychiatrist/MD, Bay Mills Health Center, Brimley,
MI
- Internal Medicine Physician, Cherry Street Health
Services, Grand Rapids MI
Upcoming MPCA Events
Radisson Hotel, Lansing, MI
Held in conjunction with
Legislative Forum
Anderson House Office Building,
Mackinac Room, Lansing, MI
MPCA Executive Committee
Conference Call
MPCA Membership Committee
Conference Call
Upcoming State &
National Events
Dates Announced for MDCH's 2011
Fall Regional Immunization Conferences
The 2011 fall regional
immunization conferences will be held October 5 - East Lansing; October 6 -
Dearborn; October - in Gaylord; October 20 - Marquette; November 1 - Bay
City; November 2 - Troy; November 9 - Kalamazoo; and November 10 - Grand
Rapids. More information will be posted at www.michigan.gov/immunize (under the Provider Education
section) as it becomes available.
Click here for a list of upcoming events to be held by
other organizations in Michigan and across the country.
Michigan Primary Care
Association
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