Mark you Calendar!!President’s Upcoming Events… · day. Kyle Lee, Jackie Hinderks, Amy Richter,...

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October 2016 Upcoming Events—Mark you Calendar!! October 18, 2016 Region 8 Webinar - Are you Paying Too Much to Get Paid November 2-4, 2016 MHA Conference - Lake Ozark, MO November 17, 2016 Rural Health Clinic Billing Training - Columbia, MO Co-sponsored by Midwest Health Care January 2017 MidSouth Winter Institute, Memphis, TN Inside this issue: President’s 2-3 Message Social Corner Summer Conf. 4-5 MASI 7-8 Fall Presidents 9-10 CBSC 11 Region 8 Connection 12-13 MHA 15-16 Presidential Positions 18-20 Sponsorship Kickoff 2017 21 Job Posting 22-23 National HFMA On-Demand Webinar Listing Register for Reg 8 Webinar Reg 8 Webinar Brochure MHA Convention Link RHC Billing Registration

Transcript of Mark you Calendar!!President’s Upcoming Events… · day. Kyle Lee, Jackie Hinderks, Amy Richter,...

Page 1: Mark you Calendar!!President’s Upcoming Events… · day. Kyle Lee, Jackie Hinderks, Amy Richter, Shelly Soupir, Jennifer Ogden and Bill Fenske. Below left: MASI 16 included a night

October 2016

Upcoming Events—Mark you Calendar!!

October 18, 2016 Region 8 Webinar - Are you Paying Too Much to Get Paid

November 2-4, 2016 MHA Conference - Lake Ozark, MO

November 17, 2016 Rural Health Clinic Billing Training - Columbia, MO

Co-sponsored by Midwest Health Care

January 2017 MidSouth Winter Institute, Memphis, TN

Inside this issue:

President’s 2-3

Message

Social Corner

Summer Conf. 4-5

MASI 7-8

Fall Presidents 9-10

CBSC 11

Region 8

Connection 12-13

MHA 15-16

Presidential

Positions 18-20

Sponsorship

Kickoff 2017 21

Job Posting 22-23 National HFMA On-Demand Webinar Listing

Register for Reg 8 Webinar

Reg 8 Webinar Brochure

MHA Convention Link

RHC Billing Registration

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Healthcare Happenings Page 2

Fellow Show-Me HFMA members, on behalf of the Board of your Show-Me Chapter, I

would like to thank you for your membership and continued support. The 2016 annual

Show-Me Chapter member survey should have arrived in your inbox on Tuesday, Oc-

tober 4th. This is a survey created by, and distributed, by National HFMA, and sent to

all HFMA members.

The survey gives the chapter leaders an opportunity to identify areas that are working well and need to be contin-

ued, as well as provide important feedback on opportunities to better meet your needs. If there are certain things

you like about our chapter, share with us! If there is something you do not like, tell us that too, it’s an important

part of the process. The feedback, recommendations, and suggestions we receive from our members are very im-

portant, and assist us in planning and strategizing for the future so that our chapter continues to Thrive. As Presi-

dent of the chapter, I can assure you that the Chapter Leadership and I take the results very seriously.

Once you have received this survey, we ask for your assistance with a favorable response, if you feel as though it

is warranted. The chapter’s goal is to receive “Very satisfied” and “Extremely satisfied” ratings. These are the two

scores that count toward our satisfaction mark which National HFMA measures us on. Most importantly, these

ratings reflect how we want our members to feel about the chapter. Your response is very important, and if you

report a less than favorable response, our chapter leadership would like to hear from you to address your con-

cerns. Please feel free to reach out to me at [email protected] or (314) 925-4309 or reach out to Ti-

na Gillespie, Chapter President-Elect, at [email protected] or (660) 425-0206 to discuss any chap-

ter issues or recommendations you may have.

We sincerely look forward to the feedback, and our

goal is to increase our participation in this survey in

2016. Our response rate in the prior year survey was

just 16%, so we know we are missing out on a lot of

valuable feedback from so many of you! For that

reason, we are again offering an incentive for your

participation. This year the Show-Me Chapter will

draw for three $100 gift cards from the names of our

members who complete the survey! You can be as-

sured this will continue to be an anonymous survey

and no chapter leader will have access to your indi-

vidual responses. National HFMA staff members will

complete the random drawing for us and provide us

the names of our prize winners.

(cont on page 3)

President’s Message By Josh Wilks

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Healthcare Happenings Page 3

(cont from page 2)

I would like to highlight some of the success the Show-Me Chapter has had over the past year:

The chapter was recognized at the HFMA ANI conference for 4 awards including, Sister Mary Gerald Bronze

Awards of Excellence for Education, Awards of Excellence for Membership Growth and Retention Gold,

Awards of Excellence for Certification Bronze and a Helen M. Yerger Special Recognition Awards

The chapter earned a 100% success rate on the grading performed by HFMA national for the 2015/2016

chapter year

Continued to provide high quality, low cost education related to revenue cycle, finance, and soft skills at our

annual meetings and road show events

Provided a Women’s Leadership conference at the Spring meeting in St. Louis which was a great success

recently updated website to make more user friendly and more current

The chapter is fortunate to have generous, involved, sponsors that enable us to provide education and net-

working to members at competitive and reasonable prices. Our sponsors are an excellent resource for

members.

The Show-Me Chapter, along with National HFMA, continually strives to bring value to our members through

education, networking opportunities, and friendship. As I mentioned in the July newsletter, the chapter officers,

directors, and committee chairs are working to provide you the most rewarding and valuable experience as a

HFMA member. I hope you will take a few minutes to provide your feedback, and thank you in advance.

Sincerely,

Josh Wilks

President, HFMA Show-Me Chapter

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Jean Nyberg

Healthcare Happenings Page 4

Social Corner

Show-Me Summer

Conference

The Show-Me Summer Conference, themed “Pass the Baton,” was

held July 29-30 at Camden on the Lake, at Lake of the Ozarks. Aside

from engaging education and recognition of Show-Me Chapter leaders,

there was a very enjoyable lake cruise!

Top left: Jean Nyberg presents on Rural Hospital PPS Updates.

Top right: Josh Wilks, 2016–2017 Show-Me Chapter President, recognizes Susan Duncan, 2015-2016 President, for her dedication to

Show-Me Chapter with the President’s Plaque.

Middle: Josh Wilks recognized the accomplishments or chapter members, Jennifer Doll, Tina Gillespie, Jon Branstetter and Susan Dun-

can. .

Bottom left: Lesley Delaney, Janet Buckman and Connie Warnat.

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Jean Nyberg

Healthcare Happenings Page 5

Social Corner

Show-Me Summer

Conference

Above: Attendees of the Show-Me Summer Conference prepare to depart for an evening

lake cruise!

Left: Kyle Lee and Janet Taylor

Below left: Tiffany Holiman, Josh Wilks, Bonnie Baker and Jean Nyberg thank the cruise

sponsors who helped make it all happen!

Below right: Andy Babitz, Lee Ann Miles, Susan Duncan, Kyle Lee, Tina Gillespie and Con-

nie Warnat enjoy a beautiful sunset aboard the lake cruise!

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Jean Nyberg

Diamond Level Sponsor

Healthcare Happenings Page 6

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Healthcare Happenings Page 7

The 4th Annual Region 8 MASI conference was held in Minneapolis in

August. Participation was great with lots of great education and net-

working opportunities. Next year the conference will be held in Kansas

City, MO in early August 2017.

Above: Chairs of the Region 8 Planning committee were recognized during lunch on Thurs-

day. Kyle Lee, Jackie Hinderks, Amy Richter, Shelly Soupir, Jennifer Ogden and Bill Fenske.

Below left: MASI 16 included a night at the Twins Baseball game! Pictured are (back row)

Terri DiMaria, Shirley Mason and Amy Richter (front row) Kyle Lee, Mark Kostreba and

Jennifer Ogden.

Below right: Dinner at the Seven Roof Top with Hannah Wieshalla, Jackie Hinderks, Mike

Kostreba, Shelly Soupier and Cindy Fischer.

Top: Laraine Gengler and Devon Kim

enjoying lunch at MASI16.

Mid Above: Veronika Modicker and Jon

Branstetter at the vendor fair.

Lower Above: Mary Jonscher and Ronald

Timpe

Left: One of the fantastic presentations

presented by Deanna Gray and Dave

Muhs

Social Corner Region 8 Mid-America

Summer Institute

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Healthcare Happenings Page 8

In addition to the great educational sessions, there was plenty of networking

opportunities including the vendor fair, Twins Game Wednesday evening, and a

social at ‘Seven’ rooftop bar on Thursday evening.

A pre-game social before the Twins Game!

Above: Stephanie Doebelin and Deanna Gray

Below: Lunch in the exhibit hall

Twins Game attendees Jude Crowell, Kyle Lee, Terri

DiMaria, Randy Hoffman, Shirley Mason, Joe Harnisch,

Amy Richter and Mark Kostreba

Social Corner Region 8 Mid-America

Summer Institute

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Jean Nyberg

Healthcare Happenings Page 9

Fall Presidents Meeting By Kyle Lee, Region Executive-elect

Each year in September, the HFMA Presidents and President-elects join together for val-

uable education and best practice sharing. This year’s event was held September 18-20

at the Peabody Hotel in Memphis Tennessee. Show-Me Chapter was represented by

Josh Wilks, President and Tina Gillespie, President-elect.

This year’s Fall President’s Meeting (FPM) began with Mary Mirabelli, Chair of the Board

of Directors, (pictured below) discussing her vision for HFMA this year and she de-

scribed what it means to her to “Thrive.” Thrive is the

theme of Mary’s term as Chair, and one which she recogniz-

es daily! If you want to (attempt to) keep up with Mary, fol-

low her on Twitter @MirabelliMary. She’s a true inspira-

tion!

Also presenting was Tammie Glindez, Director of the HFMA

Board, who discussed HFMA’s vision and Strategic Direction

which includes many new and exciting initiatives HFMA will

be embracing in the short term and in years to come. Tam-

mie’s presentation, which was in an inspiring “Ted Talk” for-

mat, discussed the challenge of how HFMA can lead

healthcare stakeholders to meet the challenges of today

while creating a sustainable healthcare industry. HFMA’s

strategic direction will emphasize four key areas:

Easy access to relevant information

Collaborate to define and influence change Helping audience successfully navigate complexity and pace of change to

support financial sustainability

Invest in acquiring, developing and retaining talent

These are indeed exciting times in our industry and HFMA is poised to lead the

way!

(Continued on page 10)

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Jean Nyberg

Healthcare Happenings Page 10

(Continued from page 9)

After a welcome reception, the members of the nine chapters of HFMA Region 8 and representatives from the

National office enjoyed dinner at BB King’s and Itta Bena on historic Beale Street. We also managed to squeeze

in some live blues music and some Monday night football!

The next day was a full agenda of Regional planning time. We dis-

cussed the Chapter Balance Score Card elements for the 2016-

2017 year and how best to bring value to our members. We dis-

cussed ideas around innovation and how we continue to improve

our local chapters. There was also sharing of best practices and

discussion of the Mid-America Summer Institute (the Region 8

Conference) and how we continue to improve upon a great con-

ference. We approved the Region 8 Operating Agreement which

outlines how the Region supports chapters and chapter leaders.

There was also the election of the Region 8 Executive for the

2018-2019 year, Chris Vairo from Nebraska. Congratulations,

Chris!

The second evening activity included dinner at the Majestic Grille,

a 1913 silent movie house now turned into a nostalgic dining es-

tablishment. The evening continued on with a guided Haunted

Pub Crawl on bicycles built for 16! It was great to get a history

lesson of historic Memphis while working off some of those din-

ner calories!

If you have an interest in getting involved in your own HFMA

Chapter, FPM is just one of invaluable experiences to help grow

with such a dynamic organization. Get involved and you’ll un-

doubtedly get more out of it than you put into it! Contact your

chapter leaders and get plugged in!

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Healthcare Happenings Page 11

NOW, SPREAD THE WORD — Help build the momentum. Invite your peers, your staff, and your colleagues to join you –

and join HFMA. Recruit new HFMA members and you could win:

HFMA apparel item, duffel bag, or smartphone accessory

$25, $100 or $150 Visa Prepaid Cards

Cash prizes of $1,000 or $2,500

Apple Watch Sport™ (valued at $349)

Grand Prize of $5,000

Actual Goal % goal attained

Education hours 2,202.6 hours 3,420 hours 64.4%

Education hours per member 7.7 hours per member` 12.0 hours per member 64.1%

Membership 226 members 285 members 79.3%

Certification 9.5% members certified 9.1% members certified 100%

Chapter Balanced Scorecard 9/16/2016

Follow Show-Me on

Linked In by clicking:

If you have news about a colleague, your company or yourself that you would like to share with

the Chapter, please send it to Jennifer Ogden

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Healthcare Happenings

Region 8 Connection...

By Bill Fenske

Page 12

Hello to the Chapters of Region 8:

HEY WHAT HAPPENED TO SUMMER?

Why is it that the older I get the wiser my parents have become? I remember as a child life going so slow.

Now in my mid-50’s it seems that life just flies by. I’m wondering if my 60’s and retirement will be at

Concorde speed.

Region 8 just finished up with another successful Mid-America Summer Institute (MASI) at the end of

August. The conference was once again held in Minneapolis with a kick-off evening at the Twins game

on Wednesday night (although another Twins loss was inevitable). We had an excellent program and are

awaiting the final expenses to come through and then we can communicate this out to the Chapters. I

want to start a push for the 2017 Mid-America Summer Institute which will be held in Kansas City the

first week of August. We will be in Kansas City for the next two years and will then be moving to a new

location. It is expected that sometime this fall or winter we will determine a host for the 2019 & 2020

conferences. I continue to be proud and honored to be serving as your Region 8 Executive. This was

shown at the conference where so many wonderful volunteers and sponsors came through to support and

make the conference a great experience for the attendees.

Below is a picture of the inaugural group of Outstanding Volunteers of the MASI. Kyle Lee, Region 8

Executive-Elect, and I have developed a formal Jacket Ceremony presentation whereby each year we will

present the MASI Jacket to an outstanding volunteer. Standing left to right: Chris Vairo (NE), Deanna

Gray (IA), Jackie Hinderks (MN), Shelly Soupir (NE), Bill Fenske (MN), and Kyle Lee (Show-Me). Tra-

cy Packingham (GSL) also received a jacket but was not present.

(cont on page 13)

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(cont from page 12) Your Chapter Presidents and President-Elects are getting ready for the upcoming Fall Presidents Meeting

(FPM) to be held in Memphis. The dates of the meetings are September 18-20. Based on what I have

seen already from your leaders, I am expecting a great 2-3 days of meetings and fellowship that continue

to make Region 8 the unquestionable BEST HFMA REGION!! It will take a major effort by Kyle Lee

and me to keep up with your Chapter Leaders as they continue to move the Region forward.

As we move closer to the FPM, I anticipate that the hotel rooms will be nice and we will experience no

Heartbreak Hotel experiences. In addition, with the great group of leaders in Region 8, Kyle and I will

not have to express any Don’t be Cruel comments, but I do expect some Hound Dog behavior in the eve-

nings. Ok enough with the Elvis connection, I will move on.

One agenda item that will be discussed by all regions is Chapters 2.0 initiative. The ad-hoc committee has

developed three main initiatives that will be further discussed at the FPM. This initiative revolves around

three main areas: Defining Local: Analyzing new ideas around geography and bringing more natural groups and Chap-

ters together.

Administrative Support: How to lessen the burden on volunteer Chapter leaders.

Role of Region Executive: Better definition of duties and responsibilities along with succession plan-

ning.

A couple of major initiatives that we will be working on include the election of a new Region 8 Executive

who will succeed Kyle Lee in 2018-2019. This is a significant position and we have three outstanding

candidates. Feel free to reach out to your President-Elects as they will be voting on the candidates. An-

other initiative is comments and feedback to the Chapter Balanced Scorecard. Kyle and I will continue to

solicit feedback in preparation for the upcoming Region Executive Council meeting in November. The

last initiative relates to Region 8 Sponsorship and the development of Region Resources.

How can you support your leaders? It takes a team to reach the goals set at each chapter and each of our

members are part of that chapter’s team. It can be as simple as attending chapter meetings, attending na-

tional meetings or volunteering for a

committee. Based on my experience,

you will get more out of it than what

you put into it. That is one of the many

outstanding things about HFMA.

Thank you for the opportunity to serve

Region 8, by far the best region in

HFMA! I look forward to working

alongside your dedicated Chapter

Leaders!!

Page 13 Healthcare Happenings

Exceeding the Needs of the People

We Serve

Receivables Management

Call us today to begin experiencing the service that

you deserve.

Shirley Mason @ 314-435-3377

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Jean Nyberg

Diamond Level Sponsor

Healthcare Happenings Page 14

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Healthcare Happenings Page 15

The Missouri Hospital Association recently returned from an annual rural advocacy visit to Washington

D.C., accompanied by representatives from many of Missouri’s rural healthcare providers. One of the

topics of discussion focused on how CMS is influencing the health market in Missouri. The CMS influ-

ence on healthcare activity within each hospital in Missouri is likely to only get stronger in the future.

The following is a white paper that was used as a tool to describe the situation and advise members of

Congress about the growing concern about unintended consequences of new regulations and mandatory

demonstration model participation.

In January 2015, the Department of Health and Human Services set the following goals.

CMS’ creation of new payment and delivery models is appropriate. MHA supports efforts to find and

deploy payment systems to bring more competition and efficiency to Medicare spending. However,

Missouri hospitals have concerns about the agency’s approach. CMS is designing new Medicare fi-

nancing and delivery models as national

“experiments” with multilayered “control” and

“experimental” groups to enable a scientifically

valid evaluation. Laudable as the concept may be,

it treats the nation’s hospitals as “lab rats” in the

experimentation, with hospitals randomly assigned

to implement components of a growing number of

complex CMS initiatives. CMS’ assignments and

their unforeseen outcomes can affect a hospital’s

ability to survive or thrive.

MHA asserts that hospitals and other providers

should compete based on their efficiency and effec-

tiveness, not by advantages and disadvantages be-

stowed by regulatory fiat as to which of them are

included in, or excluded from, the components of

new CMS payment experiments.

For example, CMS proposed regulations in July to

create a new payment system for several types of

cardiac care. CMS picked 294 of the nation’s 384

metropolitan statistical areas as potential candi-

dates for implementation. After the rule is final,

(cont on page 16)

End of 2016 End of Percentage of the Centers for Medicare & Medicaid Services’ pay-

ments made through medical homes, accredited care organizations

30 50

Percentage of CMS payments tied to quality or value metrics 85 90

CMS’ ROLE IN CONTROLLING THE HEALTH MARKET

Andrew Wheeler, Vice President of Federal Finance

Missouri Hospital Association

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(cont from page 15)

CMS will choose 98 MSAs to test the new model. MSAs will be randomly assigned to control and experi-

mental groups.

This approach is replicated in other CMS initiatives. Of the 67 MSAs selected by CMS for the joint re-

placement model, four are in Missouri. A pending rule will, when final, impose a similar rubric upon hos-

pitals regarding Medicare’s financing and delivery of outpatient drugs. It involves partitioning most of

the nation into 7,048 primary care service areas and assigning each to a position within a multilayered

structure of experimental design that changes over time. Other CMS models are queued up and still more

are in development. As their number increases, it will be ever more challenging to manage the diversity

and complexity of CMS requirements. The challenge will be exacerbated if hospitals and/or clinics must

follow different Medicare payment standards for the same service within a common corporate billing sys-

tem.

CMS’ approach dictates “winners” and “losers” among hospitals based on their assigned roles in Medi-

care’s experiments. This affects not only the MSAs’ hospitals, but also their residents. The models are

intended to extract savings from the experimental groups, and leave the control group unscathed. On the

flip side, the control group hospitals will be denied a role as early adopters.

As troubling is that CMS’ recent regulatory pronouncements and responses reflect uncertainty about the

effect of these financing and delivery model experiments on access and quality of care.

If you have any thoughts on any of these issues, please send me a note.

Healthcare Happenings Page 16

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Healthcare Happenings

Diamond Level Sponsor

Page 17

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In seemingly every presidential election, we are told by pundits and politicos that this particular contest represents the starkest choice between two vastly opposed ideologies that we’ve seen in decades. The future, your kid’s fu-ture and your grandchildren’s future, depends on its outcome.

Some may argue that such hyperbole is an understatement this year, and, whether that’s true or not, one thing is clear—this election gives voters the choice between the known and the unknown. If Secretary Hillary Clinton wins, the nation will likely stay on its current path—a pursuit of incremental change shaded by Democratic ideologies. If Donald Trump wins, no one is quite sure what will happen, although a look at his proposals and the GOP’s 2016 platform provides some insight.

Health Care

Clinton has made it clear she believes in upholding and improving the Affordable Care Act (ACA). Her website lists several other health care policies including:

Expanding Medicare by lowering the eligibility age from 65 to 55

Lower prescription drug costs by requiring drug companies to invest in research and development in order to

receive taxpayer support

Incentivize states to expand Medicaid (no specifics given)

Allow families to buy insurance on the health exchanges regardless of immigration status

Identify ways to make providers eligible for telehealth reimbursement under Medicare

Expand federally qualified health centers and rural health clinics

Double funding for primary-care community health centers

All this amounts to what would be a hefty expansion of the ACA and would likely face stiff resistance from the GOP-controlled Congress.

On Trump’s website, the candidate lists seven policy points regarding health care, with the first being repealing the ACA. The other positions consist of:

Eliminating laws limiting the sale of insurance across state lines

Make health insurance premium payments tax deductible for individuals

Use health savings accounts (HSAs) as the primary program to replace the ACA

Mandate price transparency from all providers so consumers can compare by price

Block-grant Medicaid to the states

Increase competition in the pharmaceutical in-

dustry by allowing consumers to purchase drugs from overseas

The last point is one of the few areas where the two candidates agree, as Clinton has also called for al-lowing foreign drug providers to sell to American con-sumers. (cont on page 19)

Healthcare Happenings Page 18

PRESIDENTIAL POSITIONS: WHERE THE CANDIDATES STAND ON HEALTH CARE, HOUSING Steve Kennedy, Lancaster Pollard

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Cont on page

Healthcare Happenings Page 19

Cont from page 18

Probing the Plans

A recent analysis done by the RAND Corporation, a non-partisan policy think tank, highlights the differences be-tween the two candidates’ health care plans. The study used RAND’s computer microsimulation to analyze the portions of each candidate’s plans with enough detail to model. The analysis found that Clinton’s proposals would increase the amount of people with insurance by between 400,000 and 9.6 million in 2018, while Trump’s pro-posals would decrease the number of insured by between 15.6 million and 25.1 million.

Digging into each candidate’s specifics, the report found that Clinton’s tax credit proposals would cost approxi-mately $94 billion. Her plan calls for offering refundable tax credits to individuals with private insurance whose pre-mium out-of-pocket costs exceed 5% of income as well as lowering the maximum premium contribution on the marketplace to 8.5% of income. These would cost $90.4 billion and $3.5 billion respectively. Her call to fix the “family glitch,” offering marketplace premium tax credits to families with employer insurance if their contribution to a family plan would exceed 8.5% of income, would add another $10 billion to the deficit. Her proposal to add a public option, however, was projected to lower the deficit by $700 million.

Analyzing Trump’s plans, the study concluded that repealing the ACA would add $33.1 billion to the deficit. Fur-ther, implementing tax-deductible premiums would increase the deficit by $41 billion, allowing interstate insurance sales would add $33.7 billion and block-granting Medicaid would add another $500 million.

As for out-of-pocket costs, the RAND study projected Trump’s plan to increase them for ACA enrollees anywhere-from $300 to $2,500 per year while Clinton’s tax credits would decrease costs for low- and moderate-income indi-viduals (those making $16,243 to $29,425 for an individual, $33,465 to $60,625 for a family of four) by an average of 33%. For example, under current law an individual with an income of $41,580 would be required to pay $4,017, Cont on page 20

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Cont from page 19

whereas under Clinton’s plan that individual’s contribution would be reduced to $3,534. It should be noted that there were elements of Trump’s plans which could not be modeled due to lack of detail. The authors stated that if either candidate was to release further details that would alter the figures, they would run a new simulation and re-lease new numbers.

The Future of Obamacare

Once again, the ACA is approaching a defining moment. After surviving a presidential election and two U.S. Su-preme Court decisions, Obamacare is again in the political crosshairs. If Trump wins, some sort of dismantling will at the very least be attempted. Of course, taking insurance away from 20 million people, even if you have a plan to get it back to them in a different form, won’t be easy. If Democrats take control of the Senate, it will be very difficult if not impossible for a President Trump to pass anything that harms Obama’s signature achievement. If Trump wins and Republicans keep the Senate, Democrats will still have the power of the filibuster at their disposal.

Likewise, if Clinton wins, regardless of what party controls the Senate, Republicans will likely remain fiercely op-posed to the ACA and could use the filibuster to prevent most of her major proposals, such as instituting a public option. What might be possible under a President Clinton, according to reporting from Modern Healthcare, is an effort to increase exchange enrollment through system reforms and aggressive outreach, as well as increase subsi-dies for low-income patients. If Trump wins, most expect him to pass the issue to Speaker Paul Ryan, who would likely be unable to actually repeal the ACA but would try to chip away at it by attacking the individual and employer mandates, the Center for Medicaid and Medicare Services (CMS) Innovation Center, and the Medicare Independ-ent Payment Advisory Board.

Of course, for the optimist, there is always a chance that the combination of a new president and national fatigue over fighting the ACA for seven years would inspire a compromise, regardless of who wins. A possible bargain might consist of using Section 1332 of the ACA, which allows the federal government to grant waivers to states to leave the ACA exchanges and use their own methods to reach coverage and cost control goals. This would please conservatives as it takes power away from the federal government and gives it to states. In exchange, Democrats would likely ask for more cost-sharing subsidies for low-income enrollees.

Housing

Affordable multifamily housing issues rarely surface during general election campaigns and this year is no different. There is no mention of housing on Trump’s website. The Republican platform for 2016 stops short of calling for the abolition of Fannie Mae and Freddie Mac, but it does describe both as “corrupt business models” whose usefulness should be reconsidered. The platform calls for the end of government mandates that required Fannie, Freddie and federally-insured banks to satisfy lending quotas to specific groups, calling such practices discriminatory. It opposes the Obama Administration’sAffirmatively Further Fair Housing (AFFH) rule which it says undermines local zoning laws and gives too much control to the federal government. The goal of AFFH is to “address significant disparities in access to community assets, to overcome segregated living patterns and support and promote integrated communi-ties” which it aims to do by requiring a new assessment of fair housing by HUD program participants.

Clinton has a housing section on her website that promotes increasing incentives for new development and strengthening programs that give low-income renters more options outside of high-poverty areas. Although she doesn’t mention the U.S. Supreme Court disparate impact decision last summer that makes it easier for developers to build low-income housing in high-income neighborhoods, it’s clear she supports it. Further, she recently penned an op-ed in The New York Times on poverty that advocates for the expansion of the low-income housing tax credit (LIHTC).

Clearly, the outcome of this contentious presidential election will have substantial ramifications on the health care and housing industries. The good news is, after almost two years of discussion and campaigning, the finish line is in sight.

Healthcare Happenings Page 20

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2017 Corporate Sponsor Program The Show-Me Chapter would like to welcome your participation in our 2017 Corporate Sponsorship Program. We

continually strive to provide quality educational events and networking opportunities at a reasonable cost to our

members. In order to do this, we need the support of our sponsors. We have developed our sponsorship program to

maximize the effectiveness of your sponsorship dollars.

Diamond and Gold level sponsors are contributors to the Show-Me Provider Scholarship Program

Diamond and Gold level sponsors may donated their new member dues to the Provider Membership Scholarship

Opportunity to make additional Provider Scholarship donations

We are focused on increasing provider attendance and with your support these scholarships will help us reach that

goal. Please let us know if you have suggestions on how to improve our program!

For more information on the sponsorship program please contact Bonnie Baker or Tiffany Holiman

Diamond Level $2,250 Bronze level benefits plus: Ad in quarterly newsletter (Full page) ($350 value)

Featured sponsor of our Region 8 webinar distributed 9 times a year

Complimentary vendor booth at one of our joint conferences ($500 credit)

Membership dues paid for one NEW member of your company or donate to Provider Membership Scholarship ($315 value)

Receive three free company registrations to educational sessions. ($750 value)

Contribute to our Provider Scholarship Program (recognition of sponsors will be on applications and website) ($500 value)

Receive the registration list for meetings one week prior to event

Gold Level $1,500 Bronze level benefits plus: Ad in each of the four quarterly newsletter (6.5”x4”) ($200 value)

Membership dues paid for one NEW member of your company or donate to Provider Membership Scholarship ($315 value)

Receive two free company registrations to educational sessions. ($500 value)

Contribute to our Provider Scholarship Program (recognition of sponsors will be on applications and website. ($500 value)

Receive the registration list for meetings one week prior to event

Silver Level $800 Bronze level benefits plus:

Ad in quarterly newsletter (4”x4”) ($150 value)

Receive one free company registration to educational session. ($250 value)

Receive the registration list for meetings one week prior to event

Bronze Level $500 Logo with link to company website on the Show-Me chapter website

Recognition and logo in our quarterly newsletter

Sponsor recognition on all meeting information distributed to our members

Free vendor booth at the Show-Me Chapter Conference ($500 value)

Logo on our sponsor banner at all chapter meetings

Company description will be included in one of the quarterly newsletters

Provider Scholarships $150 each

Contribute to our Provider Scholarship Program (recognition of sponsors will be on applications, newsletter and website.)

Healthcare Happenings Page 21

Become a Sponsor Today!

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Healthcare Happenings Page 22

Job Posting

Regional Director - Financial Strategy

Full Job Title: Regional Director - Financial Strategy

Job Number: 16013394

Facility: SSM Health System Office

Location: St. Louis, MO

Description

Provides overall leadership and direction for the financial strategy team and financial decision support tools and report-

ing across the Illinois and Missouri Region. Will act as a partner to with leaders in the region to deliver exceptional

financial analysis and data in order to make effective financial decisions in a timely manner. Provide overall direction for

report development, financial aspects of capital planning, financial projections for business acquisitions and program

change proposals, and other key financial strategic elements for both short term and long term initiatives. This role is

accountable for ensuring financial projections for business acquisitions and program review is presented in a standard,

effective, and meaningful way for key leaders across the Illinois/Missouri region.

Qualifications

Minimum of 5 years of increasingly responsible experience in Financial Management, principally in health care and

preferably in a provider environment

Experience in non-provider health care setting (insurance, consulting) can be considered in lieu of provider experi-

ence

Bachelor's Degree with concentration in Accounting, Business Administration or related field

Master degree or CPA is required

Please apply online:

http://bit.ly/2cS5RrF

SSM Health is an Equal Opportunity and Affirmative Action Employer. Qualified applicants are considered for employment without

regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other charac-

teristic protected by law.

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Healthcare Happenings Page 23

Assistant Director, Professional Coding and Revenue University Physicians—University of Missouri Healthcare, Columbia, MO

Job Summary: To manage the operational, financial and personnel activities of the Professional Coding and Revenue Department within University Physicians.

Job Responsibilities Monitors departmental performance in relation to established goals and standards, as well as development, implementation

and adherence of new policies and procedures as indicated to continually improve operational efficiencies and quality of the services provided.

Develops, implements and assures adherence of new policies and procedures as needed to meet regulatory requirements for coding compliance

Mentors departmental managers to properly follow personnel policies and procedures in conjunction with hiring, training, discipline, discharge and evaluation coding department staff. Monitors workflow, schedules and staffing to ensure effective use of personnel.

Mentors departmental managers to meet departmental standards for quality and quantity of work performed in conjunction with meeting departmental and clinic goals and objectives. Works with managers to effectively prioritize and meet needs of the department and the organization while maintaining compliance and regulatory compliance.

Develops, implements and monitors statistical reporting for senior management, clinical departments and coding department.

Plans, implements and monitors Process improvement initiatives while meeting organizational as well as departmental mis-sions and goals.

Develops, monitors and manages the budget and use of resources effectively to provide high quality, cost effective services.

Works collaboratively to solve problems, to improve processes, and to integrate services within the department and with oth-er departments.

Identifies issues and problems or areas requiring improvement or resolution.

Provides inservice training for coding compliance and any other training needs including training or communication for contin-uing education of coding staff.

Provides inservice training for coding compliance and/or electronic solutions to physicians, clinical staff, management or other as needed

Keeps Director apprised of issues, problems or challenges facing the coding department and works effectively with other de-partments and or management staff to resolve.

Attends meetings, interact with other managers or senior level management as needed.

Complies with all University Physician Policies.

Qualifications Minimum:

A Master’s or Bachelor’s degree in Medical Records Administration or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired is necessary..

Four to five years supervisory experience in Medical Records is necessary

Registration as a Registered Record Administrator by the American Association of Medical Records Administrators is necessary

Knowledgeable in complex computer applications Preferred:

Master’s degree in business or administrative healthcare related field

Minimum 10 years experience in revenue cycle operations within a large multi-specialty physician group with at least 5 years experience in relevant leadership role. Teaching physician experience is a must

Additional requirements and salary range available on-line

Job Posting

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Page 24 Healthcare Happenings

2016 SHOW-ME CHAPTER SPONSORS