Articles tagged with 'finance' | Missouri Hospital Association

MedPAC released a summary of an analysis that contains information about health care spending and trends in Medicare expenditures. Key findings include: Medicare spends approximately 14% more for Medicare Advantage beneficiaries than for comparable …

The Missouri Hospital Association prepared an analysis that illustrates the financial effect of the federal fiscal year 2027 final Medicare Inpatient Psychiatric Facility Prospective Payment System rule. This analysis, which is available online for …

The Missouri Hospital Association published a comprehensive analysis of the fiscal year 2023, 2024 and 2025 Medicare cost report data based on the second-quarter 2026 Healthcare Provider Cost Report Information System dataset. The cost report model, …

The Hospital Industry Data Institute published an analytic tool allowing hospitals to test their potential ability to achieve a Medicare hospital wage index reclassification. To be reclassified for federal fiscal year 2028, applications must be …

The MO HealthNet Division launched a new form for submitting issues with involving Managed Care Companies that cannot be resolved directly with the plan. This form can be used for billing disputes, claim denials, eligibility issues and other policy …

The Missouri Hospital Association released an analysis of the hospital wage index and occupational mix data that the Centers for Medicare & Medicaid Services will use to develop the federal fiscal year 2028 Medicare hospital wage index. …

The Missouri Hospital Association published an analysis that illustrates the financial effects of the calendar year 2027 Medicare Home Health Prospective Payment System proposed rule. The analysis, which is available online for authorized users of …

The Missouri Hospital Association prepared an analysis illustrating the financial effects of the proposed calendar year 2027 Medicare Outpatient Prospective Payment System rule. The analysis, which is available online for authorized users of HIDI …

The Missouri Hospital Association published an analysis of the Medicare Hospital-Acquired Condition reduction program, the Medicare Value-Based Purchasing program and quality trending reports. Although critical access hospitals are exempt from the …

The MO HealthNet Division launched a new online portal for submitting Third-Party Liability insurance. Providers can use this portal to report new TPL information for MO HealthNet participants, submit updates or corrections to existing TPL, and …

In 2025, the Health Resources and Services Administration opened a 340B Drug Pricing Program rebate model to certain manufacturers who volunteered as participants. HRSA later paused implementation due to litigation. HRSA now has released a notice …

The MO HealthNet Division will begin implementing multi-factor authentication for all eMOMED users Saturday, Aug. 15. Users should have already been prompted to select either SMS, email or an authenticator application for their MFA verification. MO …

The Centers for Medicare & Medicaid Services released the final federal fiscal year 2027 Medicare payment and policy updates for the Hospital Inpatient and the Long-Term Care Hospital Prospective Payment Systems. The following is a summary of …

The Centers for Medicare & Medicaid Services released the final federal fiscal year 2027 Medicare payment and policy updates for the Inpatient Rehabilitation Facility, Inpatient Psychiatric Facility, Skilled Nursing Facility and Hospice …

The Missouri Department of Social Services’ MO HealthNet Division published emergency rules on July 30. Emergency rules 13 CSR 70-3.300 and 13 CSR 70-3.310 rescind language regarding removal of complementary health and alternative therapies for …

The Centers for Medicare & Medicaid Services released updates to the Healthcare Common Procedure Coding System codes on the master list, the required face-to-face encounter and written order prior to delivery list and the required prior …

The Congressional Research Service released a report about Medicare’s financial status. According to the CRS, Medicare enrolls 70.7 million beneficiaries with total expenditures of $1.3 trillion.The Medicare Trustees Report further projects that …

The Missouri Hospital Association and Hospital Industry Data Institute published the 2024 Critical Access and Small Rural PPS Hospital Analysis, which includes Medicare inpatient and outpatient utilization data. In addition, assorted Missouri and …

The MO HealthNet Division previously implemented a maximum daily limit for drugs billed on crossover claims. Due to a technical issue, MO HealthNet is temporarily pausing the maximum daily limit. Once the technical issue is resolved, the maximum …

The Centers for Medicare & Medicaid Services released the Medicare Physician Fee Schedule payment and policy updates for calendar year 2027. Major updates include:Physician Fee ScheduleAfter accounting for the expiration of a 2.5% CY 2026 …

The Missouri Hospital Association is providing a comparative analysis of Medicare fee-for-service emergency department evaluation and management level utilization, and utilization rates for certain observation patients. The analysis, which is …

The Missouri Department of Social Services’ MO HealthNet Division provided notice to the Missouri Hospital Association regarding MHD’s interpretation of the Consolidated Appropriations Act of 2026, which was enacted Feb. 3.According to MHD, …

The Missouri Department of Social Services’ MO HealthNet Division published an emergency amendment and proposed amendment setting the outpatient trend for state fiscal year 2027 at 4.7%, which will be published in the July 15, 2026, issue of the …

The Missouri Hospital Association prepared a report illustrating the average Medicare spending per beneficiary by hospital, with comparisons to average spending for Missouri and the nation. The information includes details about Medicare Part A and …

MO HealthNet and the Missouri Office of Administration recently posted information on the upcoming managed care request for proposal. To access the RFP, visit missouribuys.mo.gov/bid-board/movers, click to view the bid board and search for …

The Centers for Medicare & Medicaid Services released the Medicare hospital Outpatient Prospective Payment System and Ambulatory Surgical Center payment and policy updates for calendar year 2027. Major updates include the following.OPPSIncreases …

The Centers for Medicare & Medicaid Services issued the Medicare Home Health Prospective Payment System and Durable Medical Equipment proposed payment updates for calendar year 2027. CMS estimates that total Medicare payments to home health …

The Centers for Medicare & Medicaid Services announced new guidance that allows eligible Medicare beneficiaries to obtain GLP-1 medications for $50 per month. The Medicare GLP-1 Bridge program will remain available through Dec. 31, 2027.

The Centers for Medicare & Medicaid Services issued the Medicare End-Stage Renal Disease Prospective Payment System proposed payment updates for calendar year 2027. CMS estimates that the total increase in payments for CY 2027 to both …

Missouri Hospital Association staff prepared a summary of questions and responses submitted during the MO HealthNet Division’s SFY 2027 APR-DRG Update webinar held June 2. These questions and answers, referenced as the APR-DRG Version 43 FAQs, will …