MHA Launches Payer Performance Initiative

Hospitals across Missouri face growing challenges with payer relationships — from downcoding and delayed payments to complex contract negotiations. To help hospitals strengthen financial performance, the Missouri Hospital Association and Hospital Industry Data Institute are launching the Payer Performance Initiative, a statewide effort to provide clearer, more actionable payer insights.

As part of this initiative, HIDI has partnered with Hyve Health to deliver the Vitality Index Payer Scorecard, a real-time tool that benchmarks payer performance, identifies friction points and improves transparency in payer relationships. A pilot cohort is already underway, with broader availability planned for 2026.

The initiative will replace MHA’s Insurance Performance Scorecard and complement existing tools like the Hospital Performance Insights Dashboard and HIDI Fiscal Optics. Together, these resources support hospitals’ financial health and strengthen MHA’s advocacy with credible, evidence-based data.

Hospitals interested in participating can contact Brandon Hutchison.