FINAL HOA Fall 2014 Newsletter.pdf


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Volume 67 | Issue 2 Fall 2014

heartbeat H E A LT H C A R E F I N A N C I A L M A N A G E M E N T A S S O C I AT I O N S E R V I N G T H E K A N S A S C I T Y C H A P T E R Programming .............................2 Webinars ....................................2 President’s Corner ......................3 Membership Directory ................5

Price Sensitivity ..........................6 Officers and Directors.................7 Corporate Sponsors ....................7 Golf Tournament.....................8&9

Region 8...................................10 Sponsor Spotlight .....................11 MHA Update .............................12 July Programming ....................13

New Members ..........................14 Committee Chairs/Co-Chairs.....15 Summer Institute......................16 September Programming..........17 Get-To-Know-A-Member ..........18

Financial Risks in Physician Employment Jeff Goldsmith, Ph.D. Hospital leaders will need to get creative to find arrangements with physicians that will benefit everyone. As hospitals search for strategic clarity in the wake of health reform, they face major uncertainty in how to manage the looming generational transition in their medical communities. The hospital and physician practice sectors are the core of our health system; together they represent a little more than half of U.S. medical spending. These two sectors are inextricably intertwined — and getting more so. Hospitals today employ about one-fifth of practicing physicians (not counting about 116,000 residents and interns) and contract with another fifth or more to support their 24/7 services such as the emergency department and intensive care units. Physician subsidies of various types — employment contracts, call pay, directorships, etc. – are the fastest growing and seemingly least well-controlled hospital expense. There is significant geographic variation in physician employment by hospitals. Across the hard-pressed northern swath of the United States, from Maine to Montana, independent physician practice has pretty much collapsed, except for scattered, large multispecialty physician practices. For better or worse, the future of physician practice in this tier of the country lies firmly, if uneasily, in hospitals’ hands. However, in most sunbelt communities and many large urban areas, private practice is still very much alive, though hospital employment is significant. In these communities, the boundary between the hospital and medical practice is both blurry and volatile. Chronic problems include: granting of hospital privileges to perform certain procedures for competing specialties, covering the hospitals’ 24/7 service obligations, managing care of the indigent, joint ownership of ambulatory services and contracting for physician services generally. Article continues on page 5

mark your calendars National Webinars

Heart of America Programming

Learn about timely healthcare finance topics and earn CPEs. Most live webinars are free for HFMA members and $99 for non-members, unless otherwise noted.

The topics listed are subject to change and will be more clearly defined as the program year progresses:

NOVEMBER 20, 2014

Nov 6

Chapter Favorite! CEO/CFO Panel

A Clinically-Integrated Approach to Improving Healthcare Quality, Cost, and Efficiency

Nov 11 Reshaping the Physician Fee Schedule for Physician Services to Integrate Engagement and Payment Nov 12 Understanding the 2014 U.S. Trust Study of High Net Worth Philanthropy Nov 13 How a Clinically Integrated Network Reduced Risk by Engaging High-Risk Patients Nov 19 Dignity Health: The Making of A New Revenue Cycle Management Model

Lunch 12:00 - 4:30 pm $65 | Location: Ritz Charles

JANUARY 21, 2015

New Program! Managed Care Forum: Payors and Providers Discuss Managed Care Landscape Lunch 12:00 - 4:30 pm $45 | Location: North Kansas City Hospital

FEBRUARY 19, 2015

Back by popular demand! Healthcare 101 Lunch 8:30 am – 4:30 pm $65 | Location: Shawnee Mission Medical Center

MARCH 26, 2015

First Annual! Women in Healthcare Luncheon $25 | Location: TBD

Nov 25 Personalizing the Patient Experience: the Ultimate Objective of Population Health

APRIL 23, 2015

Dec 4

Lunch 12:00 – 4:30 pm $65 | Location: Ritz Charles

Choosing the Right Methodology for Predicting Patient Demand

Leadership/Organizational Skills & Awards Banquet

Dec 10 The Critical Role of Clinical Integration in Revenue Integrity

Region 8 Webinar

Dec 18 2015 Final Rule Changes to Outpatient Payment System (OPPS) and Ambulatory Service Center (ASC)

Chargemaster Update November 18, 2014 12:00 – 1:30PM CST (See advertisement for details)

View all upcoming on-demand webinars HFMA provides webinars available one calendar year following the live webinar date and year. Most on-demand webinars are free for HFMA members and $99 for non-members, unless otherwise noted. Go to http://www.hfma.org/Templates/OnDemandWebinars.aspx?id=6730 to view all available on-demand webinars with topics that include: - Accounting & Financial Reporting - Finance & Business Strategy - Payment, Reimbursement, & Managed Care - Revenue Cycle - Technology - And others – page 2 –

Jim Mozena, President

Dear Heart of America HFMA Members The last quarter saw a lot of excitement for the chapter – the Region 8 event was held in St. Louis, the Annual HOA Chapter Golf Tournament, and the annual Fall Presidents Meeting. On August 25th, the Annual HOA Annual Golf Tournament took place. With over 70 participants, the day was filled with fun, networking and great prizes (received by half of the attendees). I extend many thanks to the sponsors and volunteers that made the program a success. The volunteers included Todd Kenney, Kalinda Marfisi, Mea Austin, Melissa Gardner, and Heath Leuck. On August 18-20, the Second Annual Mid-America Summer Institute was held at the St. Charles Convention Center. Highlights of the conference included Al Hrabosky, “The Mad Hungarian,” presenting his baseball stories and a trip to see the St. Louis Cardinals in action. The Mid-America Summer Institute will be held in Minneapolis in 2015 and 2016, and will move to Kansas City the following year. There will be opportunities for providers to apply for scholarships to attend the conference in 2015. For more information about our Regional education events, click on the following link: http://www.hfmaregion8.org/.

Membership As of October 6, 2014, our current membership totals 289 members. This is far from our budget of 343. As we have done in the past, any member who refers a new member will be eligible for a chapter drawing of $200. Also, you will be eligible to win the following prizes from National HFMA: - HFMA apparel item, duffel bag, or smartphone accessory - $25, $100 or $150 Visa Prepaid Cards - Cash prizes of $1,000 or $2,500 - Apple iPad Mini - Grand Prize of $5,000 (Will be paid as follows: $3,000 for the winner and $2,000 donated to a charity of their choice) Thank you to our sponsors for their continued support of the chapter. Without their support, the Heart of America Chapter would be unable to provide educational and networking opportunities.

Paul Knudtson and I attended the annual Fall Presidents Meeting (FPM) in Chicago September 21-23. National HFMA changed the FPM this year to have all chapters attend in one location. Through interaction with all of our Region 8 chapters, we learned many new ideas for maintaining a successful chapter. Post meeting activities included enjoying Chicago deep dish pizza, an architectural cruise on the river, and a Cubs baseball game.

Upcoming Events CFO Panel, Ritz Charles, November 20, 12:00 p.m. – 4:00 p.m. Panel members include John Wilson, CFO, Heartland Health, and Tierney Grasser, CFO, Olathe Medical Center. Happy hour to follow the program! Board Meeting, November 20, 10:00 a.m. to Noon If anyone is interested in attending the board meeting, please let me know. Your input is valuable to the chapter.

Pictured above: Region 8 Presidents’ Fall Meeting - Includes HOA’s Jim Mozena, President, and Paul Knudtson, President-Elect.

Roadshows If your facility would like to have an educational event for your staff or co-workers, please contact Mea Austin at [email protected]. There are over 15 Topics to choose from in the follow categories: Team Building; Leadership; Affordable Care Act.

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Financial Risks in Physician Employment, continued...

Shifting Boundaries Conflicts between hospitals and physicians markedly worsened during the late 1980s and 1990s as ambulatory technologies like imaging, chemotherapy and less-invasive surgery enabled physicians to peel off these services and perform them in their own offices or freestanding facilities. Urgent care also posed a challenge, since hospitals’ urgent care locations often competed with the private practices of nearby primary care physician offices. In the last decade, the boundaries separating the hospital from physician practice have shifted yet again, posing a major strategic challenge in a time of slowing hospital topline growth. Today, the U.S. physician practice sector has two basic components: a tenacious small-scale practice framework controlled by physicians, and a growing trend of very large practices — not only hospital-sponsored megagroups, but also successful regional multispecialty physician groups like Kaiser, Mayo, Geisinger and Lahey, and corporations like MEDNAX, HealthCare Partners (now part of DaVita) and Sheridan Healthcare. In 2012, more than 110,000 physicians practiced in groups larger than 100, according to the American Medical Association’s Physician Characteristics and Distribution in the U.S. (2014). By contrast, nearly 41 percent of physicians practiced in groups smaller than four. In the next five years, I expect this small physician practice sector to shrink as the boomer physicians who form its core retire. However, the large practice sector is economically fragile, and the independent practices within it are often capital-starved. There is scant evidence of economies of scale in physician practice, and as practices grow, they become more dependent on so-called ancillary income. Boomer docs — the most entrepreneurial generation of physicians in history — are gearing down or retiring. They are being replaced by frightened Generation Y docs looking for practice stability and a way to pay down their debts. In the wake of the 2008 recession, many private practices stopped hiring, leaving the hospital the employer of last resort. As a result, in the decade that overlapped the recession (2003–2013), the hospital’s employment “footprint” in physician practice increased by somewhat more than half. For many Gen Y docs, hospital employment is like an extension of the residency, only with 35-hour shifts instead of 80-hour ones, but with significantly higher per hour compensation. As many hospitals are discovering, this “extension of the residency” continues a cost-insensitive, consultant-happy style of medical practice profoundly at odds with the needs of a disinflationary, “accountable care” environment.

The Cost of Employment

ated over $206,000 in losses (the difference between total practice revenue and total costs of operating the practice and paying its providers). These burgeoning losses have occurred at the same time hospitals’ top lines have stopped growing. As can be seen from the following figure, physician “investment” costs are devouring hospital earnings.

GREEN ACRES HEALTH SYSTEM FINANCIALS

Source: Nathan Kaufman, Kaufman Strategic Advisors, 2014. Used with permission.

Of course, it has been argued that if you acquire practices of physicians who don’t use the hospital, the losses are offset by additional outpatient utilization and hospital admissions. This argument does not apply to new physicians, however, nor to physicians who were loyal users of the hospital, where the major income offset is marking up their fees to the higher Medicare “provider-based” rates. “Beggar thy neighbor” physician employment strategies (hiring away a competitor’s physicians) appear to be an efficient way to destroy both hospitals’ bottom lines. It is my perception that the physician employment boom is reaching a tipping point. Most hospitals are now rationalizing their physician spending, renegotiating excessive income guarantees, strengthening productivity requirements and firing physicians who just wanted shelter from economic risk or who did not work effectively with colleagues. In right-sizing their physician employment expenses, hospital executives face the following challenge: They cannot afford their primary care physician base not to renew itself. If primary care private practitioners are not doing well enough to take in a junior partner who can later take over the practice or to sell the practice to younger physicians, eventually the hospital will wither. Some form of hospital participation in this renewal seems inevitable, even in some prosperous communities.

Hospitals’ physician employment surge has caused a serious case of financial indigestion. According to the Medical Group Management Association in 2013, the average hospital-employed physician gener– page 4 –

Article continues on next page

Financial Risks in Physician Employment, continued...

However, here is the ultimate question: Will the hospital need to be the permanent final employer of all its primary care physicians (let alone its highly paid procedure-oriented physicians)? Many hospitals or systems are trying to create management services organizations to strengthen their physicians’ practices as an alternative to employment, and are encouraging consolidation of the healthy private practices as older physicians contemplate retirement.

Some Successes It is unlikely that we will return to the time when most primary care physicians admitted their own patients to the hospital and managed their hospital care subsequently. Some element of the recent expansion of the hospital into the physician world is likely permanent; hospitalists and intensivists (pediatric and adult) are almost certainly a part of most hospitals’ futures. For these emerging specialties, as well as for the more traditional hospital-based disciplines of emergency medicine, radiology, anesthesiology and pathology, there is a new question: Do I contract for hospital-based physician coverage, or employ them directly? Many hospital leaders believe they can manage these practices better than local or national groups, e.g., that they can recruit, equip, motivate, renew and systematize the practices of these physician specialties. But is the hospital truly able to manage the logistics and politics of direct employment well enough to realize savings? The fact that the large national and regional groups that dominate these specialties continue to grow suggests the answer to this question may be “no.”

It will not be financially possible for hospitals to absorb all of Gen Y physicians’ economic risk. Hospital leaders will need pluralism, flexibility, transparency and fairness to manage this tricky generational transition. Several regional health systems seem to be walking the tightrope effectively. One is Memorial Hermann in metropolitan Houston. It has created a 3,500-physician clinically integrated network that offers Houston physicians a variety of ways to participate in an aligned clinical enterprise, only one of which is direct employment. It is possible to drive toward clinical protocols, a single electronic record and single signature risk contracting without employing all the physicians. Another hospital that seems to be striking the right balance is Rady Children’s Hospital in San Diego. It has created Rady Children’s Physician Management Services, which supports both a large primary care medical group and a hospital-sponsored foundation that employs the hospitals’ subspecialists without creating an economic burden on the hospital. Both Texas and California have strong “corporate practice” statutes that limit hospital employment options. In the last 10 years, hospitals have become unwitting midwives to an extremely expensive generational transition in medicine. The illusion of control that physician employment represents may be just that – an expensive experiment in the limits of management capacity. Managing employed physicians is not a core competency for most hospital leaders. If hospitals can add value to physician practices by marking up their rates to Medicare and commercial payers, rather than improving the practices – lowering their overhead, decreasing the “hassle factor” of medical practice, improving professional satisfaction and, most importantly, improving service to patients – the present trend toward physician employment will reverse yet again.

Jeff Goldsmith Ph.D., is the president of Health Futures Inc., and associate professor of public health sciences at the University of Virginia, Charlottesville. • Reprinted from H&HN Daily, by permission, September 2014, Copyright 2014, by Health Forum, Inc.

Membership Directory – Now ONLINE! For the 2014-15 year, we have utilized the HFMA National website to provide an up-to-date electronic database for our current membership listing. HFMA Online Membership Directory (Requires Log-In and Password) After you log-in, click on “My Account” in the upper right hand corner, then select “Membership Directory.” Under “Chapter,” use the drop down box to select “Heart of America” to see a full listing of our current members. While you are there, please take a moment to review and update your information.

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Recognizing the Risk OF

Patients

PRICe SenSITIvITy In Your Health Care Market

From the patients’ perspective, concerns about affordability influence where and when patients access care.

Payers Payers have an incentive to support lower-priced options to reduce total care costs.

The era of price transparency has arrived for hospitals and health systems. These days, pressure on prices can come from several directions: patients, payers, or market conditions. Review the questions below to examine whether or not your market is price sensitive.

Market Conditions Greater personal responsibility for health care costs is likely to drive price sensitivity in the future.

SIGNALS OF PRICE SENSITIVITY IN YOUR MARKET Price Requests The market for health care price transparency products is estimated to reach $1.6B in 2014.1

Do you receive weekly or daily price requests from patients?

Coverage Type By 2013, the average in-network deductible for group plans was $1,230.2

Do high-deductible or consumer driven health plans account for more than 10% of covered lives in your market?

Uninsured Patients

Even with coverage expansion we still expect coverage churn among exchange plans, Medicare, and uninsured status.

Are there a significant number of uninsured patients in your market?

Canceling Appointments In 2012, 58% of all patients avoided any health care visits.3

Do patients often cite price as reason for canceling appointments?

Patient Steerage Annual hospital losses due to shifting one imaging case per week from outpatient department to independent diagnostic treatment facility are estimated at $430K.4

Do payers or benefits managers contact patients referred to hospital imaging sites in an attempt to reschedule them at cheaper facilities?

Self-Insurance More than one-quarter of small firms have discussed the possibility of self-insurance.5

Is a significant part of your patient population covered by self-insured employers?

ACOs in Market

Physician ACOs in pilot programs like BCBS’s Alternative Quality Contract, have produced average annual savings of 2.8%, derived mostly from referrals to less costly providers.6

Are there physician-based ACOs forming in your market?

Price Differences Media coverage of price differences can generate wide public interest.

Has there been any media coverage of price differences between health care providers in your market?

http://www.advisory.com/~/media/Advisory-com/Research/FLC/Resources/Posters/Price-Sensitivity/FLC_PriceSensitivity_Infographic_PDF.pdf – page 6 –

Officers and Directors 2014 HEART OF AMERICA CHAPTER OFFICERS

BOARD OF DIRECTORS 2013-2015

President President-Elect Vice President Secretary Founders/DCMS Treasurer

Mea Austin Heath Leuck Cathy Kindle Karrie Pence Mary Knollmeyer

Jim Mozena Paul Knudtson Michelle Narayan Todd Kenney Todd Kenney Matt Robertson

2014-2016 Jessica Baird Damara Harper Esteban Ponce

2014 PUBLICATION COMMITTEE Jessica Baird, Co Chair Cathy Kindle, Co Chair

816-407-2041 816-691-2010

Deadline for submission of articles for the next newsletter is December 19, 2014.

Keely Roach

2014 Corporate Sponsorship PLATINUM

GOLD

BKD, LLP Bank of America Merrill Lynch Haase & Long Human Arc McGladrey LLP Mercer MMIC

Bank of Kansas City Commerce Bank

Sincere appreciation is extended to our corporate sponsors for 2014. Your support of our Chapter significantly improves our ability to offer quality programs to our members. Please consider joining our fantastic group of sponsoring organizations.

SILVER Cardon Outreach Country Club Bank

If you are a service provider, please contact: Mea Austin 785-842-0726 Mary Knollmeyer 913-791-3500 x 4018

Chargemaster Update: November 18, 2014 Audio-Visual Webcast Time 12:00PM – 1:30PM CST Presented by Nancy Thygesen Dani Holley Paul Baumert

It’s time someone took care of you.

The chargemaster (CDM) is a complete listing of all billable items at a healthcare facility. It is often described as the central instrument of the revenue cycle in a healthcare organization. Join us on November 18th and learn why the CDM is so important, as well as how to and how often it should be reviewed and updated. Plus, a billing and coding update, including new 2015 CPT-code changes, will be presented.

You need a financial specialist who understands the healthcare industry. The Commerce Bank Healthcare Team can help you use innovative financial solutions and best practices to overcome challenges and bring results to your bottom line. Interested in learning more? Call us!

Program Fee per site: FREE (unlimited participants!!!) Please register online at: http://www.hfma.org/Content.aspx?id=19424 ccommercebank.com ommercebank.com / 816.234.1895 816.234 .1895

If you have any questions, please contact Joe Harnisch at 402-330-2660 or [email protected] – page 7 –

2014 Annual Golf Tournament

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2014 Annual Golf Tournament | Contributed by Kalinda Marfisi HFMA Heart of America held our annual golf tournament on Monday August 25th with close to 90 golfers coming out to enjoy the extremely sunny day. This year’s tournament, held at Staley Farms, was the most successful one to date. As always, this event is a way to get out, enjoy our community and get to know our fellow chapter members better. The proceeds from this event not only sponsor our chapter, but the fun events we do throughout the year. This year’s top teams, who walked away with Visa Gift Cards, were: 1st: Bill Hanna, Joe Hanna, Mike Carrico, TJ Mallory 2nd: Mark Basola, David Hunt, Chad Rock 3rd: Heath Leuck, Adam Nashed, Robert Fowle Appreciation is extended for all who participated in the golf tournament and the business partners who helped sponsor it. A BIG thank you is also given to our platinum sponsor, Haase and Long, as we couldn’t have done it without you. Look for the event next year in August which will be held again at Staley Farms.

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Jim Mozena, Luanne George, Jeff Freiermuth, and Donna Grider Ronnie Thompson, Mike Delaney, Todd Krass, and Jim Brown Adam Nashed, Heath Leuck, and Robert Fowle Todd Kenney, Dwain Stilson, Tim Wilson, and Kim Klockenga

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2014 Annual Golf, cont.

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John Moore, Andy Kaempfe, Allison Swaters, and Joe Watt Kalinda Marfisi, Matt Robertson, Kyle Hartman, and Clay Fisher Mike Weeks, Donna Findley, Mary Jonscher, and John Travis Paul Knudtson, Matt Michalak, Don Kirkpatrick, and Brett Bibler Warmups . . . Hunter Hamilton was one of the event’s sponsors. Participants enjoyed a time of relaxation and networking following the tournament.

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Tracy Packingham, Region 8 Executive

Greetings Fellow HFMA Members It is hard to believe kids are back in school, football season has officially started and fall is setting in. Fall brings change – change of colors, temperatures, sporting events, etc. The Officers and Leaders of our Region have continued to “Lead the Change” in each of our chapters. It definitely showed at the 2014 Mid-America Summer Institute as it was another phenomenal event. We heard from a several participants and thought I would share a couple comments: “HFMA Region 8 Mid-America Summer Institute delivered a program second only to HFMA ANI when it comes to healthcare education. The presenters were extremely knowledgeable and the mix of topics was well suited for today’s challenges in the industry. Great job!” – Greg Johnson, CEO - Advanced Radiology “HFMA Region 8 Mid-America Summer Institute education was top notch and the events that were planned and pulled together were awesome!” – Rita Blasius, CFO / Assistant Administrator - Avera St. Benedict Health Center It takes a TEAM to make this happen and we have an amazing group of dedicated individuals. The continued support of so many keeps our chapters and region successful. 2015 Mid-America Summer Institute

planning has already started and we are looking forward to hosting this event in Minneapolis, MN. This is my favorite time of year for a variety of reasons. But one particular reason is I absolutely love football and watching the TEAMS work together to accomplish a WIN each week. The President and President Elects are preparing for our Fall President’s meeting to be held at the end of September in Chicago, IL. We will be discussing best practices, how we can achieve the goals and meet the needs of our members. I am confident that we will have a WINNING season (2014-2015) as we have an outstanding TEAM. I know summertime is always very busy, but now that the seasons are changing, why not put HFMA back on your calendar? Please take the time to get involved and get the most out of your membership. Thank you for the continued support of all of our officers, directors, volunteers and members – you are all what makes Region 8 exceptional. Please feel free to contact me with questions or comments any time, my telephone number is 314-570-3580 and my email address is [email protected].

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© 2013 McGladrey LLP. All Rights Reserved.

– page 10 –

We protect your peace of mind. And for hospitals with many specialties, we do it in many ways. We protect what matters most, with proven results. It’s a movement, and we’d love to have you along. Join the Peace of Mind Movement at MMICgroup.com or contact your agent or broker.

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HFMA’s Virtual Conference

2014 Remaining Date: December 16 Mark your calendar for this live event—free to HFMA members. HFMA’s Virtual Conference provides you with unique and cutting edge programming—all from the convenience of your home or office.

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Andrew B. Wheeler, Vice President of Federal Finance, Missouri Hospital Association

Federal ADVOCACY Federal advocacy is becoming even more vital to health care professionals throughout the country as Congress continues to use the hospital Medicare reimbursement as a piggy bank to fund legislative actions. On Sept. 9 and 10, 44 Missouri hospital and health system executives, hospital governing board members and medical staff participated in a Missouri Hospital Association Federal Advocacy Team trip to Washington, D.C. The theme for this year’s trip was hospitals’ need for stability, predictability and fairness as they try to develop and implement short-term and long-term plans in a bipolar political environment. White papers were prepared for Recovery Audit Contractor issues, the need for RAC reform and appeals settlement, calling for wage index reform, asking for the repeal of the Massachusetts wage index manipulation and the need for continued congressional support of the 340B drug discount program. In addition, the recently passed Veterans Access, Choice and Accountability Act of 2014 was discussed. This was the first discussion of the issue with members of Missouri’s congressional delegation, and they found the analysis useful. The law is designed to alleviate the backlogs, long travel and wait times for some veterans accessing care through the Veterans Administration system. Under the law, veterans who have wait times of at least 30 days, or live more than 40 miles away from a VA clinic or hospital, may access health care through a non-VA provider. MHA plotted out a 40 mile radius from VA facilities and clinics in Missouri, demonstrating the very few areas where the bill would offer new opportunity for veterans to seek care outside of the VA system. In most areas, veterans would still need to wait 30 days to receive care at a private provider. MHA is advocating for a better definition and to refine the act so it benefits more Missouri veterans.

MHA distributed hospital profiles by state, rural, and critical access hospitals, as well as provided a rural hospital profile for each congressional district (district 3 – Luetkemeyer, district 4 – Hartzler, district 5 – Cleaver, district 6 – Graves, district 7 – Long and district 8 – Smith). In 2013, the average operating margin for Missouri’s hospitals was 3.2 percent. Ninety-three hospitals are operating with a zero percent or positive operating margin, while 59 are operating with a negative operating margin. Missouri is supporting the local economy by providing more than $7.3 billion in salary and benefit payments, providing $1.17 billion in uncompensated care and $2.5 billion in community benefit. The advocacy themes behind the profiles highlight the significant reductions in Medicare and Medicaid disproportionate share payments through 2019. Federal policies continue to shape health care finance and delivery. As a result, federal advocacy will remain an essential component of health care leaders’ effort to support and strengthen their organizations, and the communities they serve.

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July 2014 Heart of America Program

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OIG 2014 Work Plan Advisory: Determining Key Initiatives and Priorities Today The University of Kansas Edwards Campus, Overland Park, Kansas July 24, 2014 The July program focused on the OIG 2014 Work Plan Initiates impacting providers and included presentations by Frankie Forbes and Richelle Marting of Forbes Law Group and Steve Rice and Chad Stutelberg of INTEGRATED Healthcare Strategies.

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Frankie Forbes and Richelle Marting of Forbes Law Group provide details on the OIG 2014 Work Plan Initiatives.

Speaker Steve Rice of INTEGRATED Healthcare Strategies discusses physician compensation, acquisition and integration.

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Welcome New Members! Rahman Sayeed, Senior Client Executive Vree Health Work Phone: (913) 967-9233 Email: [email protected] Brian Luse Abbvie Work Phone: (913) 732-2493 Email: [email protected] Stacy Harper, Attorney Lathrop & Gage LLP Work Phone: (913) 451-5125 Email: [email protected] Ty Harnden, Director of Member Solutions Amerinet Work Phone: (913) 302-2670 Email: [email protected]

Pat Henson, VP, Strategic Services Sagacious Consultants Work Phone: (774) 641-0401 Email: [email protected] Jacque Ebert, Sr. Client Relations Specialist Human Arc Work Phone: (800) 278-5135 Email: [email protected] Kristine Marsh, Sr. Director, Business Development Davita Healthcare Partners Work Phone: (609) 306-4628 Email: [email protected]

Taylor Ost, Healthcare Payments Consultant Commerce Bank Work Phone: (816) 234-8660 Email: [email protected] Lori Porter, Reimbursement Officer II State of MO-DMH-NMPRC Work Phone: (816) 387-2707 Email: [email protected] Ryan Stoll, Commercial Banker – Healthcare Division Commerce Bank Work Phone: (816) 234-8688 Email: [email protected]

Amanda Cox, Senior Associate BKD, LLP Work Phone: (816) 221-6300 Email: [email protected]

Cathy Sims, Radiology Technologist College Park Specialty Center Work Phone: (913) 469-6447 Email: [email protected]

William Smith, Senior Financial Analyst HCA Physician Services Email: [email protected]

Sandra Chalupa, Practice Manager Midwest Trauma Work Phone: (816) 276-9100 Email: [email protected]

Gail Martinez, Patient Account Manager Shawnee Mission Medical Center Work Phone: (913) 676-8131 Email: [email protected]

Kim Grindstaff, Vice President – Consulting Cerner Work Phone: (816) 201-5111 Email: [email protected]

Tabitha Wintz, Revenue Cycle Manager Community Hospital Association Work Phone: (660) 686-2328 Email: [email protected]

Terri Chamberlain, Regional Sales Director Experian-Passport Health Email: [email protected]

Amanda Davidson, Accountant II State of MO-DMH-NMPRC Work Phone: (816) 387-2702 Email: [email protected]

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2014-15 Committee Chairs/Co-Chairs: Audit Committee Keeley Roach 816-474-4253 x21507

Website Matt Michalak, Chair 817-308-7338

Directory Robert Fowle, Chair 913-319-6209

Nominating Committee Andrea Lindsay, Chair 816-502-7033

By-Laws Committee Mary Knollmeyer, Chair 913-791-3500 x4018

Fall Workshop Committee Paul Knudtson, Chair 816-932-0336

Certification Damara Linneman, Chair 816-781-7200

Link Committee Frankie Forbes, Chair 913-341-8600

Sponsorship Committee Mea Austin, Co-Chair 785-842-0726 Mary Knollmeyer, Co-Chair 913-791-3500 x4018

Social Media Heath Leuck, Co-Chair 816-347-2859

Publications Committee Cathy Kindle, Co-Chair 816-691-2010 Jessica Baird, Co-Chair 816-407-2041

Come Join Us!

Membership Committee Todd Kenney, Chair 816-701-0266

Networking Committee Kalinda Tenborg, Co-Chair 913-234-6654

Programs Committee Michelle Narayan, Co-Chair 913-791-4260

HFMA volunteers receive opportunities for professional development, information, networking, and advocacy and earn Founders points when they participate in a chapter committee.

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13191A-AD-120514

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Mid-America Summer Institute 2

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The goal and theme of the Region 8 Mid-America Summer Institute this year was “covering all the bases” by providing real answers to the problems healthcare financial leaders are facing today. An impressive list of speakers were available at the August 18-20 event, held at the St. Charles (Missouri) Convention Center, and included three tracts targeting Financial Leaders, Revenue/ Reimbursement, and Regulatory/Compliance. Be sure to visit hfmaregion8.org for additional information and news about future events!

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HOA member Amber Frisbie (middle) enjoyed the Cardinals game while networking with Region 8 members Kyle Lee and Judy Griffith.

In keeping with the theme, Al Hrabosky, former MLB player and current Fox Sports Midwest Commentator, was the keynote speaker, and a trip to a St. Louis Cardinals ballgame was the highlighted networking event.

HOA ‘s Matt Robertson and Mary Jonscher attended the Region 8 Summer Institute and were Cardinals fans for a day.

Dr. Howard Wasdin gave a rare behind-the-scenes account of his action-packed experiences as a member of America’s elite military force and shared an insider’s perspective of the fascinating world of the Navy SEALS – from the grueling selection and training processes to the deadly missions including the Battle of Mogadishu.

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September 2014 Heart of America Program 2

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3 Kansas Hospital Association, Missouri Hospital Association Updates and Health Policy Political Landscape Panel Discussion The first fall program was held on Thursday, September 18, 2014 at the Ritz Charles in Overland Park, Kansas. Representatives from KHA and MHA provided insight into 2014-15 federal and state policies, and updates to recent regulatory changes and legislative priorities for healthcare in Missouri and Kansas. The program also included a panel discussion with local State Representatives and Senators that focused on health policy.

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Daniel Landon, Senior VP of Government Relations, MHA

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Andrew Wheeler, VP of Federal Finance, MHA

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Legislative panel participants included, from left to right, Kansas State Representative Barbara Bollier, Missouri State Representative Noel Torpey, Missouri State Senator Ryan Silvey, Kansas State Senator Vicki L. Schmidt, and panel moderator, Melissa Freeman, Government Strategist for Cerner Corporation.

Chad Austin, Senior VP of Government Relations, KHA – page 17 –

Get to Know a Member Name: Amanda Cox Employer: BKD Title: Senior Associate

Marital status? Children? Single, no children

Why did you join HOA-HFMA? I would like to move into the healthcare industry and network with more individuals within healthcare How long and why do you work in healthcare? I have been an auditor for 2 ½ years and have worked a large portion of my time in healthcare for the last year or so. I really enjoy working with healthcare client and find the industry interesting.

What is your personal or professional motto? Work hard, play hard. What advice would you give to someone entering the healthcare field? Continue to educate yourself as much as you can and stay abreast of new legislature and market changes. Name: Margaret Gregg Employer: Bates County Memorial Hospital Title: Revenue Cycle Director

What do you like most about your job? I like the opportunity to work with many different people.

Why did you join HOA-HFMA? It is a way to keep myself updated on what is going on in healthcare.

Marital status? Children? Single with no children. Do you have a funny/embarrassing event that has happened on the job you can share? Nothing really all that funny or embarrassing has happened to me at work luckily.

How long and why do you work in healthcare? Over 30 years. I have always felt like I was a small part of something really big. What do you like most about your job? I like that it is constantly changing.

What is your personal or professional motto? Do things correct the first time Please describe some of your favorite accomplishments or biggest challenges met: Completing my undergrad and masters within four and a half years and passing the CPA exam. What advice would you give to someone entering the healthcare field? Listen closely to those around you because healthcare is always changing and you can learn a lot by just listening.

Marital status? Children? Married with one child. Do you have a funny/embarrassing event that has happened on the job you can share? After 30 years there are so many. Once I was walking with a vendor… with the back of my dress tucked in the top of my pantyhose. What is your personal or professional motto? Always be honest and work hard.

Name: Jacque Ebert Employer: Human Arc Title: Sr. Client Relations Specialist Why did you join HOA-HFMA? To gain exposure to networking opportunities and further expand my knowledge of healthcare systems and processes. How long and why do you work in healthcare? 4.5 years. I enjoy helping patients gain access to affordable healthcare.

Please describe some of your favorite accomplishments or biggest challenges met: I most recently left my hometown and the hospital that I had worked at for 30 years to relocate to a new town three hours away and started a new job at a new hospital. I felt like it was a big accomplishment. What advice would you give to someone entering the healthcare field? Always surround yourself with people that are smarter than you, and then be a sponge and absorb all of their information to make you better, and then pass it on to someone else.

What do you like most about your job? Meeting and helping clients – page 18 –