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How much will your hospital receive in state grant money?

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Lawmakers approved $104 million for Mississippi hospitals. Some say it’s not nearly enough.

Mississippi hospital leaders have been begging for help for months, and the Legislature has answered the call — though some advocates and lawmakers say it’s not nearly enough.

Both chambers on Tuesday approved a $103.7 million grant program that will be split by Mississippi’s struggling hospitals.

The pandemic weakened the state’s already-stressed health care infrastructure — costs for supplies and workers went up, and reimbursements from insurance providers did not. Many of the state’s hospitals have been bleeding out for the past few years, shutting floors and service lines one by one.

Now, a third of Mississippi’s rural hospitals are at risk of closure, and half of those within a couple of years. It’s a situation poised to worsen health outcomes in a state with already some of the worst in the country.

Both legislative chambers this week passed Senate Bill 2372, which establishes a grant program for hospitals, and House Bill 271, which funds it.

Previously, the Senate’s version of the bill aimed to give $80 million to hospitals, focusing its efforts on rural health care providers. Instead, the House wanted to give the funds to larger hospitals.

After closed-door deliberations among six legislative Republicans, the two sides reached a compromise on Tuesday: They’re distributing $103 million to hospitals through a hybrid funding model, using funds from the American Rescue Plan Act, according to the bill. The Mississippi Department of Health is receiving $700,000 to administer the program, according to Senate Medicaid Chairman Kevin Blackwell, R-Southaven.

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The compromise falls short of what hospital leaders and some rank-and-file lawmakers said was needed. The Mississippi Hospital Association projected early this year that hospitals would need $230 million in extra funds to stay afloat. Despite the increase in grants, they’re still about $40 million short.

Negotiations of the grant program came as the state sits on a record revenue surplus of nearly $4 billion. And Republican lawmakers continue to leave more than $1 billion per year on the table by rejecting Medicaid expansion.

Tim Moore, president of the MHA, said on behalf of state hospitals that health care leaders are very appreciative of the actions taken by the Legislature to pass the measure, especially the creation of an allocation model that supports all hospitals, no matter the location or size.

But he added the lower-than-needed total will not solve the ongoing hospital crisis — that new, recurring revenue will along with a remodeling of Mississippi’s health care and payment infrastructure.

“The solution has not changed,” Moore said. “Payer issues and the burden of uncompensated care must be addressed. The Mississippi hospital system that provides care to all Mississippians costs $23 million dollars a day to operate. Any sustainable business model must generate adequate revenues to cover expenses. Hospitals are no exception.

“If a long term solution is not developed, access to care will decline and fewer services will be offered at local community hospitals,” Moore said.

Legislative Democrats in January proposed a grant program that would appropriate $200 million to the struggling hospitals and used the opportunity to blast Republicans’ inaction on the issue. This week, most House and Senate Democrats voted to approve the Republicans’ $104 million grant program but used floor debate to argue that the state should be doing more.

“It is particularly galling that in the same weekend when we saw Mississippians struggle to find emergency health care after a natural disaster, Republican leaders still felt it appropriate to allocate less than half of what hospitals have been begging for just to keep their doors open,” Rep. Robert Johnson, the House Democratic leader from Natchez, said on Tuesday. “They stood up and told all of us how awful the devastation of the tornado was, then they immediately turned around and refused to do the bare minimum.

“In one breath Republicans are telling us that we’ll rebuild from the storm, that they are pro-life, that they want a better future for the state,” Johnson continued. “And in the next breath they’re saying, ‘Take this and shut up.’ All while they’re telling us we’re in the best financial shape we’ve ever been in. It would be shocking if it weren’t so completely expected.”

Ahead of the final vote in the House and Senate on Tuesday, Republican lawmakers laid out the basic formula for the grant program. If a hospital has more than 100 beds, it will receive a base amount of $1 million.Hospitals with an emergency room and fewer than 100 beds will receive $625,000.

Specialty hospitals, such as Brentwood Behavioral Healthcare in Flowood which is an inpatient psychiatric treatment center, and critical access hospitals will get a base of $500,000. Critical access hospitals have very few inpatient beds but get more money for services they provide. Critical access hospitals, such as Sharkey Issaquena Community Hospital in Rolling Fork, are a designation a step below acute hospitals and are typically reimbursed by Medicare at a rate of 101%, theoretically allowing a 1% profit. Acute hospitals with no emergency rooms get $300,000 as a base amount.

Then, hospitals get an extra $250,000 if they operate small rural emergency rooms and a little less than $2,000 for each bed they have.

The most any one hospital is receiving is $2.3 million, which is going to University Hospitals & Health System. Some providers, such as Diamond Grove mental health clinic in Louisville, are receiving nothing. Others, like Jasper General Hospital, are receiving as little as $331,502.

Major hospital systems including Merit Health, North Mississippi Medical Center and Baptist Memorial are getting millions.

“In the original Senate bill, some hospitals received nothing,” Rep. Sam Mims, a Republican from Natchez and chair of the House Public Health and Human Services committee, said on the floor Tuesday. “This makes sure they all receive something.”

Mims, who was one of the three House negotiators of the grant program, works for Merit Health.

Neshoba County General Hospital in Philadelphia, the county’s only hospital, is getting just under $1 million in grant money. In recent months, the hospital has closed one of its acute floor wings and nurse stations — in the past decade, admissions have gone down by half.

Neshoba General CEO Lee McCall said that the hospital’s loss in the past five months is relatively equal to the extra grant money, and it’s about $200,000 more than what he expected to receive from the state. The hospital projects a $2.5 million loss this year.

This amount and the Medicaid enhanced amounts will help significantly by cutting that deficit by more than half,” he said, referring to the extra money hospitals are receiving in supplemental MHAP payments, or payments hospitals receive to offset unequal reimbursement rates. “We are also implementing other cost cutting measures and initiatives to shrink the loss gap. It is much appreciated.”

He stressed that the grant money will get the hospital to temporarily break even, but there are still seven months to go in the year — and the years beyond that.

“The one time grant funding is much appreciated, but doesn’t fix the ongoing problems we’re dealing with in hospitals,” McCall said.

The Delta’s Greenwood Leflore Hospital is arguably in one of the most dire financial situations of all hospitals in the state. The hospital is also getting a little less than $1 million under the new program.

The hospital has already shuttered their neurology, urology and labor and delivery units, among others, in an effort to cut costs. They’re months away from closing, according to their interim CEO Gary Marchand.

“We appreciate the grant funds, and it will help in our efforts to continue operations in the short term,” Marchand said when reached by text Tuesday. “It will replace a portion of the cash reserves used during the pandemic.”

The legislation now goes to Gov. Tate Reeves for final approval. It’s not clear when funds will be distributed. Spokespeople from the Mississippi State Department of Health did not answer questions by press time.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

Mississippi Today

On this day in 1997

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mississippitoday.org – Jerry Mitchell – 2024-12-22 07:00:00

Dec. 22, 1997

Myrlie Evers and Reena Evers-Everette cheer the jury verdict of Feb. 5, 1994, when Byron De La Beckwith was found guilty of the 1963 murder of Mississippi NAACP leader Medgar Evers. Credit: AP/Rogelio Solis

The Mississippi Supreme Court upheld the conviction of white supremacist Byron De La Beckwith for the 1963 murder of Medgar Evers. 

In the court’s 4–2 decision, Justice Mike Mills praised efforts “to squeeze justice out of the harm caused by a furtive explosion which erupted from dark bushes on a June night in Jackson, Mississippi.” 

He wrote that Beckwith’s constitutional right to a speedy trial had not been denied. His “complicity with the Sovereignty Commission’s involvement in the prior trials contributed to the delay.” 

The decision did more than ensure that Beckwith would stay behind bars. The conviction helped clear the way for other prosecutions of unpunished killings from the Civil Rights Era.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

Medicaid expansion tracker approaches $1 billion loss for Mississippi

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mississippitoday.org – Bobby Harrison – 2024-12-22 06:00:00

About the time people ring in the new year next week, the digital tracker on Mississippi Today’s homepage tabulating the amount of money the state is losing by not expanding Medicaid will hit $1 billion.

The state has lost $1 billion not since the start of the quickly departing 2024 but since the beginning of the state’s fiscal year on July 1.

Some who oppose Medicaid expansion say the digital tracker is flawed.

During an October news conference, when state Auditor Shad White unveiled details of his $2 million study seeking ways to cut state government spending, he said he did not look at Medicaid expansion as a method to save money or grow state revenue.

“I think that (Mississippi Today) calculator is wrong,” White said. “… I don’t think that takes into account how many people are going to be moved off the federal health care exchange where their health care is paid for fully by the federal government and moved onto Medicaid.”

White is not the only Mississippi politician who has expressed concern that if Medicaid expansion were enacted, thousands of people would lose their insurance on the exchange and be forced to enroll in Medicaid for health care coverage.

Mississippi Today’s projections used for the tracker are based on studies conducted by the Institutions of Higher Learning University Research Center. Granted, there are a lot of variables in the study that are inexact. It is impossible to say, for example, how many people will get sick and need health care, thus increasing the cost of Medicaid expansion. But is reasonable that the projections of the University Research Center are in the ballpark of being accurate and close to other studies conducted by health care experts.

White and others are correct that Mississippi Today’s calculator does not take into account money flowing into the state for people covered on the health care exchange. But that money does not go to the state; it goes to insurance companies that, granted, use that money to reimburse Mississippians for providing health care. But at least a portion of the money goes to out-of-state insurance companies as profits.

Both Medicaid expansion and the health care exchange are part of the Affordable Care Act. Under Medicaid expansion people earning up to $20,120 annually can sign up for Medicaid and the federal government will pay the bulk of the cost. Mississippi is one of 10 states that have not opted into Medicaid expansion.

People making more than $14,580 annually can garner private insurance through the health insurance exchanges, and people below certain income levels can receive help from the federal government in paying for that coverage.

During the COVID-19 pandemic, legislation championed and signed into law by President Joe Biden significantly increased the federal subsidies provided to people receiving insurance on the exchange. Those increased subsidies led to many Mississippians — desperate for health care — turning to the exchange for help.

White, state Insurance Commissioner Mike Chaney, Gov. Tate Reeves and others have expressed concern that those people would lose their private health insurance and be forced to sign up for Medicaid if lawmakers vote to expand Medicaid.

They are correct.

But they do not mention that the enhanced benefits authored by the Biden administration are scheduled to expire in December 2025 unless they are reenacted by Congress. The incoming Donald Trump administration has given no indication it will continue the enhanced subsidies.

As a matter of fact, the Trump administration, led by billionaire Elon Musk, is looking for ways to cut federal spending.

Some have speculated that Medicaid expansion also could be on Musk’s chopping block.

That is possible. But remember congressional action is required to continue the enhanced subsidies. On the flip side, congressional action would most likely be required to end or cut Medicaid expansion.

Would the multiple U.S. senators and House members in the red states that have expanded Medicaid vote to end a program that is providing health care to thousands of their constituents?

If Congress does not continue Biden’s enhanced subsidies, the rates for Mississippians on the exchange will increase on average about $500 per year, according to a study by KFF, a national health advocacy nonprofit. If that occurs, it is likely that many of the 280,000 Mississippians on the exchange will drop their coverage.

The result will be that Mississippi’s rate of uninsured — already one of the highest in the nation – will rise further, putting additional pressure on hospitals and other providers who will be treating patients who have no ability to pay.

In the meantime, the Mississippi Today counter that tracks the amount of money Mississippi is losing by not expanding Medicaid keeps ticking up.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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Mississippi Today

On this day in 1911

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mississippitoday.org – Jerry Mitchell – 2024-12-21 07:00:00

Dec. 21, 1911

A colorized photograph of Josh Gibson, who was playing with the Homestead Grays Credit: Wikipedia

Josh Gibson, the Negro League’s “Home Run King,” was born in Buena Vista, Georgia. 

When the family’s farm suffered, they moved to Pittsburgh, and Gibson tried baseball at age 16. He eventually played for a semi-pro team in Pittsburgh and became known for his towering home runs. 

He was watching the Homestead Grays play on July 25, 1930, when the catcher injured his hand. Team members called for Gibson, sitting in the stands, to join them. He was such a talented catcher that base runners were more reluctant to steal. He hit the baseball so hard and so far (580 feet once at Yankee Stadium) that he became the second-highest paid player in the Negro Leagues behind Satchel Paige, with both of them entering the National Baseball Hame of Fame. 

The Hall estimated that Gibson hit nearly 800 homers in his 17-year career and had a lifetime batting average of .359. Gibson was portrayed in the 1996 TV movie, “Soul of the Game,” by Mykelti Williamson. Blair Underwood played Jackie Robinson, Delroy Lindo portrayed Satchel Paige, and Harvey Williams played “Cat” Mays, the father of the legendary Willie Mays. 

Gibson has now been honored with a statue outside the Washington Nationals’ ballpark.

This article first appeared on Mississippi Today and is republished here under a Creative Commons license.

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