Hurricane Harvey Grant Request

By | President's Message | No Comments

Dear Texas Gulf Coast HFMA Members, I hope this email finds all of you safe in the wake of Hurricane Harvey. HFMA members nationwide have expressed an interest in financially helping Gulf Coast members who have been impacted. In response the Gulf Coast HFMA board voted to create a relief fund to accept these funds on behalf of our members. As a tool to allocate these generous donations, we have designed a brief questionnaire that can be accessed HERE: While we understand there are a host of programs that exist to assist those in need, we also know there are deductibles, gaps in coverage and losses that are not covered. Our purpose is to help fill some of those gaps and help our associates recover as quickly as possible. If you have any questions, please don’t hesitate to contact me.   Sincerely, Kimberly H. Smelley, CHFP 2017-2018 President Texas Gulf Coast Chapter HFMA khsmelley@gmail.com    

Read More

Donate to Help HFMA Gulf Coast Members

By | President's Message | No Comments

Many of our HFMA members and their families who work and reside in the Texas Gulf Coast region sustained major property damage from the devastation of Hurricane Harvey. Some escaped from the rising flood waters with only the clothes they were wearing and what they could carry in a small bag. Although the storm has passed, the road to recovery will be long. We have received an outpouring of expressions of concern from HFMA members and chapters across the country, asking how they can help. In response, the HFMA Texas Gulf Coast Chapter Board has created this campaign to accept donations that will be used specifically for the benefit of HFMA members and their families who have suffered loss during Hurricane Harvey. A team consisting of the President, Treasurer, and the Community Benefits Committee will have a formal process to review requests from our members. We expect to offer assistance for everything from replacing professional attire and children’s school uniforms, to stocking pantries with food and helping with temporary living expenses. Thank you for your support and for showing HFMA’s power to make a difference in the lives of our members. Click Here to Donate Kimberly Smelley President, HFMA Gulf Coast Chapter  

Read More

High Deductible Health Plans: Increasing in Popularity with Consumers and What That Means for Hospitals

By | Newsletter Article | No Comments

To date, the Affordable Care Act (ACA) has resulted in an estimated 32 million newly-insured Americans since 2010; nearly one-third of which purchased coverage through exchanges. On the surface, it appears that this would be nothing but positive news for health care providers, as their ability to collect for billed services should be enhanced with more insured consumers seeking care. However, taking a closer look at the plans the newly insured are choosing reveals a growing issue in collections for providers: the increasing popularity of high deductible health plans (HDHPs). Users of the insurance exchanges and corporate consumers of health insurance are starting to shift their health plan choices toward higher deductible options. The tiered structure of offerings on the exchanges allows consumers to choose their plans based on cost. This is leading to an increase in popularity for HDHPs which typically include lower upfront premiums but higher total costs for many services. The number of HDHP enrollees rose to nearly 17.4 million in January of 2014, up from 15.5 million in 2013, 13.5 million in 2012 and 11.4 million in 2011; an average annual growth rate of approximately 15% since 2011. As consumer preferences shift further towards these HDHP offerings, the need for hospitals to adapt their billing and collection strategy increases; otherwise bad debt and charity care could evaporate profits. Coinciding with the increasing interest of HDHP among consumers, more employers are offering HDHPs, and in some cases offering only HDHPs, to help control costs. This trend is…

Read More

You and Your 340B Program: Are You Compliant or Confused?

By | Newsletter Article | No Comments

  by Venson Wallin and Bill Bithoney, MD, The BDO Center for Healthcare Excellence and Innovation What is the 340B program? The 340B program is a means through which providers, known as “covered entities,” can offer pharmaceuticals to a greater amount of eligible patients than they could at traditional manufacturer pricing. This is because the program requires that manufacturers sell the drugs to the eligible providers at a discount, thereby enabling a larger number of those in need to get the assistance they need with purchasing their prescriptions. The 340B program is very popular for this very reason; covered entities are able to purchase drug supplies at the 340B discounted price, and then bill the patient’s insurance company the traditional rate. This “margin” generates much needed profit for some of the more income-challenged providers, while having minimal impact on the Medicare and Medicaid program costs. The patient wins, the provider wins, and the government programs win. Providers understand the upside, and annual 340B drug spending by covered entities exceeds six billion dollars and approximately one-third of U.S. hospitals participate in the program. The spending and number of participating providers is forecast to increase significantly during the coming years. In 1992, Congress created the 340B program via Public Law 102-585, the Veterans Health Care Act of 1992, which is otherwise known as Section 340B of the Public Health Service Act. The law requires drug manufacturers that participate in the Medicaid program to agree to provide discounts on covered outpatient drugs purchased…

Read More

President’s Message

By | President's Message | No Comments

Dear HFMA South Texas Chapter Membership, Happy New Year! Here is to a happy, healthy and prosperous 2015! I hope everyone had a blessed and relaxing Thanksgiving and Christmas season. Two of my top resolutions include strengthening and growing my faith. I will be leading a Men’s group through a daily reading and journaling process in the Bible. The other is committing to a consistent cardio and strength training program. With all of life’s business and distractions, I wish everyone the best in achieving your goals. How about that Super Bowl on Sunday? What an ending to the game! As a diehard and loyal Chicago Bears fan I must say that I enjoyed the commercials more than the game itself. It’s times like now I wished I lived in Texas as we have negative degree temps with over 8 inches of snow here in Omaha, Nebraska. What am I thinking? I have always said that I appreciate and enjoy the Midwest’s four seasons, but would rather be staying at one on the beach right about now. We have come off a very successful quarter with great attendance at the Region 9 Conference in New Orleans, our December and January webinars, and most recently, the Healthcare Landscape Conference in San Antonio. All agendas were packed with timely, quality education combined with excellent networking opportunities. Last Saturday, our officers, board members and committee chairs attended a one day Strategic Planning Meeting in San Antonio. The main objective was to create and execute…

Read More

4 Steps to Managing Supply Chain in Labor and Delivery

By | Newsletter Article | No Comments

by: Karen Wagner Being responsive to the supply needs of a demanding department requires determining who can manage supplies most efficiently and what tools and storage methods can offer the greatest benefits. Here, Texas Children’s Hospital shares four strategies for success. Effectively managing a supply chain is an enormous undertaking for any healthcare organization, but add in the unpredictability of a labor and delivery environment and the challenges multiply. A case in point is the Pavilion for Women at Texas Children’s Hospital, Houston. The 100-bed facility, opened last March, specializes in multiple births and high-risk pregnancies and can accommodate 5,000 births annually. Evidence of the unpredictable environment came one morning last April: One minute, the hospital was quiet; the next, a patient was brought in who gave birth prematurely to sextuplets. According to Rick McFee, Texas Children’s Hospital’s director of supply chain management, being ready for the unexpected is the focus of his department, which also manages supplies for the 555-bed pediatrics hospital and a 24-bed pediatric acute care facility on Houston’s west side. “It’s very difficult to have any kind of consistent supply utilization. You may have three days where you have very low volume activity, and then you may have four days in which you’re really struggling with capacity,” McFee says. “You may have days where supplies are barely used at all; then, you’ll have days where they’ve used everything we’ve got. So we’ve got to be very nimble. We’ve got to be able to respond very quickly.”…

Read More

Choosing the Right Benchmark

By | Newsletter Article | No Comments

The U.S. stock market rally over the last five-and-a-half years has led to impressive returns across nonprofit investment portfolios. While it is easy to become complacent in a period of outsized returns, fiduciaries must ask themselves two critical questions: • What is the source of these high returns and are they sustainable? • Is recent performance the result of superior asset allocation and manager selection, or simply a rising tide lifting all boats? Importance of Benchmarking Fiduciaries are concerned with growing the assets of their foundation or endowment. Over the last five-and-a-half years, many organizations have seen that goal realized, as the U.S. stock market, international stock markets, global bond markets and real estate have all offered impressive returns. In fact, many organizations have been able to fulfill their spending requirements and still realize substantial appreciation of their portfolio. While it is easy to get comfortable when portfolios continue to grow, fiduciaries should work to ensure that their organization is maximizing opportunities. But how can a nonprofit determine if they are truly maximizing the opportunities in the markets? The answer comes from portfolio performance attribution through relevant benchmarking. Establishing a benchmark is critical for many reasons, the most important of which is understanding the source of performance. For example, an investment portfolio may earn a return of 10% in a given year. A 10% return allows the organization to meet all budgeted spending requirements, keep pace with inflation, and experience real growth. However, over the same period a collection of…

Read More

Open Access: Integrating Urgent Care and Primary Care

By | Newsletter Article | No Comments

By Christopher Franklin Primary care and urgent care have never been the closest of allies. Concerns about disruptions to care continuity and coordination – not to mention competition – have historically led primary care providers to be tentative about the role of urgent care centers (UCCs) in the care continuum. Yet building a strategic alliance between the two is becoming a necessity as our health needs overwhelm our primary care resources. While population health expectations shift, insurance coverage expands, care delivery models evolve, and the number of available PCPs dwindles, access to primary care services becomes increasingly constrained. At the same time, access to urgent care is ramping up. Since 2008, the number of UCCs has grown from 8,000 to about 9,300 sites across the nation. The expansion of urgent care is more indicative of the growing demand for acute care services than a competitive threat to primary care. Health systems can help ease the burden on PCPs, enhance access to care (particularly non-emergent acute care), and better meet patient demands by integrating UCCs into their primary care networks. The Growth of America’s Aging Population The growth of the country’s aging population is one of the factors restricting the availability of appointments with PCPs. Estimates suggest that 81% of the change in demand for health services from 2010 to 2020 will be the result of aging and population growth. And the over-65 patient population isn’t just growing – they’re also living longer and with an increased prevalence of comorbidities that…

Read More

President’s Message

By | President's Message | No Comments

Happy Fall and Happy Halloween, South Texas Chapter! This time of year is one of the Snyder household’s favorite! College football is full effect, leaves are changing colors, warm apple cider is in the crockpot, pumpkin carving is taking place, pumpkin seeds are in the oven and of course we are taking our 17 month old (who is an owl this year) out to trick-or-treat so that mom and dad have plenty of candy for the winter ahead. As we look back on the last three months, South Texas continues to thrive! We set a record attendance at our August Summer Institute in Austin with over 100 attendees! The day was filled with education around top healthcare finance trending topics as well as plenty of networking opportunities. Our September Women’s Forum in Edinburg and October Fall Institute in San Antonio continues to be a success along with our monthly free educational webinars. Membership is sitting at 325 members strong as we climb back to our goal of 399. Please make sure to renew your HFMA memberships at www.hfma.org/membership. As always, our chapter would like to recognize and warmly thank our sponsors that help generously support all of our programs and other various initiatives. If you haven’t already, please check out the certification investments of greater than $1,800 we have made in you regarding the CHFP and now the CRCR. By now you should have received our Membership Satisfaction Survey which was emailed out to you around October 21st. Please take…

Read More