The ACA and CHCC ACA Symposium December 16
The ACA and CHCC ACA Symposium December 16, 2013 Esther L. Muña, MHA, Interim CEO
Additional ACA funds huge help in funding CHCC operations Prior to ACA: ◦ Approximately $6 M Medicaid cap ◦ 50% Federal Matching funds ACA: ◦ Allowed more funding to CHCC, above Medicaid Cap ◦ Additional 5% Federal Matching (beneficial for CPE)
Certified Public Expenditure (CPE) Matching Requirement – CHCC cannot be reimbursed for services without a CNMI local match. In FY 2012, only $2. 5 M in local appropriation was available for the entire CNMI health care providers. As of January 2012, CPE methodology was approved by Medicaid and it allowed CHCC to be reimbursed WITHOUT local match and allowed Medicaid to use funds beyond the CAP and the ACA funds Based on actual costs of treating Medicaid- eligible
COST of HEALTH CARE FY 2012: CHC Hospital alone cost $32 M & RHC & THC cost about $3 M combined FY 2013: CHC Hospital costs were $36 M $3 M combined for RHC/THC
ACA and Medicaid In 2012, $10 M of Medicaid/ACA funds paid to CHCC ◦ Represents $18 M of actual costs; $8 M not reimbursed In 2013, approximate $800 K paid to CHCC monthly ◦ Represents $1. 4 M of actual monthly costs; $600 K not reimbursed
What Next In 2013, approx. 400 patients applied for CHCC Indigent program; more patients applying for program. There’s a need to fund the unmatched funds. A loss of $600 K per month is not sustainable. Strategic Plan needs to consider the end of ACA funding support - when match returns to 50% match instead of current 45% and when CAP is again enforced.
Thank You Si Yu’us ma’åsi’ yan Ghilisoow!
- Slides: 7