LANSING–The Michigan Primary Care Association has published the 2022 September E-Update newsletter to nearly 2,700 subscriber inboxes.
Please check out the September 2022 edition which includes the following highlights: MPCA Annual Conference details; cost-efficiency study conducted by MSU Institute for Health Policy; Meet the MPCA Member Services Team; Workforce update; and much more.
LANSING—Michigan community health centers, also known as Federally Qualified Health Centers and FQHC Look-Alikes, are 13 percent more cost efficient at providing services to adult Medicaid beneficiaries than non-FQHC providers, according to an evaluation of Medicaid managed care and fee-for-service claims between 2017 and 2019. Executive Summary I Full Report
The Michigan Primary Care Association (MPCA) commissioned the Institute for Health Policy (IHP) at Michigan State University to conduct the evaluation. Read the full study here.
The results–a follow-up to a similar study by IHP written eight years ago–are presented in the report “An Evaluation of the Cost Effectiveness of Federally Qualified Health Centers (FQHCs) and FQHC ‘Look Alikes’ Operating in Michigan.”
The report demonstrates that Michigan’s health centers save the state of Michigan $51 per member per month (up from $12 in 2014), or $612 per beneficiary per year (up from $144 in 2014) in Medicaid expenditures. Based on the number of adult Medicaid patients Michigan FQHCs serve, health centers generate an estimated savings of $123.2 million per year to the Michigan Medicaid program.
“This study is valuable as it helps us to understand the impact Michigan community health centers have on the health and well-being of Michiganders, as well as the economic impact on the state’s health care system,” said MPCA CEO Phillip Bergquist.
Generally, the lower costs of health center services are due to reduced utilization of more expensive Medicaid services, such as inpatient hospital services. In fact, the study revealed that average hospital in-patient stays for FQHCs were 9.42 days compared to 13.2 for non-FQHC patients. This is likely attributable to health center patients using their local health center as their chief source of primary and preventive care.
IHP’s evaluation compares the utilization of Medicaid services, as well as the total cost of services, by adult (18-64 years) Michigan Medicaid beneficiaries who received primary health care services at a Michigan health center during the two-year study period with those served by non-FQHCs.
FQHC patients are those that have received at least two qualifying primary care visits at a Michigan health center during the study period. Non-FQHC patients are those that did not receive at least two primary care visits at a Michigan health center during the study period.
In the Medicaid and Healthy Michigan Plan programs, health centers are paid through a Prospective Payment System (PPS) which uses a single bundled payment to reimburse multiple services provided in the same patient encounter. (Health centers’ PPS payment rates were included in calculating health center costs of care in this study.) The PPS was established by federal law in 2001 to ensure health centers receive payment for the comprehensive nature of their services and to prevent the small amount of federal grant funding received by most health centers to care for the uninsured from being diverted to cover shortfalls in Medicaid reimbursement.
However, over the last two decades, Medicaid PPS payment rates have not kept pace with the cost of delivering high-quality care. In fact, research completed by Health Management Associates in 2021 indicates that, on average, Michigan health centers are paid $61.00 less per Medicaid patient encounter than the cost of delivering those services. Health centers continued cost-effectiveness and significant annual savings generated for the Medicaid program support making future investments to ensure payment to health centers is sufficient and innovative payment reform can be pursued.
Community health center services are available to everyone, regardless of insurance status or income level. The study further demonstrates that when health centers are adequately reimbursed for providing Medicaid services, funding is available to help cover the costs of caring for the uninsured.
Today, 40 community health centers and four Native American health service providers provide quality, affordable, comprehensive health care to more than 720,000 Michiganders through 370 delivery sites in rural and urban communities across Michigan.
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CONTACTS: Tom Kochheiser 517.230.9829; Patrick Stewart 517.827.0884
LANSING–The Michigan Primary Care Association has published the 2022 August newsletter to nearly 2,700 subscriber inboxes.
Please check out the August 2022 edition which includes the following highlights: National Health Center Week 2022; MPCA 2022 Annual Conference; Meet the MPCA Finance Accounting Team; Workforce and oral health updates; and much more.
The Michigan Primary Care Association is proud to have a talented, experienced staff to advocate for and support our member health centers which provide their communities with excellent care and services. We are excited to introduce each of our teams so that you can get to know them a little better, so next up is the VirtuALLY team.
Rob Pazdan, MBA, is the Chief Information Officer and started at the MPCA in September 2000–the longest-tenured employee at the Association.
Rob graduated from Michigan State University and earned a master’s in business administration from Wayne State University almost 15 years later. Then seven years after that, he received a Certified Information Systems Security Professional (CISSP) certificate.
Rob, who is a fan of the Detroit sports scene, has played ice hockey since he was 7 years old and still competes two to three times a week. He tended goal for the last 30 years before recently returning to forward again for the first time since a 9-year-old.
Dave Hickman (517.827.0486) has been the IT manager at VirtuALLY for almost four years and coordinates the systems administrators that oversee data center operations for our hosted health centers, manage cloud migrations, and facilitate security analysis and hardening operations. Dave is excited about the evolution from VirtualCHC to VirtuALLY and all the new IT services we can offer at non-profit adjusted prices. A fun fact about Dave is that he was born in England and moved to the U.S. when he was 12. Dave layers an American accent over his English one, but there are some words he just can’t seem to Americanize. To relax, he plays golf–but It never works.
A 12-year MPCA veteran, Dustin Barber has served in a lot of roles here during that time. Dustin currently has been working with health centers in upgrading their Electronic Health Records (EHR), which involves a lot of time spent doing project management. Another recent project was setting up a new phone system for MPCA through Zoom, as the project had a lot of different pieces to keep organized. Dustin is proud that it turned out really well, ending up being a great experience making a transition like that to a new technology. Fun fact about him is that his fellow IT cohorts thinks he is overly obsessed with John Deere tractors. Dustin can be reached via phone (517.827.0483).
Daniel Dawkins (517.827.0488) has been with the MPCA for six years, starting as an intern and now realizing that he has not yet been kicked out of his current position after rising to System Administrator III. In his capacity, Daniel’s focus is in networking and security. He takes pride in that his co-workers get a lot done for a small team, and that it’s a very rewarding place to work in IT–doing a little of everything. Daniel has installed and maintained network equipment for health centers, as well as the data center in Grand Rapids. He recently obtained his Certified Ethical Hacker (CEH) certification, and looks forward to continuing to work to improve MPCA and health center’s security posture. Fun fact about Daniel: he has a 3D printer and enjoys making mostly useless things with it.
Shaun DeKarske considers himself a wizard, and for the last month as one of the MPCA’s newest employees has been using his powers for the benefit of MPCA and its members. A talent, however, for the mystical IT arts has not always been Shaun’s focus; he’s also been a professional musician, waiter, carpenter, machinist, salesman, and mathematics tutor over the years. He even pursued alligator wrestling for a time but realized that there aren’t many alligators in Michigan so he had to give up that dream. One of his favorite parts of IT is that he can change the trajectory of someone’s day by resolving issues with their obstinate computer. He looks forward to learning more within the scope of health care systems and is excited to be part of Team MPCA. Chat (517.381.8750) or email with Shaun.
Chance Sharp joined the MPCA four months ago as a systems administrator. Prior to MPCA, Chance worked at the Two Men and a Truck corporate office for five years wearing many hats during that time, but mostly ensuring that all the franchise’s phones worked smoothly and the IT ticketing system was efficient. Chance is on a Michigan Reconnect scholarship while attending Lansing Community College to obtain his associate’s degree in computer science; he also is planning to pursue a bachelor’s degree. A fun fact about Chance is that at 20 years old, he went to the Bonnaroo Music and Arts Festival alone and has returned every year. The group that he camps with has grown to be over 50 people. Connect with Chance by phone (517.827.0471)
Click on the links below for previous Meet the MPCA editions
LANSING–The Michigan Primary Care Association has published the 2022 July newsletter to approximately 2,500 subscriber inboxes.
Please check out the July 2022 edition which includes the following highlights: National Health Center Week 2022; MPCA 2022 Annual Conference; a message from MPCA chief executive officer Phillip Bergquist; Workforce Updates; Meet the MPCA VirtuALLY team; and much more.
LANSING–The Michigan Primary Care Association has published the 2022 June newsletter to more than 2,500 subscribers’ inboxes.
Please check out the June 2022 edition which includes the following highlights: Integrated Clinical Health Conference programming updates: Pride Month; member health center CEOs retiring; BridgeMichigan.com story Michigan’s Medicaid ballooned during COVID; MPCA earns Rural Health Professional of the Year award; MPCA honors first AmeriCorps (HealthCorps graduates; annual compensation and benefits survey coming soon; and much more.
InterCare Community Health Network President and CEO Velma Hendershott has been honored with the 2022 Lifetime Achievement in Migrant Health Award by the National Association of Community Health Centers (NACHC). The award was given at the Conference for Agricultural Worker Health on May 2, in Denver, Colo.
Velma has long been a leader in migrant and community health. As a child of migrant and seasonal farmworkers, she worked in the fields and learned about the difficulty farmworkers had trying to get health care for themselves and their families. Her parents settled in southwest Michigan and volunteered in clinics to provide services to farmworkers. In 1977, Velma joined what became InterCare, and in 1986 she was named CEO. Over the years, as well as running InterCare, she has been a passionate advocate for community health centers from the local level to state capitols, the U.S. Congress and the White House, including leadership roles with NACHC and the Michigan Primary Care Association.
At the presentation, Velma thanked many people and dedicated the award to her parents. “I think of my parents,” she said, “who instilled in all of us the value of service, compassion, a strong work ethic, the importance of education and a passion for helping others.”
Today InterCare Community Health Network serves over 50,000 patients in rural, urban and migrant communities. In 2022 it is celebrating its 50th year and is the largest provider of healthcare to Michigan’s agricultural workers. As well as medical care, InterCare provides dental care, behavioral health care, and WIC services in Bangor, Benton Harbor, Eau Claire, Holland and Pullman.
“We take pride in recognizing colleagues who have done so much on behalf of our migrant and seasonal agricultural workers,” said Rachel Gonzales-Hanson, interim President and CEO of the NACHC. “Each in their own way has shown what it takes to make health care meaningful and responsive for this vital part of the nation’s workforce under extraordinary challenges. These honorees have lifted barriers to care and advanced equity during an unprecedented global pandemic. We celebrate their service, courage, and contributions to the Community Health Center Movement.”
Community and Migrant Heath Centers serve approximately 22 percent (nearly one million) of agricultural workers and their families currently living in the U.S. Throughout the pandemic, health centers have responded to the health needs of the nation’s essential agricultural workers who harvest the food on our table and who have suffered disproportionately higher rates of infection and death from the COVID-19 virus.
–David Burgess, InterCare Communications and Marketing Specialist; and NACHC news release
(Photo credit: NACHC; Hendershott is flanked by Rachel Gonzales-Hanson, NACHC interim President and CEO, to the left, and Mike Holmes, NACHC Board Chair.)
The Michigan Primary Care Association is proud to have a talented, experienced staff to advocate for and support our member health centers which provide their communities with excellent care and services. We are excited to introduce each of our teams so that you can get to know them a little better, so next up is the data services team.
Clinical Data Manager Cheryl Gildner started at the MPCA in April 2017. Cheryl has almost exclusively worked with centers to implement and use Azara and data in general. The data team educates health center staff on how to use and maintain their population health tool as well as how to create data views, tell stories through data and understand what the data is telling them about their patient populations and overall operations.
Just prior to coming to the MPCA, she worked in a health center for nine years doing operations, quality improvement and compliance.
A two-time graduate of Central Michigan University, Cheryl used to race motorcycles on the ice and ridden motocross and proclaims to have “driven just about everything out there with an engine in it.
Beth Holtz, BSN, RN, has been with the MPCA since May 2020, working as a clinical dataspecialist.
Beth owns a bachelor’s degree in nursing and earned her master’s in healthcare administration.
Previously, Beth was employed at Bronson Hospital in the pediatric unit and in the quality and risk department at the West Michigan Cancer Center in Kalamazoo.
Beth started playing pickle ball last spring and really enjoys the sport.
Rob Pazdan, MBA, is the Chief Information Officer and started at the MPCA in September 2000–the longest-tenured employee at the Association.
Rob graduated from Michigan State University and earned a master’s in business administration from Wayne State University almost 15 years later. Then seven years after that, he received a Certified Information Systems Security Professional (CISSP) certificate.
Rob, who is a fan of the Detroit sports scene, has played ice hockey since he was 7 years old and still competes two to three times a week. He tended goal for the last 30 years before recently returning to forward again for the first time since a 9-year-old.
Ashley Wozniak, BSN, RN-BC, has been a clinical data specialist at MCPA since July 2018. She is tasked with Uniform Data System (UDS), an annual reporting system that provides standardized information about the performance and operation of health centers delivering health care services to underserved communities and vulnerable populations. She also focuses on hypertension and diabetes grants, and Substance Use Disorder awards.
Ashley graduated from the University of Michigan School of Nursing, worked at U of M Hospital, Rush University Hospital and Sparrow before coming to the MPCA.
LANSING–The Michigan Primary Care Association has sent the 2022 May newsletter to more than 2,500 subscribers’ inboxes this week.
Please check out the May 2022 edition which includes the following highlights: Integrated Clinical Health Conference programming updates; Meet the Data Services Team; AmeriCorps Site Supervisor of the Month award winner, Packard Health’s Rebecca Fleming; Health Center Board Member Training programming updates; oral health and emergency preparedness updates; 2022 NACHC Lifetime Achievement in Migrant Health Award recipient, InterCare CEO Velma Hendershott; Endorsed Business Partner Spotlight: Medline; and much more.
The MPCA HealthCorps AmeriCorps program focuses on connecting low income and medically underserved populations to primary health care through patient engagement activities. MPCA HealthCorps AmeriCorps members strive to increase access to primary health care services through preventive care and chronic disease management, assisting Medicaid members in maximizing their health plan benefits, and addressing social determinants of health by eliminating barriers to care.
Madison is taking a gap year before starting medical school where she plans to pursue a specialty in pediatrics. During her gap year, she is dedicating her time and energy to making a positive impact in the lives of medically vulnerable populations. In the clinic, if a provider notices someone has food or housing insecurity, lacks health insurance, or has other barriers affecting their health, Madison will help connect the patient to available resources. She helps coordinate healthcare appointments, provides reminders and transportation assistance, and assists patients with completing necessary paperwork.
When the weather was warmer, Madison also provided health and medical outreach to the migrant community. Madison would visit the local migrant camps and Latino grocery stores to distribute information about COVID testing and vaccination. She also helped migrant women access free breast and cervical screenings through the Breast & Cervical Cancer Control Program (BCCCP).
Madison’s service in the community extends into her free time as well. “On my own time, I’m volunteering with hospice right now where I visit an older hospice patient each week and read to her,” she notes. “Additionally, I’m helping with COVID 19 testing for Safe Harbor which is one of our main homeless shelters here. The Traverse City Street Medicine team, which I’m somewhat a part of, helps provide weekly and sometimes daily testing and I’ve been helping with this to ensure our homeless community (who is already very at risk) is protected from COVID.”
Karen VanSchoick, the MPCA HealthCorps Program Director, said “I knew from our first time meeting that Madison was a great fit for our program. She is always generous with her time and wanting to help others any way she can. Madison always looks for opportunities to serve her community and often is the driving force to get things done.”