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Hospitals thought they’d get $450M in extra money this year. They’re actually getting much less.

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Hospitals thought they’d get 0M in extra money this year. They’re actually getting much less.


Mississippi hospitals, many on the precipice of closure, shall be getting much-needed further cash this yr. 

However the quantity they obtain could be a lot decrease than anticipated. 

The Mississippi Division of Medicaid proposed altering the best way it calculates some further funding hospitals in Mississippi obtain known as “supplemental funds.” One of many funds, known as the Mississippi Hospital Entry Program funds, offers hospitals the distinction between what Medicaid really paid for providers rendered and what Medicare would have paid for related claims, offsetting losses incurred by normal Medicaid funds being too low.

However on Feb. 15, the Mississippi Division of Medicaid submitted a request to the Facilities for Medicare and Medicaid Providers to alter that mannequin to pay hospitals the distinction between Medicaid charges and what a mean industrial plan’s fee would have paid.

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The aim was to generate extra money for hospitals. 

Tim Moore, president of the Mississippi Hospital Affiliation, stated the unique estimate hospitals acquired from the Division of Medicaid for supplemental MHAP-generated funds after the change was round $450 million.

The latest calculation, nonetheless, is $40.2 million. 

“The preliminary estimates from final fall had been topic to alter based mostly on Mississippi-specific knowledge, and people estimates weren’t submitted to CMS,” stated Matt Westerfield, communications officer on the Division of Medicaid.



Presently, Mississippi hospitals have two sources of funds known as “supplemental funds” — the MHAP and disproportionate share hospital, or DSH, funds. These funds are a mix of federal and state cash.

Because it was created in 2015, MHAP has yielded half a billion {dollars} to Mississippi hospitals, or about 8.3% of Medicaid spending within the state. 

The issue with utilizing common industrial reimbursement charges for a brand new calculation for MHAP funds is that Mississippi’s insurance coverage reimbursement charges are so low, stated Moore. 

And that’s not all: Due to a fancy rule about hospital funding limits, hospitals will obtain $95 million much less within the second sort of supplemental fee (DSH) this yr.

For hospitals that largely serve sufferers from low-income backgrounds, DSH funds assist hospitals recoup the price of offering care to sufferers who can’t afford to pay. The entire quantity for Mississippi hospitals averages round $230 million every year, in keeping with Moore. 

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“It’s a swap, in an effort to maximize {dollars},” Moore stated. “There’s not one lever you pull that doesn’t have an effect on the rest.”

So, after accounting for the lower in DSH funds, further MHAP funds and one-time pandemic emergency aid funds, hospitals might web a complete of $96 million in further funds. 

Lawmakers are additionally at the moment contemplating a invoice that will give an extra $80 million in federal COVID-19 aid funds to hospitals. 

Earlier this yr, the Affiliation projected that Mississippi hospitals would wish a complete of $230 million in further funding to fill their monetary gaps and maintain operations. Even with the grants, Mississippi hospitals are about $60 million quick. 

However the cash’s obtained to come back from someplace, Moore stated. Over a 3rd of rural hospitals are on the point of closure and want determined assist.

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“Hopefully, the Legislature will improve the $80 million to a better quantity,” Moore stated. 

Lt. Gov. Delbert Hosemann and Speaker Philip Gunn didn’t reply to questions on whether or not lawmakers would think about appropriating extra money to hospitals by Wednesday afternoon.

And even when hospitals do get sufficient from further supplemental funds, it’s potential that small, rural hospitals most in want of assistance will get the least funding. 

Beneath the brand new proposed MHAP supplemental fee mannequin, the funds are adjusted based mostly on common industrial insurance coverage charges. However that’s not a statewide common — that’s a mean for every hospital. 

So, a hospital’s further MHAP fee will depend upon how a lot it will get reimbursed on common by industrial insurers. And in keeping with Mike Chaney, state insurance coverage commissioner, that isn’t at all times equal.

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“There are some hospitals, particularly within the rural a part of the state … that don’t receives a commission on the identical stage that city hospitals receives a commission for well being care,” he stated. 

Presently, Medicaid is ready on CMS approval for the change to MHAP funds.

“Medicaid has pushed for a speedy course of, if there may be such a factor,” Moore stated. “They’ve impressed upon CMS the urgency of getting this executed.”

However he careworn that if Medicaid was expanded, Mississippi’s hospitals wouldn’t be on this state. 

“It doesn’t repair all the issues, and we’ve by no means stated it could … however our hospitals wouldn’t be in as massive a deficit as they’re at this time,” he stated. “The opening has gotten greater and larger and larger. And now you’ve obtained to have cash to fill the opening.”

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Mississippi State Football Depth Chart for ASU: Kelly Akharaiyi Status Uncertain

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Mississippi State Football Depth Chart for ASU: Kelly Akharaiyi Status Uncertain


STARKVILLE – Mississippi State debuted 41 new players against Eastern Kentucky, including 23 transfers. But one of the biggest transfer portal additions wasn’t on the field and may not be again this week.

Senior receiver Kelly Akharaiyi was left off Mississippi State’s depth chart that was released and coach Jeff Lebby didn’t provide much clarity on the situation either.

“He’s getting closer and closer,” Lebby said at Tuesday morning press conference. “We need to be patient with him. We hope he has a good week and can create some confidence for himself more than anything. But I’m not ready to say he’s going to be available.”

Akharaiyi was one of the transfers most were looking forward to seeing in Lebby’s fast-paced, passing offense. But he was held out of season-opener for what was thought to be a minor injury. However, his uncertain status might be a sign of a more serious injury?

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Or is Lebby playing a game of cat-and-mouse with Arizona State coach Kenny Dillingham? We’ll found out soon enough.

Mississippi State Bulldogs quarterback Blake Shapen looks to pass against the Eastern Kentucky Colonels.

Mississippi State Bulldogs quarterback Blake Shapen looks to pass against the Eastern Kentucky Colonels during the second quarter at Davis Wade Stadium at Scott Field. / Matt Bush-Imagn Images

QB1 – 2 Blake Shapen, 6-1, 210 lbs., Sr.
QB2 – 16 Chris Parson, 6-1, 215 lbs., Rs Fr.
or – 0 Michael Van Buren Jr., 6-1, 200 lbs., Fr.

Mississippi State Bulldogs running back Davon Booth (21) runs the ball against the Eastern Kentucky Colonels.

Mississippi State Bulldogs running back Davon Booth (21) runs the ball against the Eastern Kentucky Colonels during the third quarter at Davis Wade Stadium at Scott Field. / Matt Bush-Imagn Images

RB1 – 24 Keyvone Lee, 6-0, 225 lbs., Sr.
-or- 21 Davon Booth, 5-10, 205 lbs., Sr.
RB2 – 20 Johnnie Daniels, 5-10, 200 lbs., Jr.

Mississippi State Bulldogs wide receiver Jordan Mosley runs the ball while defended by Eastern Kentucky Colonels.

Mississippi State Bulldogs wide receiver Jordan Mosley runs the ball while defended by Eastern Kentucky Colonels defensive back Sam Robertson during the third quarter at Davis Wade Stadium at Scott Field. / Matt Bush-Imagn Images

SLWR1 – 3 Kevin Coleman, 5-11, 180 lbs., Jr. 
SLWR2 – 8 Creed Whittemore, 5-11, 185 lbs., So.
SLWR 3 – 80 Kade Kolka, 5-11, 190 lbs., Sr.

WR1 – 6 Jordan Mosley, 6-0, 195 lbs., Jr. 
WR2 – 5 Stonka Burnside, 6-0, 200 lbs., Fr.  
WR3 – 13 Sanfrisco Magee, 6-2, 200 lbs., Fr.

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WR1 – 14 Trent Hudson 6-3 180 Jr. 
WR2 – 7 Mario Craver 5-10 170 Fr. 
WR3 – 11 Jaden Walley 6-0 190 Sr.

TE1 – 18 Seydou Traore, 6-4, 235 lbs., R-Jr.
– or –  84 Justin Ball, 6-6, 250 lbs., Sr. 
TE2 – 86 Nick Lauderdale, 6-3, 225 lbs., Sr.
or – 10 Cameron Ball, 6-6, 250 lbs., So.

LT1 – 66 Makylan Pounders, 6-5, 310 lbs., Jr. 
LT2 – 51 Luke Work, 6-6, 305 lbs., Fr.
– or – 74 Jimothy Lewis Jr., 6-6, 310 lbs., Fr.

LG1 – 75 Jacoby Jackson, 6-6, 320 lbs., Jr. 
LG2 – 53 Malik Ellis, 6-5, 285 lbs., So.

C1 – 67 Ethan Miner, 6-2, 305 lbs., Sr.
C2 – 72 Canon Boone, 6-4, 315 lbs., Jr.

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RG1 – 77 Marlon Martinez, 6-5, 320 lbs., Sr. 
RG2 – 52 Grant Jackson, 6-6, 325 lbs., Sr.

RT1 – 76 Albert Reese IV, 6-7, 330 lbs., Jr. 
RT2 – 55 Leon Bell, 6-8, 325 lbs., R-Jr. 
RT3 – 78 Amari Smith, 6-7, 325 lbs., R-Fr.

DT1 – 22 Kedrick Bingley-Jones, 6-4, 310 lbs., Jr.
 – or – 23 Trevion Williams, 6-4, 295 lbs., R-Fr. 
DT2 – 98 Ashun Shepphard, 6-3, 280 lbs., Jr.

DT1 – 35 Kalvin Dinkins, 6-2, 315 lbs., So.
– or – 8 Sulaiman Kpaka, 6-3, 300 lbs., Sr. 
DT2 – 92 Eric Taylor, 6-4, 310 lbs., Jr.
– or – 90 Kai McClendon, 6-2, 305 lbs., Fr.

DE1 – 9 De’Monte Russell, 6-4, 285 lbs., Sr. 
DE2 – 91 Deonte Anderson, 6-3, 270 lbs., Jr.
– or – 46 Joseph Head Jr., 6-4, 240 lbs., R-Fr.

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Mississippi State Bulldogs defensive lineman Kedrick Bingley-Jones (22) reacts after a play against Eastern Kentucky.

Mississippi State Bulldogs defensive lineman Kedrick Bingley-Jones (22) reacts after a play against the Eastern Kentucky Colonels during the third quarter at Davis Wade Stadium at Scott Field. / Matt Bush-Imagn Images

JLB1 – 11 Ty Cooper, 6-4, 245 lbs., Jr.
– or – 44 Branden Jennings, 6-3, 240 lbs., Jr. 
JLB2 – 36 Donterry Russell, 6-4, 225 lbs., So.

MLB1 – 7 Stone Blanton, 6-2, 230 lbs., Jr. 
MLB2 – 26 JP Purvis, 6-1, 245 lbs., Sr.

DLB1 – 40 Nic Mitchell, 6-2, 230 lbs., Jr.
– or – 5 John Lewis, 6-3, 240 lbs., Jr. 
DLB2 – 16 Zakari Tillman, 6-2, 225 lbs., So.

FS1 – 2 Isaac Smith, 6-0, 205 lbs., So. 
FS2 – 12 Tyler Woodard, 6-2, 200 lbs., Jr.

SS1 – 21 Hunter Washington, 5-11, 190 lbs., Jr. 
SS2 – 27 Chris Keys Jr., 6-0, 190 lbs., Jr.
– or – 17 Jordan Morant, 6-0, 210 lbs., Sr.

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CB1 – 1 Kelley Jones, 6-4, 195 lbs., R-Fr.
– or – 6 Traveon Wright, 6-0, 180 lbs., R-Fr. 
CB2 – 13 Raydarious Jones, 6-2, 180 lbs., Sr.
– or – 18 Khamauri Rogers, 6-0, 180 lbs., So.

CB1 – 14 Brice Pollock, 6-1, 190 lbs., So. 
CB2 – 4 DeAgo Brumfield, 6-0, 190 lbs., Sr.

Mississippi State Bulldogs wide receiver Kevin Coleman (3) runs the ball against the Eastern Kentucky Colonels.

Mississippi State Bulldogs wide receiver Kevin Coleman (3) runs the ball against the Eastern Kentucky Colonels during the first quarter at Davis Wade Stadium at Scott Field. / Matt Bush-Imagn Images

K1 – 80 Kyle Ferrie, 6-1, 205 lbs., So. 
K2 – 82 Nick Barr-Mira, 6-0, 185 lbs., Sr. 
K3 – 49 Marlon Hauck, 6-3, 195 lbs., So.

P1 – 82 Nick Barr-Mira, 6-0, 185 lbs., Sr. 
P2 – 83 Zach Haynes, 6-1, 195 lbs., Sr. 
P3 – 88 Ethan Pulliam, 6-1, 190 lbs., R-Fr.

KO1 – 49 Marlon Hauck, 6-3, 195 lbs., So.  
KO2 – 82 Nick Barr-Mira, 6-0, 185 lbs., Sr.

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PR1 – 3 Kevin Coleman, 5-11, 180 lbs., Jr. 
PR2 – 8 Creed Whittemore, 5-11, 185 lbs., So.

KR1 – 21 Davon Booth, 5-10, 205 lbs., Sr.
– or – 20 Johnnie Daniels, 5-10, 200 lbs., Jr. 
– or – 3 Kevin Coleman, 5-11, 180 lbs., Jr.

Mississippi State at Arizona State: How to Watch Bulldogs Football vs the Sun Devils

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Mississippi State vs. Arizona State: Top 5 Sun Devils to Watch

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Arizona State eyes first win against an SEC opponent vs. Mississippi State

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Arizona State eyes first win against an SEC opponent vs. Mississippi State


Mississippi State at Arizona State, Saturday, 10:30 p.m. ET (ESPN)

BetMGM College Football Odds: Arizona State by 6 1/2.

Series record: First meeting.

WHAT’S AT STAKE?

Arizona State and Mississippi State both had dominant wins in the season-opening weekend and now have a tougher challenge when they face each other on Saturday night. The Sun Devils are trying to build off an impressive 48-7 win over Wyoming and prove they might be a factor in the Big 12 race. Arizona State has never beaten an SEC opponent. Mississippi State plays its second game under new coach Jeff Lebby. The Bulldogs beat Eastern Kentucky 56-7 in their season opener..

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KEY MATCHUP

Mississippi State QB Blake Shapen vs. the Arizona State defense. The Sun Devils scored a touchdown on the second play of their opener when Zyrus Fiaseu picked off a pass and returned it to the end zone. It was one of two interceptions on the day for Arizona State. Shapen had a great debut against Eastern Kentucky but will face a much tougher defense on Saturday.

PLAYERS TO WATCH

Mississippi State: Shapen had a terrific first game with the Bulldogs, throwing for 247 yards and three touchdowns while also running for 44 yards and a TD against Eastern Kentucky. The 6-foot-1 senior played the previous three college seasons at Baylor with mixed success. Shapen has thrown a TD pass in 12 consecutive games dating to this time at Baylor in 2022.

Arizona State: RB Cam Skattebo led a balanced rushing attack against Wyoming, gaining 49 yards and scoring a touchdown. Skattebo was a do-it-all player for Arizona State last year, spending time at quarterback, running back and receiver. The Sun Devils might not need him to be as versatile this season, but he’s still a threat from just about anywhere on the field.

FACTS & FIGURES

Mississippi State had six different players score touchdowns against Eastern Kentucky. … The Bulldogs’ 93.7 passing grade in the opener was the second-best mark in all of the FBS, trailing only Purdue, according to Pro Football Focus. … Mississippi State’s Kevin Coleman Jr. returned five punts for 117 yards last week. … Arizona State was credited with just two missed tackles on defense in the opener, tied for the third-lowest tally among FBS schools. … Skattebo is 270 rushing yards away from reaching 3,000 in his career. He is 342 all-purpose yards away from reaching 4,000 and 202 receiving yards away from reaching 1,000.

___

Get poll alerts and updates on the AP Top 25 throughout the season. Sign up here. AP college football: https://apnews.com/hub/ap-top-25-college-football-poll and https://apnews.com/hub/college-football

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How Mississippi State football is preparing for Arizona State weather, late kickoff

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How Mississippi State football is preparing for Arizona State weather, late kickoff


STARKVILLE — Mississippi State football is preparing to play a team that, at least through one game, looks vastly improved from last season. 

Coach Jeff Lebby admitted on Monday, and Bulldog players have noticed it too after Arizona State (1-0) thumped Wyoming 48-7 in its opener. 

MSU (1-0) must also factor in the late kickoff that is scheduled Saturday (9:30 p.m. CT, ESPN) at Mountain America Stadium in Tempe, Arizona. Mississippi is hot, but so is Arizona — a different kind of hot, too. 

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Modifications and remedies are being made, such as the team leaving Starkville on Thursday instead of how it normally would on a Friday for a Saturday game. 

“For our guys, just knowing exactly what we are getting into,” Lebby said. “We continue to talk about that through yesterday and this morning and (are) having those conversations to understand what it’s going to look like late in the week. We got to do a great job from a preparation standpoint of how we are hydrating, how we are eating and how we are resting to give us the ability to go on the road on this flight and be able to be at our best Saturday night.”

Just this week, Phoenix broke a record with its 100th straight day of 100-degree temperatures. According to AccuWeather, the high on Saturday in Tempe will be 107 degrees with a low of 86. The temperature should dip to around 91 near kickoff with a humidity of 24%.

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“Coach Lebby has already been harping on that,” tight end Justin Ball said. “We’ve already been hydrating and making sure we are getting rest every single day. We leave on Thursday, so we already talked about the plan to make sure we are hydrating the entire plane ride there, making sure when we get there we get acclimated as quickly as you can and just staying together. Making sure we’re focused, make sure we keep the goal first and then execute the game plan.”

MORE: Jeff Lebby says Mississippi State football didn’t put on a good enough show. Here’s how he’s wrong

Mississippi State played well the last time it played in Arizona

The Bulldogs played Arizona in Tucson two seasons ago. They squandered a pedestrian Wildcats team 39-17. Kickoff for that game was at 8 p.m. PST though the temperature was 84 degrees at game time. 

Not many players remain on Mississippi State’s roster from that 2022 season. But the ones who are, like linebacker Nic Mitchell, can benefit from the experience and also share it with teammates. 

“We know it’s going to be a long flight, so we know we got to be hydrated,” Mitchell said. “It gives people experience that have done it before and they can tell the young guys how it’s going to be in the flight, how you got to hydrate and stuff like that.”

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Sam Sklar is the Mississippi State beat reporter for the Clarion Ledger. Email him at ssklar@gannett.com and follow him on X @sklarsam_.



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