IHA Daily Briefing: Oct. 7

Monday, October 7, 2019
Immigrant Visas Suspended for Uninsured
HRSA Releases Child Health Survey Data
Harris Appointed to Workers’ Comp Advisory Board
Free IHA Webinar on Executive Pay with Performance
Briefly Noted

Immigrant Visas Suspended for Uninsured
President Trump issued a proclamation on Oct. 4 directing the U.S. government to reject immigrant visa applications for those who “lack health insurance or the ability to pay for their healthcare.” The new standard will take effect on Nov. 3. 

The proclamation directs the U.S. State Department to coordinate and establish “standards and procedures” for U. S. consular offices to make determinations and also requires reports to be submitted within 180 days on the “Financial Burdens Imposed by Immigrants on the Healthcare System.”  The proclamation does not apply to certain individuals, including current immigrant visa holders, children of U.S. citizens living overseas or holders of special visas for Iraqi and Afghan nationals who helped U.S. forces in those countries. 

In his proclamation, the President noted uncompensated care costs for hospitals and health systems have exceeded $35 billion in each of the last 10 years. “Healthcare providers and taxpayers bear substantial costs in paying for medical expenses incurred by people who lack health insurance or the ability to pay for their healthcare,” he said. “While our healthcare system grapples with the challenges caused by uncompensated care, the United States Government is making the problem worse by admitting thousands of aliens who have not demonstrated any ability to pay for their healthcare costs.  Notably, data show that lawful immigrants are about three times more likely than United States citizens to lack health insurance.  Immigrants who enter this country should not further saddle our healthcare system, and subsequently American taxpayers, with higher costs.”

The proclamation follows the Administration’s “public charge” final regulation, which takes effect on Oct. 15, and will deny green cards to legal immigrants who utilize public benefits (including food stamps) for more than 12 months during a 36-month period. The public charge rule is being challenged in court.


HRSA Releases Child Health Survey Data
The Health Resources and Services Administration (HRSA) today released data from its 2018 National Survey of Children's Health (NSCH). Data from the survey show that in 2017-2018, one in three children under the age of 18 were reported to have suffered at least one adverse childhood experience (ACE) in their lifetime and 14% experienced two or more ACEs. The American Academy of Pediatrics describes ACEs as stressful or traumatic events that occur during childhood and are strongly related to a wide range of health problems throughout a person’s lifetime.

According to the NSCH data, the top three ACEs were: divorce or separation of parent/guardian (23.4%), living with someone with an alcohol/drug problem (8.0%) and having a parent/guardian who served jail time (7.4%).

Additional health data showed:

  • Allergies were the most commonly reported life-long health condition among children (18.7%), followed by ADD/ADHD (8.7%), and asthma (7.6%); and
  • Eight of the 12 most frequently reported conditions were mental, behavioral, or developmental.

See an NSCH fact sheet for more details. Survey data can be downloaded from the NSCH website.


Harris Appointed to Workers’ Comp Advisory Board
Governor J.B. Pritzker announced several appointments on Friday, including the appointment of IHA’s Senior Vice President and General Counsel Karen Harris to the state’s Workers' Compensation Advisory Board. The board assists the Illinois Workers’ Compensation Committee to formulate policies, set priorities and develop administrative goals for the program. Board members serve a four-year term and can be reappointed.

Also, Richard Sewell was appointed to serve on the Health Facilities and Services Review Board. Sewell served as Associate Dean, Community and Public Health Practice and Clinical Assistant Professor in Health Policy and Administration, at the University of Illinois at Chicago School of Public Health.


Free IHA Webinar on Executive Pay with Performance
Executive compensation packages can be an effective way to align your organization's business strategy and performance.

Learn more during An Executive's Guide to Aligning Pay with Performance, a complimentary webinar led by IHA Event Sponsor Pearl Meyer on Oct. 17.

Steve Sullivan and Ed Steinhoff, managing directors at Pearl Meyer, will provide proven methods to:

  • Align performance and pay;
  • Set award opportunity levels;
  • Identify measures and weightings; and
  • Evaluate results over multiple years.

Sullivan and Steinhoff have more than 45 years of combined experience in human resources and compensation initiatives. During the webinar—from 11 a.m. to noon—they will address aligning individual total direct compensation levels with market competitors based on performance.

Chicago-based Pearl Meyer consults on the role of executive compensation in business and leadership strategy. The firm specializes in customizing pay programs for your organization's industry, culture and business objectives.

This program will benefit:

  • CEOs, CFOs, COOs;
  • Chief human resource officers;
  • General counsels; and
  • Hospital trustees and board members.

Don't miss this chance to give your organization a competitive advantage in the increasingly competitive job market. Register today.


Briefly Noted
The Centers for Medicare & Medicaid Services will host a listening session on Oct. 8 from 1-2 p.m. (CT). The call will cover the Medicare-Severity Diagnosis-Related Group Complication and Comorbidity/Major Complication and Comorbidity comprehensive analysis discussed in the federal fiscal year 2020 Inpatient Prospective Payment System proposed and final rules. Participants should call 888-455-1397 (passcode: 4676500) 15 minutes prior to the start of the program.

Last week, IHA made available to its member hospital CEOs, CFOs, CQOs and other finance staff updated hospital-specific Medicare Value-Based Purchasing program and Hospital-Acquired Condition program reports via the C-Suite on the IHA website. The hospital-specific reports include final results for 2018 and 2019, as well as estimates for 2020 based on 2nd quarter 2019 Medicare quality program information on CMS' Hospital Compare website.