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Llano County Hospital Authority hears QIPP briefing, directs counsel to explore nursing-home licenses
Summary
At its July 12 meeting the Llano County Hospital Authority received a briefing on the Texas HHSC Quality Incentive Payment Program and directed counsel to contact West Wharton County Hospital District about acquiring nursing-home licenses and arranging third-party servicing; the board also reviewed its finances.
The Llano County Hospital Authority on July 12 heard a briefing on the Texas Health and Human Services Commission’s Quality Incentive Payment Program and asked its attorney to explore acquiring nursing-home licenses and third-party servicing options.
Trent Krienke, a partner at the law firm Reed, Claymon, Meeker, Krienke & Spurck, told the board that QIPP is a quality-improvement payment program funded by HHSC and the Centers for Medicare & Medicaid Services when nursing facilities meet specified quality metrics. Krienke said the program is in its eighth year, covers roughly 80% of Texas nursing homes, and that an owner of a nursing-home license can receive up to 30% of funds provided to a facility when quality metrics are achieved. He told the board the authority would employ a third-party servicer to perform inspections, oversight and monitoring necessary to qualify for QIPP payments if the Llano County Hospital Authority (LCHA) acquired any licenses.
The presentation matters because acquiring licenses could create a revenue stream tied to quality-performance payments while requiring ongoing compliance and oversight. Treasurer David Willmann reported the authority’s bank balance was $577,013.58 as of June 28, 2024, and said Llano National Bank had provided collateral at 145% to secure those funds.
After an executive session on real property, Secretary Charles Miller moved and Treasurer David Willmann seconded a motion asking the authority’s attorney, Trent Krienke, to contact Johnny Thompson at the West Wharton County Hospital District about whether licenses might be available for acquisition and whether Thompson could serve as the third-party servicer. The minutes record the motion and the mover/second; the meeting record does not specify a recorded vote tally.
The board left the date and time of its next meeting as to be determined and recommended continuing discussion of QIPP on a future agenda. The meeting adjourned at 1:00 p.m.
