MHA Today | February 9, 2016

February 9, 2016
MHA Today: News for Healthcare Leaders


MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
President Releases FY 2017 Budget Proposal
CMS Extends Marketplace Special Enrollment Period For Select Consumers
Proposed Rule Revamps Substance Abuse Confidentiality Standards
HIDI Releases FFY 2015 Inpatient/Outpatient Physician Loyalty Report
HIDI Releases FFY 2016 CAH VBP Payments Model

Advocate
state and federal health policy developments


President Releases FY 2017 Budget Proposal

Staff Contact: Daniel Landon

President Obama has sent Congress his administration’s proposed budget for fiscal year 2017. The $4 trillion budget includes a variety of provider payment reductions, producing savings in FY 2017 of $3.4 billion in Medicare, $777 million in Medicaid and another $920 million in savings through enhanced access to generic drugs. Savings are drawn from a variety of programs, including indirect medical education, Medicare bad debt payments, critical access hospitals and post-acute care programs. Descriptions of Medicare, Medicaid/Children’s Health Insurance Program and related proposals are listed on pages 18-27 of the budget summary tables. Congress is not expected to rely on the administration’s budget recommendations in developing legislative budget authorizations for FY 2017.

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CMS Extends Marketplace Special Enrollment Period For Select Consumers

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services is extending marketplace open enrollment from Jan. 31 to Thursday, March 31, for consumers who failed to file and reconcile their advance payments of the premium tax credit. Specifically, the special enrollment period applies to consumers who:

  • currently are not enrolled in 2016 coverage through the federally-facilitated marketplace
  • are not receiving APTC in 2016 because they failed to file a tax return for 2014 and reconcile their APTC
  • subsequently filed their 2014 tax return and reconciled their 2014 APTC


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Regulatory News
the latest actions of agencies monitoring health care


Proposed Rule Revamps Substance Abuse Confidentiality Standards

Staff Contact: Daniel Landon

The U.S. Department of Health & Human Services has issued a proposed rule regarding the confidentiality of substance abuse treatment records. Among other topics, the rule addresses security policies, disclosure authorization and notification standards. The last substantive update to the regulations occurred in 1987. The deadline for submitting comments to the Substance Abuse and Mental Health Services Administration is Monday, April 11.

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HIDI Tech Connect


HIDI Releases FFY 2015 Inpatient/Outpatient Physician Loyalty Report

Staff Contact: Shane VanOverschelde

The Hospital Industry Data Institute has posted the federal fiscal year 2015 inpatient and outpatient physician loyalty report for subscribers of the 2016 Premier Data Package to download at their convenience. The report displays a list of physicians, by name, and the frequency in which they were attending physicians across combinations of inpatient/outpatient, hospital, patient zip code, diagnosis-related group and payer. The data is delivered in a ready-to-query Microsoft Access database file. The file is located in the “Strategic Planning/Premier Strategic Reports” folder with the following file name: MO0000_PHY_LOY_HIDI_RGNS_2015.zip. Hospitals interested in subscribing to the HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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HIDI Releases FFY 2016 CAH VBP Payments Model

Staff Contact: Shane VanOverschelde

The Critical Access Hospital Value-Based Purchasing Payments Model is a companion utility to the VBP Analysis that was produced for hospitals on Jan. 25. The CAH VBP Payments Model is an interactive tool that provides hospitals with the ability to manipulate their hospital-specific quality scores to evaluate the associated change to estimated VBP payments as if their hospital was part of the Centers for Medicare & Medicaid Services’ VBP program. The model is provided to subscribers of the 2016 Premier Reporting Package. The modeling utility is located on HIDI Analytic Advantage® in the “Finance and Policy/Premier Reports” or “Quality/Premier Reports” folders, with the following file names.

  • MO0000_VBP_CAH_FFY2016 Payments Model_2015_Q3_Memo_(2016.02.09).pdf
  • MOxxxx_VBP_CAH_ FFY2016 Payments Model_2015_Q3_(2016.02.09).xls

Hospitals interested in subscribing to the HIDI Premier Reporting Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Consider This ...

This week is Burn Awareness Week. In the U.S., electrical burns and injuries from lightning result in approximately 3,000 admissions to specialized burn units annually, and result in about 1,000 fatalities. In addition, electrical fires in residences cause more than 25,000 fires annually.

Source: Shriners Hospitals for Children