MHA Today | March 1, 2016

March 1, 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. Connect with us on LinkedIn.

In This Issue
Legislative Proposal Would Abolish And Consolidate State Agencies
State Legislators Consider New Health Information Organization Standards
State House Advances Prescription Drug Monitoring Legislation
MHA Distributes FFY 2017 Medicare VBP Projection
CMS Releases 2017 Marketplace Notice Of Benefit And Payment Parameters
MHD Files DSH Proposed Rule
CMS Announces SNF/LTC Open Door Forum
MHA Announces New Aim For Excellence Award

Advocate
state and federal health policy developments


Legislative Proposal Would Abolish And Consolidate State Agencies

Staff Contact: Daniel Landon

A House committee held a hearing on legislation that would restructure several state agencies. The Missouri Department of Health and Senior Services would be abolished. Most of its functions would be reassigned to the Department of Social Services, a Division of Health within a new Department of Mental Health and Health, or a newly-created Department of MO HealthNet. House Bill 2407 also would consolidate various divisions within the current Department of Social Services.

Back To Top


State Legislators Consider New Health Information Organization Standards

Staff Contact: Daniel Landon

A state Senate committee has heard testimony from proponents and opponents of Senate Bill 636. The bill would set new state standards for health information organizations and the transfer of data between them. An identical bill was heard by a House committee last week.

Back To Top


State House Advances Prescription Drug Monitoring Legislation

Staff Contact: Daniel Landon

The Missouri House of Representatives has given first-round approval to House Bill 1892, which would authorize the creation of a state prescription drug monitoring system. Before its approval by a 91-68 vote, the bill was amended to impose civil liability for violation of the bill’s standards, both for the Missouri Department of Health and Senior Services and for “persons participating in the violation.” Opposition to the measure focused on concerns about privacy of patient data. MHA thanks those who contacted their state representatives about the bill, as requested previously by the legislative sponsor.

Back To Top


MHA Distributes FFY 2017 Medicare VBP Projection

Staff Contacts: Andrew Wheeler or Leslie Porth

To assist member hospitals in preparing for the effects of future reimbursement changes relating to the Medicare Value-Based Program, MHA is pleased to provide an analysis of the fourth quarter 2015 data found in the Centers for Medicare & Medicaid Services’ Hospital Compare database. Fourth quarter 2015 data is used to project the effects of the federal fiscal year 2017 Medicare VBP Program.

Although critical access hospitals currently are excluded from the program, CAHs that submitted data will receive the trends analysis report. CAHs will not receive the impact analysis report. The latest release indicates that the VBP effect on prospective payment system hospital finances in Missouri is estimated to decrease operating payments by $215,000. These results are based on the latest available VBP data, which use different baseline and performance date ranges than the actual FFY 2017 program. Policy and analytic studies are made available for download to authorized users of HIDI Analytic Advantage®.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


CMS Releases 2017 Marketplace Notice Of Benefit And Payment Parameters

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced the release of the final annual Notice of Benefit and Payment Parameters for the 2017 coverage year. The rule finalizes provisions to help consumers with out-of-network costs at in-network facilities, provides consumers with notifications when a provider network changes, allows insurance companies to offer plans with standardized cost-sharing structures, provides a rating on each qualified health plan on HealthCare.gov, and improves the risk adjustment formula. CMS has released the following supplemental documents.



Back To Top

 


MHD Files DSH Proposed Rule

Staff Contact: Kim Duggan

The MO HealthNet Division filed a proposed amendment, which was published in today’s Missouri Register (page 332) and has a 30-day comment period ending Thursday, March 31. The rule proposes to change the interim disproportionate share hospital methodology by establishing trends to be applied to the state DSH survey. The rule also modifies the exception process to allow for an alternate state DSH survey to be used in determining interim DSH payments for 20 percent DSH outliers, extraordinary circumstances and interim DSH payment adjustments.

Back To Top


CMS Announces SNF/LTC Open Door Forum

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services will host the next Skilled Nursing Facilities/Long-Term Care Open Door Forum at 1 p.m. Thursday, March 3. Discussion will include an update on the requirement to submit staffing data electronically through the payroll-based journal. Dial 800/837-1935 and enter passcode 38431613 to participate.

Back To Top


Quality and Population Health


MHA Announces New Aim For Excellence Award

Staff Contact: Dana Downing

The Aim for Excellence Award is a new annual, prestigious award to recognize Missouri hospitals’ innovation and outcomes. The award will recognize up to six member organization- or team-based projects that address at least two of the three Triple Aim principles. Awards will be presented at MHA’s Annual Convention & Trade Show. Applications must be received by Monday, May 2. Visit MHA’s website for more information and to apply online.

Back To Top



Consider This ...

This week is Aplastic Anemia and Myelodysplastic Syndromes Awareness Week. Bone marrow diseases affect more than 15,000 people each year in the U.S, with tens of thousands more living with these life-threatening diseases around the world.

Source: www.aamds.org