MHA Today | March 9, 2016

March 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. Connect with us on LinkedIn.

In This Issue
House Advances State Budget Bills
Senate Filibuster Delays Health Bill Hearings
Committee Considers Health Proposals
Committee Reviews Nurse Licensure Compact Changes
Bill Addresses Off-Label Cancer Drugs
CMS Releases SNF Utilization And Payment Data
CMS Proposes Testing New Medicare Part B Prescription Drug Models
Trajectories – Opioids: A Population Health Dilemma
CMS Announces OQR Webinar

Advocate
state and federal health policy developments


House Advances State Budget Bills

Staff Contact: Daniel Landon

Yesterday, the House of Representatives debated and amended the thirteen appropriation bills that create the state’s operating budget. Afterwards, the House gave first-round approval to each of the bills, and after final votes later this week, the bills will move to the state Senate for review.

Back To Top


Senate Filibuster Delays Health Bill Hearings

Staff Contact: Daniel Landon

A 36-hour filibuster in the Missouri Senate has led to the cancellation of Senate committee hearings on a number of health bills developed by MHA, including Medicaid managed care reform, revised standards for stroke and STEMI centers, and improvements to the state regulatory process. The filibuster was stopped by a controversial parliamentary maneuver to shut off debate, which is expected to have at least a short-term effect on Senate debate and operations.

Back To Top


Committee Considers Health Proposals

Staff Contact: Daniel Landon

A House committee held a hearing on several bills. One would update and streamline hospital infection reporting standards, another would create a state advisory council on palliative care and a third would create a statewide web-based registry of advanced directives. The committee also reviewed a bill allowing psychiatrists to benefit from a state physician loan repayment program.

Back To Top


Committee Reviews Nurse Licensure Compact Changes

Staff Contact: Daniel Landon

A state House committee held a hearing on House Bill 2043, which upgrades an interstate licensure compact for nursing licensure. Missouri has participated in the interstate compact for a number of years.

Back To Top


Bill Addresses Off-Label Cancer Drugs

Staff Contact: Daniel Landon

State representative Jim Neely (R-Cameron), a physician, presented his House Bill 2562 to a House committee yesterday. It would authorize a state registry of clinical trial research projects involving off-label use of drugs to treat cancer and create new regulatory standards for some of them.

Back To Top


CMS Releases SNF Utilization And Payment Data

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a public dataset that focuses on services provided to Medicare beneficiaries by skilled nursing facilities. The information includes utilization and payment and charge data organized by provider, state and resource utilization groups. CMS Chief Data Officer Niall Brennan stated, “The skilled nursing facility data released today is yet another example of our commitment to greater data transparency. CMS believes that when information flows more freely, the health care system functions more efficiently. This leads to better care, smarter spending and healthier people.”

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


CMS Proposes Testing New Medicare Part B Prescription Drug Models

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced a proposed rule that focuses on testing new models to improve how Medicare pays for prescription drugs. The proposed Medicare Part B Model would test new ways to support physicians and other clinicians as they choose the right drug for their patients. The proposed rule is designed to drive the prescribing of the most effective drugs and test new payment approaches to reward positive patient outcomes. CMS outlined six new payment approaches, including the following. Comments about the proposed model are due no later than 4 p.m. Monday, May 9.

  • improving incentives for best clinical care
  • discounting or eliminating patient cost-sharing
  • feedback on prescribing patterns and online decision support tools
  • indications-based pricing
  • reference pricing
  • risk-sharing agreements based on outcomes


Back To Top

 


Quality and Population Health


Trajectories – Opioids: A Population Health Dilemma

Staff Contact: Alison Williams

TrajectoriesThe March issue of Trajectories discusses how opioids are a population health dilemma not only in Missouri, but also nationwide. On Dec. 1, 2015, MHA partnered with the Missouri Academy of Family Physicians, Missouri Association of Osteopathic Physicians and Surgeons, Missouri College of Emergency Physicians, Missouri Dental Association, and the Missouri State Medical Association to publish opioid prescribing guidelines for emergency department physicians in an effort to curb rates of opioid abuse and overdose in Missouri. Recommendations and policy changes like these provide a foundation from which to manage the morbidity and mortality associated with the misuse and abuse of opioids in Missouri. The next step is engaging all prescribers in following evidence-based guidelines for opioid prescription, improving management of noncancer-related chronic pain and reducing the incidence of abuse and overdose.

Both state and national attention regarding this issue continues to gain momentum. In February 2016, the National Governor’s Association and the American Hospital Association released a joint statement supporting increased efforts towards physician education, access to substance abuse services and monitoring through prescription drug monitoring programs, largely supported through legislative activity across the states. Also in February 2016, President Obama proposed $1.1 billion to address prescription opioid abuse and the heroin epidemic. The proposal is two-pronged and includes $1 billion in new mandatory funding throughout two years to expand access to treatment for prescription drug abuse and heroin use.

Back To Top


CMS Announces OQR Webinar

Staff Contact: Sherry Buschjost

The next outreach and education webinar for hospitals participating in the Hospital Outpatient Quality Reporting Program is scheduled for Wednesday, March 16. The webinar, titled “An Introduction to OP-33: External Beam Radiotherapy for Bone Metastases,” is offered at 9 a.m. and 1 p.m. Registration is required.

Back To Top



Consider This ...

Yesterday was International Women’s Day. Women make up more than 76 percent of hospital employees.

Source: Bureau of Labor Statistics