MHA Today | March 25, 2016

March 25, 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.


Insights


Herb Kuhn, MHA President & CEO

Jefferson City has two speeds: In session and not in session. Since this week is legislative spring break, there’s a pause, if not a hard stop.

As I reviewed Monday’s edition of MHA Today, I was reminded how alien Jefferson City may seem to leaders in the hospital community. There were two articles in Monday’s email — one about an update to self-assessment checklists for state and federal surveys, and another about a new resource available through the Hospital Industry Data Institute to assist with the comprehensive care for joint replacement model that will be in effect next Friday. It’s an amazing contrast.

I’ve been talking a lot this year about regulatory relief. In fact, it was a central focus of the spring break advocacy message for lawmakers that MHA sent to hospitals last week. Monday’s email reminded me of the power of MHA’s other regulatory relief work — our role in assisting the state’s hospitals as they navigate the complex and evolving regulatory environments and payment systems at the state and federal level.

The CJR model that begins next week will include a defined set of hospitals determined by geography. However, as with most value-based payment programs, the writing is on the wall — it’s not if, it’s when for those not launching next Friday. That’s why the HIDI information was sent to hospitals statewide. It’s important that non-participants watch the CJR initiative closely. It’s likely to foreshadow business implications in your market now and in the future. Meanwhile, HIDI data, your data, will inform decision-making for those in the first round of the program and further inform and shape the program when it expands. And, the feedback loop continues to compress, allowing hospitals to be more agile.

There’s a good chance that just the thought of having surveyors appear at your hospital gives you hives. It’s not personal, but it is high stakes. Having a checklist doesn’t fix a problem. However, there are reams of evidence that show they work. Put another way, a checklist can allow hospitals to peer around the corner to identify issues before they arrive.

These are two small examples of work that we do to help make working in or running a hospital easier. When we recently relaunched our website, one of the first things visitors see is a crystalized and informal version of our charge — helping hospitals serve communities.

Next week, it’ll be full speed ahead in Jefferson City. And, in May, lawmakers will throw their unfinished work skyward as they adjourn sine die.

In hospitals’ 24-7, 365 world, there never will be a pause.

Thank you for allowing us to serve with you. I’m always interested in your thoughts.

Herb Kuhn, MHA President & CEO



Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Unveils Initiative To Curb Avoidable Hospitalization Of Nursing Home Residents
CBO Assesses Federal Coverage Subsidies
CMS Assesses Insurer Risk-Adjustment Options
FDA Proposes Standards For Abuse-Resistant Opioid Generic Drugs
HIDI Hosts Monthly Focus Session: Comprehensive Care Joint Replacement Reports
Poplar Bluff Regional Medical Center Names New CEO

Advocate
state and federal health policy developments


CMS Unveils Initiative To Curb Avoidable Hospitalization Of Nursing Home Residents

Staff Contact: Daniel Landon

The Centers for Medicare & Medicaid Services is announcing a second phase of its “Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents.” The University of Missouri is one of six “Enhanced Care and Coordination Providers” selected to implement the four-year payment initiative, slated to begin in the fall of 2016.

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CBO Assesses Federal Coverage Subsidies

Staff Contact: Daniel Landon

The Congressional Budget Office has issued a report and summary of projected changes in federal coverage subsidies for those younger than 65 during the next 10 years. The CBO study projects enrollment, direct subsidies, tax subsidies and penalties to arrive at a net subsidy of $8.9 trillion from 2016 to 2026. The estimate excludes federal coverage subsidies for those 65 and older, primarily delivered through Medicare and Medicaid.

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CMS Assesses Insurer Risk-Adjustment Options

Staff Contact: Daniel Landon

The Centers for Medicare & Medicaid Services has issued a discussion paper on options for revising its risk-adjustment methodologies for insurers. The agency is convening a meeting on Thursday, March 31, to hear comments on the topic. Changes would take effect in the 2018 benefit year.

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Regulatory News
the latest actions of agencies monitoring health care


FDA Proposes Standards For Abuse-Resistant Opioid Generic Drugs

Staff Contact: Daniel Landon

The federal Food and Drug Administration has issued draft guidelines to promote the development of generic versions of opioids that are as abuse-resistant as their brand-name counterparts. Comments on the guidelines are due Tuesday, May 24.

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HIDI Tech Connect


HIDI Hosts Monthly Focus Session: Comprehensive Care Joint Replacement Reports

Staff Contacts: Steve Warchol or Brian Waterman

HIDI and MHA are hosting a free webinar at 11 a.m. Monday, March 28, to discuss HIDI’s comprehensive care joint replacement reports that are available on HIDI Analytic Advantage®. The reports provide hospital-specific estimates for new episode-based payments. Brain Waterman, HIDI’s Vice President of Analytic Business Solutions, will provide guidance on the program, as well as HIDI reports that support hospitals’ transition to the new structure. The webinar is part of HIDI’s monthly focus sessions, which are free to any hospital team member. Registration is required.

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CEO Announcements


Poplar Bluff Regional Medical Center Names New CEO

Staff Contact: Carol Boessen

Larry Rodgers has been named CEO of Poplar Bluff Regional Medical Center, effective April 11. He most recently served as CEO of College Station Medical Center in Texas, and has more than 10 years of hospital administration experience. He will succeed Ken James, who accepted a position with Tennova Healthcare – Harton, a hospital in Tullahoma, Tenn. A list of CEO changes is available online.

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Did You Miss An Issue Of MHA Today?


March 24, 2016
Insurer Initiative Targets Provider Directories
MLN Connects Provider eNews Available
HHS Secretary Announces Diabetes Initiative
White House Pushes States On Opioid Action
DHS And HHS Encourage Vigilance After Belgium Terrorist Attacks
CenterPointe Hospital And Signature Psychiatric Hospital Name New CEOs

March 23, 2016
Trajectories — Opioids: A Population Health Dilemma

March 22, 2016
CMS Provides Update On Next Generation ACO Model
FDA Proposes Ban On Powdered Gloves
CMS Releases New Survey And Certification Memo On Exit Conferences
NIH Convenes Workshop To Prevent Youth Suicide

March 21, 2016
MHA Releases Updated Self-Assessment Checklists For Acute Care Hospitals
MHA Releases Comprehensive Care For Joint Replacement Analysis



Consider This ...

March is Telemedicine Month. The number of patients using telehealth services will grow to more than 7 million in 2018, up from 350,000 in 2013.

Source: FierceHealthIT