MHA Today | March 30, 2016

March 30, 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
MHA Provides Analysis Of Medicare Spending Per Beneficiary
House Approves Hospital Construction Regulatory Relief Bill
Committee Reviews Child Abuse Training Requirement
Oklahoma Medicaid Proposes 25 Percent Provider Payment Cut
Report Assesses Prescription Drug Monitoring Laws
CMS Releases Mental Health Parity Rule
MDIFP Announces Hearing For Aetna’s Proposal To Acquire Humana
Proposed Federal Rule Would Expand Access To Opioid Addiction Treatment
Trajectories — Opioids: A Population Health Dilemma
AHRQ Releases Special Emphasis Notice And Final Reports

Advocate
state and federal health policy developments


MHA Provides Analysis Of Medicare Spending Per Beneficiary

Staff Contact: Andrew Wheeler

MHA has made available a report illustrating the average Medicare spending per beneficiary by hospital, with comparisons to average spending for Missouri and the nation. The information includes details about the spending up to three days before admission, during the admission and up to 30 days post-discharge. The report is based on information released on the Centers for Medicare & Medicaid Services’ Hospital Compare website and uses data from Jan. 1 through Dec. 31, 2014. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are made available for download to authorized users of HIDI Analytic Advantage®.

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House Approves Hospital Construction Regulatory Relief Bill

Staff Contact: Daniel Landon

By a vote of 147-3, the state House of Representatives has approved House Bill 2402 and sent the bill to the Senate. The legislation would revise hospital licensure standards to reflect updated life safety and construction codes and reduce the burden of complying with differing state and federal regulations. It was developed in consultation with the Missouri Society of Hospital Engineers. The bill previously was amended to specify that state-owned health facilities other than Department of Mental Health state psychiatric hospitals will be subject to certificate of need review.

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Committee Reviews Child Abuse Training Requirement

Staff Contact: Daniel Landon

A state Senate committee held a hearing on Senate Bill 1101, which concerns the reporting and investigation of child abuse and neglect. Among other changes, the bill would require all “mandated reporters” of child abuse and neglect — which includes hospital and clinic personnel involved in patient treatment — to annually attend two hours of training on medical forensics related to child abuse.

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Oklahoma Medicaid Proposes 25 Percent Provider Payment Cut

Staff Contact: Daniel Landon

The Oklahoma Health Care Authority, which manages the state’s Medicaid program, is proposing a 25 percent reduction in Medicaid provider payment rates. The change would take effect June 1 in anticipation of the fiscal year 2017 appropriation.

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Report Assesses Prescription Drug Monitoring Laws

Staff Contact: Daniel Landon

An anti-addiction organization’s new report reviews state laws that create state prescription drug monitoring programs and makes recommendations for enhancing their effectiveness in curbing opioid misuse.

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CMS Releases Mental Health Parity Rule

Staff Contact: Steve Renne

Yesterday, the Centers for Medicare & Medicaid Services released the final rule requiring that Medicaid recipients receive access to the same mental health and substance use disorder benefits provided by private insurance carriers. The requirement includes all 23 million beneficiaries receiving services through Medicaid managed care organizations, Medicaid alternate benefit plans or the Children's Health Insurance Program. The rule also requires state plans to disclose information on benefits upon request and to report the reason for any denial of reimbursement or payment for services. The intent of the rule is to create consistency between the commercial and Medicaid markets.

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MDIFP Announces Hearing For Aetna’s Proposal To Acquire Humana

Staff Contact: Steve Renne

The Missouri Department of Insurance, Financial Institutions and Professional Registration will hold a public hearing Monday, May 16, to consider the preacquisition notice filed by Aetna Inc., to purchase Humana Inc. Following the hearing, oral or written comments must be received no later than 4 p.m. Thursday, May 19.

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Regulatory News
the latest actions of agencies monitoring health care


Proposed Federal Rule Would Expand Access To Opioid Addiction Treatment

Staff Contact: Daniel Landon

A proposed rule by the U.S. Department of Health & Human Services would increase the cap on the number of patients for whom a qualified practitioner may prescribe buprenorphine, a drug used to treat opioid dependence. Comments regarding the proposed rule will be due 60 days after its publication in today’s Federal Register. The agency also issued a fact sheet, press release and a pocket guide about medication-assisted opioid abuse treatment.

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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. Understanding the potential adverse effects that opioids can have is an essential first step in decreasing harm to patients. Prescribers should use the guidelines and resources provided in this publication to assist in making clinical decisions regarding opioid therapy, particularly for chronic, noncancer-related pain. Additionally, prescribing opioids for acute pain issues not related to trauma or major surgery should be done with caution. Communication with patients and families is critical to developing an effective plan of care for pain management. Use of patient agreement documents can be an efficient way for providers to initiate an open dialogue with patients, agree on a treatment plan and set expectations, as well as review the potential for risks and adverse events. Efforts focused on curbing overdose and deaths related to opioid use are being implemented in other states; however, Missouri has yet to take action. MHA, Missouri Academy of Family Physicians, Missouri Association of Osteopathic Physicians & Surgeons, Missouri College of Emergency Physicians, Missouri Dental Association, and the Missouri State Medical Association have taken a strong first step through the publication of the Emergency Department Opioid Prescribing Recommendations to start a dialogue and raise awareness of this patient safety issue with emerging population health implications in communities across the state.

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AHRQ Releases Special Emphasis Notice And Final Reports

Staff Contact: Leslie Porth

The Agency for Healthcare Research and Quality has released a Special Emphasis Notice to inform the research community of its intent to support research on models of shared decision-making that are tailored to the needs of low-income, and racial and ethnic minority patients.

AHRQ also has released the following final reports, which are available on the Effective Health Care website.



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Consider This ...

March is National Kidney Month. More than 661,000 Americans have kidney failure. Of those, 468,000 individuals are on dialysis and approximately 193,000 live with a functioning kidney transplant.

Source: National Kidney Foundation