MHA Today | May 5, 2016

May 5, 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
CMS Publishes Medicare Part B Drug Payment Model Proposed Rule
FDA Issues New Tobacco Regulation Standards
CMS Releases Physician And Other Supplier Utilization And Payment Data
MLN Connects Provider eNews Available
CMS Releases OQR Times
Quality Institute Releases Report: Measures That Matter
QRC Hosts FY 2017 IPPS Proposed Rule Webinar

Advocate
state and federal health policy developments


CMS Publishes Medicare Part B Drug Payment Model Proposed Rule

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services published a proposed payment model for how Medicare Part B pays for prescription drugs provided in physician offices, hospital outpatient departments and by durable medical equipment suppliers. CMS proposed a two-phase model to test whether alternative payment approaches for Part B drugs will improve value, improve outcomes and/or reduce expenditures for Part B drugs.

MHA received the files for distribution on April 29. Because of the short turnaround time imposed by CMS, MHA has prepared an analysis of the estimated impact of the proposal on hospitals’ outpatient drug claims only, and provided a breakout by clinical categories. Under the Part B Drug Model, only providers in selected geographic areas will receive the alternate payment amount. The affected areas have not yet been identified by CMS; therefore, this analysis illustrates the impact of the new payment formula on all providers. Hospitals have until Monday, May 9, to review their hospital-specific data and electronically submit comments to CMS.

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Regulatory News
the latest actions of agencies monitoring health care


FDA Issues New Tobacco Regulation Standards

Staff Contact: Daniel Landon

The U.S. Food and Drug Administration has issued a set of final regulations expanding its authority to regulate tobacco products, including e-cigarettes. The agency also issued a fact sheet.

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CMS Releases Physician And Other Supplier Utilization And Payment Data

Staff Contact: Andrew Wheeler

As the seventh annual Health Datapalooza conference begins, the Centers for Medicare & Medicaid Services announced the release of the physician and other supplier utilization and payment public use data. This is the third annual release of the data, which includes payment and submitted charges for services and procedures provided by each physician or supplier. CMS Chief Data Officer Niall Brennan stated, “This week’s announcements underscore CMS’ ongoing commitment to releasing data and information to promote a vibrant health information economy.”

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • reprocessing of selected dialysis claims
  • new program for evaluating payment patterns electronic reports are available for hospices, skilled nursing facilities, inpatient rehabilitation facilities, inpatient psychiatric facilities, critical access hospitals and long-term care hospitals
  • Medicare durable medical equipment, prosthetics, orthotics and supplies competitive bidding: Round 2 recompete/national mail-order recompete contract suppliers announced
  • new quality measures added to Nursing Home Compare website
  • MLN Matters article: Medicare coverage of substance abuse services


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Quality and Population Health


CMS Releases OQR Times

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services recently released the May edition of OQR Times. The newsletter includes information and reminders related to the Sunday, May 15, submission deadlines.

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Quality Institute Releases Report: Measures That Matter

Staff Contact: Dana Dahl

The Healthcare Association of New York State Quality Institute recently released a report, Measures That Matter, which serves as a call-to-action for health care stakeholders to streamline, align, focus and collaborate on quality outcome measures that improve patient care and outcomes.

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QRC Hosts FY 2017 IPPS Proposed Rule Webinar

Staff Contacts: Dana Dahl or Stephen Njenga

The Quality Reporting Center is hosting a webinar, titled “FY 2017 IPPS Proposed Rule: IQR–EHR Alignment Overview,” at 1:30 p.m. Tuesday, May 17. Presentation slides will be available for download on the QRC’s website the day before the presentation. Registration is required.

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Consider This ...

May is Stroke Month. Three out of four people who suffer their first stroke have high blood pressure.

Source: American Stroke Association