MHA Today | June 29, 2016

June 29, 2016
MHA Today: News for Healthcare Leaders


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In This Issue
Governor Vetoes Tort Reform Bills
CMS Releases Proposed CY 2017 Home Health Payment And Policy Update
HHS Proposes Medicare Appeals Procedures

Advocate
state and federal health policy developments


Governor Vetoes Tort Reform Bills

Staff Contact: Daniel Landon

Gov. Nixon has vetoed Senate Bill 847. The legislation would change the “collateral source rule” governing how medical costs are considered when calculating potential damages in liability lawsuits. Nixon also vetoed legislation, Senate Bill 591, which would revise standards governing the use of expert witnesses in many court proceedings, including those involving medical malpractice claims. The new standards would mimic those used in federal courts and most other states. The Missouri General Assembly may attempt to override one or both of the vetoes at its annual veto session in September. One hundred and nine votes are needed to override a veto in the House of Representatives. During the 2016 legislative session, Senate Bill 847 received 95 “yes” votes in the House; Senate Bill 591 got 85 “yes” votes and also fell short of the required two-thirds majority in the Senate.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Proposed CY 2017 Home Health Payment And Policy Update

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the proposed Medicare payment and policy updates for calendar year 2017 for the home health PPS. MHA has published an issue brief with additional details. Highlights include the following.

  • The fiscal year 2017 proposed rule would result in a 1.0 percent reduction in payments amounting to $180 million.
  • Between 2018 and 2022, the overall estimated economic impact of the home health value-based purchasing model is $378 million.
  • Change in the methodology used to calculate outlier payments, which includes a proposed transition from a cost-per-visit to a cost-per-unit approach.
  • Changes to the home health care quality reporting program.


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HHS Proposes Medicare Appeals Procedures

Staff Contact: Andrew Wheeler

The U.S. Department of Health and Human Services announced a proposed rule which will change standards for appeals of Medicare payment and coverage determination decisions. The rule would allow attorney adjudicators to hear appeals in place of administrative law judges. The rule also notes that as of April 30, the Office of Medicare Hearings and Appeals had more than 750,000 pending appeals with the capacity to adjudicate 77,000 per year. The rule will formally be published on Tuesday, July 5, with comments due Monday, Aug. 29.

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Consider This ...

June is Hernia Awareness Month. Each year, approximately 750,000 Americans seek treatment for a hernia, yet experts believe hundreds of thousands suffer in silence, primarily because they fear surgery.

Source: Hernia Resource Center