MHA Today | July 6, 2016

July 6, 2016
MHA Today: News for Healthcare Leaders


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In This Issue
Governor Acts On Seven Health Bills
Governor Orders $115 Million In Spending Restrictions
U.S. House Advances Mental Health Bill
State Releases June 2016 General Revenue Report
CMS Releases Medicare OPPS And ASC Proposed Payment And Policy Updates
HIDI Releases Second Quarter FFY 2016 Inpatient, Outpatient, Missouri Databases
Trajectories — Diabetes: Population Health Improvement
HRSA Announces 340B Recertification Webinar

Advocate
state and federal health policy developments


Governor Acts On Seven Health Bills

Staff Contact: Daniel Landon

On July 5, Gov. Jay Nixon acted on seven of the 2016 state legislative enactments with significant health components. He vetoed Senate Bill 608. All of its health components are in other bills that have been signed or are awaiting gubernatorial action, except two. One consists of the items listed under “Health Care Price Transparency” on page 2 of MHA’s end-of-session summary. The other imposes fees on Medicaid recipients for missing scheduled medical appointments or repeated unnecessary use of hospital emergency departments, as described on page 3 of the MHA summary. The General Assembly may attempt to override the governor’s veto of Senate Bill 608 at its annual veto session in mid-September.

Nixon signed six health-related bills into law — SB 635, SB 865, SB 973, SB 988, House Bill 1682 and HB 1816. There is some duplication among the components of the bills, but they also include their own unduplicated new state laws.

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Governor Orders $115 Million In Spending Restrictions

Staff Contact: Daniel Landon

Gov. Jay Nixon has ordered $115.5 million in spending restrictions for the state budget that took effect July 1. He said that the restrictions are necessary because revenue growth in the last state fiscal year was below projections. He also said that further restrictions would be necessary if the General Assembly votes to override his vetoes of three tax breaks enacted during the 2016 legislative session. The restrictions affect a variety of health-related spending initiatives, including the new Kansas City Crisis Intervention Service, Area Health Education Centers, and Medicaid initiatives concerning pediatric physician rate equity, paramedic emergency department diversion, home telemonitoring and regional care coordination.

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U.S. House Advances Mental Health Bill

Staff Contact: Daniel Landon

The U.S. House of Representatives has overwhelmingly passed a bill concerning mental health services. As previously reported, the bill was amended in committee to eliminate or soften most of its controversial components.

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State Releases June 2016 General Revenue Report

Staff Contact: Steve Renne

State general revenue collections in June 2016 decreased by 22.8 percent compared to June 2015. Fiscal year 2016 general revenue collections increased by 0.9 percent compared to last year.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Medicare OPPS And ASC Proposed Payment And Policy Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the calendar year 2017 payment and policy updates to the Medicare outpatient prospective payment and ambulatory surgical center payment systems. Within the rule, CMS proposes to implement changes to payments for certain items and services furnished in off-campus outpatient departments, remove the pain management dimension under the inpatient hospital value-based purchasing system, revise the Medicare electronic health record incentive program, and more. CMS estimates a 1.6 percent payment increase in CY 2017.

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HIDI Tech Connect


HIDI Releases Second Quarter FFY 2016 Inpatient, Outpatient, Missouri Databases

Staff Contact: Shane VanOverschelde

The second quarter federal fiscal year 2016 inpatient and outpatient databases, including HIDI-reporting Hospitals in Missouri and Illinois (excluding hospitals in Kansas City, Kan., for the second quarter), are available for download to subscribers of the Premier Data Package on HIDI Analytic Advantage®. The databases will be updated to include the Kansas City, Kan., hospital data for the second quarter in the coming weeks. The databases consist of a patient-level limited dataset, including all HIDI-reported discharges and visits to hospitals. Files are delivered as both text files and ready-to-query Microsoft Access database files. The files are located in the “Strategic Planning/Premier Data” section and are organized in the following categories.

  • Q1-Q2 FFY2016, Inpatient
  • Q1-Q2 FFY2016, Outpatient Classified
  • Q1-Q2 FFY2016, Outpatient Unclassified

Hospitals interested in subscribing to the 2016 HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Quality and Population Health


Trajectories — Diabetes: Population Health Improvement

Staff Contact: Alison Williams

Trajectories front page July 2016The July issue of Trajectories discusses the importance of diabetes management. Diabetes is a national health epidemic. According to the Diabetes Advocacy Alliance, by 2025, 53.1 million Americans will have diabetes — a 63 percent increase from the number with diabetes today. Also, the cost of diabetes is projected to rise to $514 billion in 2025, which represents an increase of 72 percent from today’s figures and is comparable to the entire Medicare budget for 2010. Presently, nearly 30 million children and adults — 10 percent of the population — have diabetes.

The April edition of HIDI HealthStats investigated how diabetes affects Missouri communities differently. The research identified high diabetes rates among low sociodemographic status communities. However, diabetes isn’t exclusively a disease for poor individuals or communities — the disease is universal.

Trajectories Figure 2 July 2016 The national diabetes rate has grown significantly throughout the last 35 years. Between 1980 and 2014, the number of Americans diagnosed with diabetes increased fourfold from 5.5 million to 22 million, with every state having at least 5 percent of the age-adjusted adult population afflicted with diabetes (Figure 2).

Median diagnosis rates of age-adjusted adults have increased nationally from 4.4 percent to 9.1 percent for the last 20 years. Missouri continues to experience an increasingly high rate of diabetes diagnosis as compared to the nation — from approximately 5.8 to 10 percent. The good news is that despite the prevalence of diabetes diagnosis continuing to increase year after year, the overall rate of growth is slowing. Missouri mimics this national trend through 2014.

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Noteworthy


HRSA Announces 340B Recertification Webinar

Staff Contact: Jim Mikes

The Health Resources and Services Administration Office of Pharmacy Affairs is required to recertify all participating covered entities enrolled in the 340B Program annually to ensure they are appropriately listed on the 340B database and remain compliant with program requirements. OPA is hosting a webinar at noon, Wednesday, July 20, to help covered entities with recertification. Dial 888/787-0207 and enter passcode 7814467 to participate.

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Consider This ...

Nearly 1 in 25 (10 million) adults in America live with a serious mental illness. One-half of all chronic mental illness begins by the age of 14; three-quarters by the age of 24.

Source: National Alliance on Mental Illness