MHA Today | July 26, 2016

July 26, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
Federal Legislation Would Delay Star Quality Ratings
CMS Expands Coordinated Care Models
Missouri FLEX Program Awarded National Certificate Of Excellence


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Federal Legislation Would Delay Star Quality Ratings

Staff Contact: Daniel Landon

Yesterday, legislation was introduced in the U.S. House of Representatives that would delay the Centers for Medicare & Medicaid Services’ release of facility-specific data from its new “star quality” rating system for hospitals. CMS was scheduled to release the data on April 21, but on April 20 it postponed its release until July because of hospital and congressional concerns and questions about the underlying methodology. On July 21, CMS described the aggregate distribution of rankings and said it would release the hospital-specific data “shortly.” The release is expected this week. The American Hospital Association is soliciting contacts to promote co-sponsors for the new House legislation. However, Congress is in recess until Tuesday, Sept. 6. The legislation would block the release of data until at least July 31, 2017, and require CMS to retract data disclosed before the bill’s enactment.

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CMS Expands Coordinated Care Models

Staff Contact: Daniel Landon

The Centers for Medicare & Medicaid Services has announced the expansion of its Medicare coordinated care model to encompass cardiac care involving heart attack and bypass surgery. Also, the current Medicare coordinated care model for joint replacement will be expanded to include surgical treatment of hip and femur fractures. CMS issued a proposed rule with a 60-day comment period. The cardiac care component will encompass hospitals in 98 metropolitan areas to be randomly selected from 294 candidates, which include Cape Girardeau, Columbia, Jefferson City, Joplin, Kansas City, St. Joseph, St. Louis and Springfield. The proposed rule authorizes a demonstration project on Medicare incentive payments for cardiac rehabilitation, and also defines how the Medicare coordinated care models will interact with physician payment structures created by the federal Medicare Access and CHIP Reauthorization Act of 2015. MHA will publish an issue brief on the proposed rule.

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Quality and Population Health


Missouri FLEX Program Awarded National Certificate Of Excellence

Staff Contact: Dana Dahl

Last week, MHA accepted a certificate of excellence for the outstanding quality performance improvement of its Missouri Medicare Rural Hospital Flexibility Program. The recognition indicates exemplary quality performance improvement on Medicare beneficiary quality improvement program emergency department transfer communication measures from 2014 to 2015. The award was presented by the Federal Office of Rural Health Policy Hospital State Division. The FLEX Program is a national improvement initiative for critical access hospitals to improve the quality of care, and financial and operational performance, as well as manage population health needs.

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Consider This ...

More than half of adults and 44 percent of children who were drug-tested by a national clinical laboratory last year misused their prescription medications.

Source: The Washington Post