MHA Today | September 26, 2016

September 26, 2016
MHA Today: News for Healthcare Leaders

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MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

Information about the Nov. 8 election is available on the Your Vote Matters page of MissouriHealthMatters.com. Hospitals can help educate their communities about the election using the resources on MHAnet.

In This Issue
MHA Submits Letter And Research To CMS On Star Ratings
MHA Posts Presumptive Eligibility Plan Resources
MHA Distributes Analysis Of Final Medicare Inpatient PPS For FFY 2017
VA St. Louis Health Care System Names Director

What You Need To Know This Week

  • Your Vote Matters! Information about candidates and the election, including Missouri gubernatorial candidates’ responses to an MHA survey on health care, are available on Missouri Health Matters. You are encouraged to review and widely share this information.

Advocate
state and federal health policy developments


MHA Submits Letter And Research To CMS On Star Ratings

Staff Contact: Mat Reidhead

SES On Friday, MHA submitted a formal letter and analysis to the Centers for Medicare & Medicaid Services Acting Administrator, Andy Slavitt, detailing widespread industry concern over the new overall hospital quality star rating system. Using the CMS data and methodology, Hospital Industry Data Institute researchers found the star ratings were significantly influenced by hospitals’ data submission across the seven domains measured and when two measures with questionable integrity — the PSI-90 composite and hospitalwide readmissions — were excluded. HIDI also uncovered a significant relationship between the number of stars awarded and the sociodemographic status of hospitals’ patients and communities, such as the 277 percent difference in a standard socioeconomic deprivation index (pictured above). Together, these factors demonstrate a systemic disadvantage for hospitals that serve communities with few health resources, more complex patients, and robust surveillance and reporting systems.

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MHA Posts Presumptive Eligibility Plan Resources

Staff Contact: Steve Renne

On Sept. 22, MHA hosted a webinar addressing the Presumptive Eligibility Plan, which was presented by Dwight Fine, a consultant at the Family Support Division. The slides are available for download. Because of technical difficulties, the audio portion starts at slide four.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis Of Final Medicare Inpatient PPS For FFY 2017

Staff Contact: Andrew Wheeler

MHA has made available a summary and analysis of the federal fiscal year 2017 inpatient prospective payment system final payment and policy updates. The analysis includes the financial effects of marketbasket updates, the budget neutrality adjustment, reductions mandated by the Affordable Care Act, the prospective coding adjustment as mandated by the American Taxpayer Relief Act of 2012 and two-midnight rule adjustments. The analysis also includes results from the adoption of using three years to determine Factor 3 that distributes disproportionate share payments to hospitals and the transition to a Z-score methodology to assign hospital-acquired condition payment cuts. Results are illustrated in national, state, health system and individual hospital groupings. Inpatient PPS hospitals in Missouri are projected to receive a 0.4 percent increase in Medicare payments. Although footnoted, the effects of the Medicare sequestration are not included. 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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CEO Announcements


VA St. Louis Health Care System Names Director

Staff Contact: Carol Boessen

The VA St. Louis Health Care System has named Keith Repko as Director, effective Oct. 2. He has been serving as Interim Director since January 2016 and previously was Associate Director, Chief of Facilities Engineering and Chief of Biomedical Engineering. A list of CEO changes is available online.

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Consider This ...

Arthritis strikes 1 in 5 adults and is the nation’s leading cause of disability.

Source: Arthritis Foundation