MHA Today | October 27, 2016

October 27, 2016
MHA Today: News for Healthcare Leaders

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Your Vote Matters Icon 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 Missouri Health Matters. Hospitals can help educate their communities about the election using the resources on MHAnet.

In This Issue
Report Catalogs Lapsing Federal Laws
Hearing Scheduled On Anthem-Cigna Merger
CMS Announces Inpatient Status Claims Appeals Settlement Call
MLN Connects Provider eNews Available
HIDI Releases Second Quarter 2016 VBP Payments Model
MHA Releases Patient Resources On Managing Opioid Prescriptions
Population Health Improvement Roundtable On Community Violence Summary Available
NRHA Schedules Webinars In November
Two Rivers Behavioral Health System Names Interim CEO
Howard A. Rusk Rehabilitation Center Names Interim CEO
Kindred Hospital Kansas City Names Interim CEO

Advocate
state and federal health policy developments


Report Catalogs Lapsing Federal Laws

Staff Contact: Daniel Landon

The Congressional Research Service has published a report on federal laws that will lapse in 2017 if not renewed by Congress. Some relate to Medicare payment for hospital and ambulance services, as well as the CHIP program.

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Regulatory News
the latest actions of agencies monitoring health care


Hearing Scheduled On Anthem-Cigna Merger

Staff Contacts: Jane Drummond or Daniel Landon

The Missouri Department of Insurance, Financial Regulation and Professional Registration has scheduled a Nov. 17 hearing to consider whether to allow Anthem, Inc., to acquire Cigna Healthcare of St. Louis. The department has posted documents describing the proposed acquisition, as well as public comments submitted to date.

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CMS Announces Inpatient Status Claims Appeals Settlement Call

Staff Contact: Andrew Wheeler

In 2014, the Centers for Medicare & Medicaid Services offered an administrative agreement to settle patient status denial claims which were under appeal. CMS has decided to once again settle claims currently under appeal using the Hospital Appeals Settlement process. Details about the settlement process will be made available in early November. CMS is hosting a telephone conference at 12:30 p.m. Wednesday, Nov. 16, focusing on the process. Registration is required.

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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.

  • Duplicate claims provider compliance
  • Social Security Number removal initiative open door forum
  • Quality payment program: additional opportunities for clinicians to join innovative care approaches
  • IRF and LTCH quality reporting program data submission deadline: Nov.15

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HIDI Tech Connect


HIDI Releases Second Quarter 2016 VBP Payments Model

Staff Contact: Shane VanOverschelde

The Value-Based Purchasing Payments Model is a companion utility to the VBP Analysis that was produced for hospitals on Oct. 11. The VBP Payments Model is an interactive tool that provides hospitals the ability to manipulate their hospital-specific quality scores to evaluate the associated change to estimated VBP payments. The VBP Payments Model is provided to subscribers of the 2016 Premier Reporting Package. The modeling utility is located on HIDI Analytic Advantage® in the “Finance and Policy/Premier Reports” or “Quality/Premier Reports” folders, with the following file name: MOxxxx_VBP FFY2017 Payments Model_2016_Q2_(2016.10.27).xls. Hospitals interested in subscribing to the HIDI Premier Reporting Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Quality and Population Health


MHA Releases Patient Resources On Managing Opioid Prescriptions

Staff Contact: Alison Williams

In collaboration with the University of Missouri’s Center for Health Policy, MHA has published three patient education flyers based on recommended evidence-based practice and health literacy tenets. The flyers are intended to be given to patients by providers and health care workers to facilitate positive, effective conversations and educate the community. Two of the flyers help providers address the changes in opioid prescribing practices and proper disposal of opioids included in the Emergency Department Prescribing Guidelines for opioids released in December 2015. The third flyer is a tool for providers’ pre-operative discussions with patients to set expectations for their pain management needs post-surgery. All three patient education flyers may be found on MHAnet.

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Population Health Improvement Roundtable On Community Violence Summary Available

Staff Contact: Jackie Gatz

The National Academies Health and Medicine Division Roundtable on Population Health Improvement recently hosted a one-day workshop to explore approaches to reduce and prevent community violence. Topics included the effects of trauma and violence on communities and methods to strengthen the safety, resiliency and health of communities. A summary of the workshop findings is available for download.

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Noteworthy


NRHA Schedules Webinars In November

Staff Contact: Jim Mikes

The National Rural Health Association Partnership Services is offering three free webinars in November.

  • Building an Audit-Ready 340B Program: 2 p.m. Nov. 3 - Register
  • Impact of the Adoption of the 2012 Life Safety Code: 2 p.m. Nov. 8 - Register
  • Understanding the Effect of MACRA: 2 p.m. Nov. 15 - Register

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CEO Announcements


Two Rivers Behavioral Health System Names Interim CEO

Staff Contact: Carol Boessen

Effective Oct. 12, Greg Shannon assumed the role of Interim CEO at Two Rivers Behavioral Health System in Kansas City. He replaces Terry Trafton, who had served as CEO since February 2016. Universal Health Services, the parent company, is searching for a permanent replacement. A list of CEO changes is available online.

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Howard A. Rusk Rehabilitation Center Names Interim CEO

Staff Contact: Carol Boessen

Effective Sept. 28, Troy DeDecker was named Interim CEO of Howard A. Rusk Rehabilitation Center in Columbia. He replaced Larry Meeker, who had served as CEO since August 2014. DeDecker is Vice President - Central Region at the HealthSouth Regional Office in Overland Park, Kan. A search is being conducted for a permanent replacement. A list of CEO changes is available online.

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Kindred Hospital Kansas City Names Interim CEO

Staff Contact: Carol Boessen

Effective Oct. 26, Aaron Anothayanontha, Executive Director – Kindred Missouri Hospitals, also has been named Interim CEO of Kindred Hospital Kansas City. He replaces Alex Gill, who had served as CEO since June 2014. A search is being conducted for a permanent replacement. A list of CEO changes is available online.

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Consider This ...

Around 20 percent of the world's children and adolescents have mental disorders or problems.

Source: World Health Organization