MHA Today | November 4, 2016


MHA Today: News for Healthcare Leaders

twitter linkedin
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.

Insights


Herb Kuhn, MHA President & CEO MHA's 94th Annual Convention & Trade Show ended this morning. Excluding Wednesday’s executive briefing, the featured speakers provided interesting bookends.

Don Berwick, one of the nation’s foremost authorities on health care improvement, opened the general sessions. He explored how our system got to where it is, and where — with leadership and intention, it could be going.

Charlie Cook, one of the nation’s eminent political prognosticators, closed the convention. His remarks focused on the upcoming election and its implications for the nation and our national health policy. Both offered thoughts on systems that are clearly fragmented, if not broken.

Having attended both sessions, I can’t help think that the public dissatisfaction with the political system and with our health care system are remarkably similar. However, there are amazing bright spots in the health care realm.

Last night, we honored several hospital-community leaders and hospital organizations for the work they are doing to improve care and build stronger communities. It’s hard work, worthy of recognition. And, it demonstrates that when effective leaders are given the opportunity to make change — from incremental to fundamental change — they both can and will.

Charlie Cook reflected this morning on President Gerald Ford’s comments after the Nixon resignation — “our long national nightmare is over.” He was, of course, referring to next week’s election. Yes. I can say with confidence that no matter the outcome, no one will long for the relentless political ads or the historically low political discourse. However, next Wednesday begins the work of mending our social and political fabric.

The leaders we recognized at the convention will continue their work to improve care, moving toward Berwick’s Triple Aim of better care, better health and lower cost. These leaders will be spirited forward or stymied in their progress by the policies of the next set of political leaders in Washington, D.C., and Jefferson City.

The truth is, change requires courage and commitment. The rate of change, and its direction, will be determined by those willing to recognize the faults in our system — of health care, politics and policymaking — and work to proceed despite them.

Several months ago, MHA added resources to our “your vote matters” election information site. I encourage you to review the candidates’ positions and the issues during the next four days. Please share them. Our ability to serve effectively will depend, in part, on the election.

Pres. Ford’s words remind me of the words of another president who offered them in times much more contentious than our own. In closing his first inaugural address, Pres. Lincoln said, “Though passion may have strained it must not break our bonds of affection. The mystic chords of memory, stretching from every battlefield and patriot grave to every living heart and hearthstone all over this broad land, will yet swell the chorus of the Union, when again touched, as surely they will be, by the better angels of our nature.”

We can only hope that next Tuesday’s politicians become post-election statesmen. That would smooth the path for our health care system to move from incremental change to fundamental improvement — and why your vote is so important.

Let me know what you think.

Herb Kuhn, MHA President & CEO



Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Issues Final CY 2017 OPPS And ASC Payment And Policy Updates
CMS Releases Final CY 2017 PFS And MDPP Payment And Policy Updates
MLN Connects Provider eNews Available
CMS Announces OQR Program Payment Reduction Results For CY 2017 Payment Determination
CMS Announces IQR Webinar
NAHSE Schedules Annual Symposium

Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Final CY 2017 OPPS And ASC Payment And Policy Updates

Staff Contact: Andrew Wheeler

Earlier this week, the Centers for Medicare & Medicaid Services finalized the payment and policy updates for the CY 2017 outpatient PPS and the ambulatory surgical center payment system. One of the most anticipated issues within the rule is how CMS would finalize Section 603 of the Bipartisan Budget Act. CMS did finalize, with modification, Section 603 which affects how Medicare will pay for certain items and services furnished by certain off-campus outpatient departments of a provider. MHA has published an issue brief with additional information about the rule.

Back To Top


CMS Releases Final CY 2017 PFS And MDPP Payment And Policy Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced the finalization of the physician fee schedule and aspects of the expansion that will enable organizations to prepare for enrollment into the Medicare diabetes prevention program. CMS also finalized a number of new PFS policies that will improve Medicare payment for those services provided by primary care physicians to patients with multiple chronic conditions, mental health issues and cognitive impairment conditions. CMS is estimating that primary care funding will increase an estimated $140 million. CMS also finalized a data collection strategy for global services and enhancements to the program integrity and data transparency in the Medicare Advantage program.

Back To Top


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.

  • Recovery audit contractor awards
  • DMEPOS competitive bidding program: CMS awards contracts for round one 2017
  • Hospital value based purchasing program results for FY 2017
  • Updates to dialysis facility compare: patient experience rating available
  • Chiropractic services: high part B improper payment rate

Back To Top

 


Quality and Population Health


CMS Announces OQR Program Payment Reduction Results For CY 2017 Payment Determination

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has posted the Hospital Outpatient Quality Reporting Program calendar year 2017 payment determination lists on QualityNet. The following lists are available.

  • Hospitals that met all Hospital OQR Program requirements (97.3 percent). These hospitals will receive the full CY 2017 payment update. The full Outpatient Department (OPD) fee schedule increase factor for CY 2017 will be published in the CY 2017 Outpatient PPS final rule.
  • Hospitals that did not meet all Hospital OQR Program requirements (2.7 percent). These hospitals will receive a 2 percentage point reduction to their CY 2017 OPD fee schedule increase factor.
  • Hospitals that chose not to participate in the Hospital OQR Program for the CY 2017 payment determination. These hospitals will receive a 2 percentage point reduction to their CY 2017 OPD fee schedule increase factor.
A hospital may submit a request for reconsideration to CMS by completing the hospital OQR reconsideration request form by the Feb. 1, 2017, deadline. Details are available on QualityNet.

Back To Top

 


CMS Announces IQR Webinar

Staff Contact: Sherry Buschjost

An outreach and education webinar for participants in the Hospital Inpatient Quality Reporting Program is scheduled at 1 p.m. Wednesday, Nov. 16. The webinar, titled “The Clinician Perspective of Sepsis Care: Early Management Bundle for Severe Sepsis/Septic Shock” will provide insight into the severe sepsis/septic shock bundle from a clinical perspective; review specification updates; provide an overview of the fourth quarter 2015 SEP-1 data analysis; and help physicians, medical directors, clinicians, nurses, clinical documentation teams and pharmacists better understand this clinical quality measure. Registration is required.

Back To Top

Noteworthy


NAHSE Schedules Annual Symposium

Staff Contact: Dave Dillon

The National Association of Health Services Executives and St. Louis Regional Health Commission have scheduled their 3rd Annual Symposium for 7 to 9 a.m. on Friday, Nov. 18, at the Saint Louis Art Museum. The keynote speaker will address the state of health care finance, post-election. The event is free; registration is requested.

Back To Top

Did You Miss An Issue Of MHA Today?


November 3, 2016
Not published because of MHA Annual Convention & Trade Show.

November 2, 2016
Not published because of MHA Annual Convention & Trade Show.

November 1, 2016
CMS Releases Value-Based Purchasing Fact Sheet
CMS Issues Final CY 2017 OPPS And ASC Payment And Policy Updates
CMS Releases Final Payment And Policy Updates To Home Health PPS
Fourth Open Enrollment On HealthCare.gov Starts Today
CMS Awards New Contracts For RACs
Study Finds Patient Risk Factors A Key Driver Of Readmissions In Minority-Serving Hospitals
Study Shows Increase In Pediatric Hospitalizations For Prescription Opioid Poisonings
CMS Announces IPFQR Webinar
Aetna Protests Medicaid Managed Care Contract Award

October 31, 2016
CMS Releases Final Updates To CY 2017 ESRD PPS
CMS Releases Home Health Final Payment And Policy Updates
CMS Offers Webinar On Transition To NHSN Rebaseline
HIDI HealthStats — Adverse Childhood Experiences
MHA Releases Missouri Price And Quality Transparency Update
Wertz Announces Retirement From Golden Valley Memorial Healthcare

 


Consider This ...

Twenty-two percent of Missouri adults smoke and at 17 cents per pack of cigarettes, Missouri’s tax is the lowest in the country.

Source: Kaiser Health News