MHA Today | January 10, 2017

January 10, 2017

MHA Today: News for Healthcare Leaders

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

In This Issue
MHA Writes Congressional Delegation About ACA Repeal/Replacement
CMS Announces Marketplace Enrollment Outpacing 2016
CMS Releases Hospital Compare Preview Reports
CMS Publishes 2016 eCQM Specifications Addendum
HIIN Offers Fellowships
CMS Offers Hospital Open Door Forum


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MHA Writes Congressional Delegation About ACA Repeal/Replacement

Staff Contact: Daniel Landon

MHA has written the 10 members of the Missouri congressional delegation regarding the emerging congressional debate of legislation to repeal and replace the Affordable Care Act. The letter reiterates that a “badly-synchronized repeal and replacement of the ACA could be a travesty.” Today, U.S. Speaker of the House Paul Ryan indicated that Republicans’ goal now is to concurrently repeal and replace the ACA, rather than separate the two actions.

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CMS Announces Marketplace Enrollment Outpacing 2016

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced that nationally, marketplace enrollment is up by 286,000 through Dec. 24, 2016. In addition, 82 percent of the individuals who signed up on HealthCare.gov are eligible for the advance premium tax credit, with an average tax credit amounting to $386 per month. An estimated 72 percent of marketplace consumers can find plans for less than $75 per month. Consumers have until Sunday, Jan. 15, to sign up for coverage that will begin Wednesday, Feb. 1. Open enrollment ends Tuesday, Jan. 31. The U.S. Department of Health & Human Services’ Secretary Burwell stated, “Nationwide demand for health coverage is higher than ever, as Americans prove again that Marketplace coverage is vital to them and their families.”

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Quality and Population Health


CMS Releases Hospital Compare Preview Reports

Staff Contact: Sherry Buschjost

Both inpatient and outpatient April 2017 Hospital Compare preview reports are available for participating hospitals on the QualityNet Secure Portal. The Centers for Medicare & Medicaid Services encourages hospitals to access and download reports early to thoroughly review them. The preview reports are only available until Tuesday, Feb. 7, and will then be reported on Hospital Compare.

The Hospital Compare overall hospital rating will not be updated in April 2017 as it is now on a bi-annual schedule that will be updated with the July and December releases. The overall ratings for April and October releases will maintain the same rating reported from the previous quarter’s release. For example, the April release will still show the same overall rating displayed in the previous December release, and in October the overall rating will be the same ratings displayed for the July release.

Of note, the OP 2017 Notice of Participation included three quarters of data for the chart-abstracted measures. As a result, the April 2017 preview report will only reflect three quarters of data in the aggregate. The aggregate will include third quarter 2015 through first quarter 2016 data. The July release and subsequent releases will return to reflecting four quarters of data.

IP hospitals that are eligible to suppress data must submit the “request for withholding data from public reporting form” to the hospital inpatient value, incentives and quality reporting outreach and education support contractor no later than Tuesday, Feb. 7. Questions can be emailed to the Hospital Compare overall rating team.

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CMS Publishes 2016 eCQM Specifications Addendum

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and the National Library of Medicine have published an addendum to the 2016 electronic clinical quality measures specifications. The addendum updates relevant ICD-10 clinical modification and procedure coding system eCQM value sets for the 2017 performance year, and affects electronic reporting of eCQMs for the following programs. A summary of the changes is available.

  • The Hospital Inpatient Quality Reporting Program
  • The Medicare Electronic Health Record Incentive Program for eligible hospitals and critical access hospitals
  • The Merit-based Incentive Payment System for eligible clinicians


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HIIN Offers Fellowships

Staff Contact: Jessica Rowden

Three free fellowship opportunities are being offered to Hospital Improvement Innovation Network project participants. The fellowships provide an opportunity to enhance staff capability to effectively manage patient/family engagement and quality improvement initiatives. Available fellowships include the following.


MHA encourages hospitals to offer fellowship participation to quality department staff, supervisors and quality/safety project leads. Participation is supported through the HIIN contract and MHA HIIN subject matter experts, and includes complimentary access to the Institute of Healthcare Improvement’s Open School for HIIN-participating organizations — an estimated $10,000 value. Registration for the fellowships can be completed using the following links.



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Noteworthy


CMS Offers Hospital Open Door Forum

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services is hosting an open door forum at 1 p.m. Wednesday, Jan. 11. Dial 800/837-1935 and enter passcode 5638423 to participate. The following topics will be discussed.

  • sections 16001 and 16002 of the 21st Century Cures Act
  • Medicare outpatient observation notice
  • recovery audit contractor contracts
  • episode payment model final rule
  • fiscal year 2018 inpatient PPS wage index
  • post-acute care provider pilot testing request


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Consider This ...

An estimated 252,710 new cases of breast cancer will be diagnosed in U.S. women this year.

Source: American Cancer Society