MHA Today | January 19, 2017

January 19, 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
8.8 Million Americans Sign Up For Marketplace Coverage
CMS Announces APM Participants For 2017
SAMHSA Issues Confidentiality Final Rule
CMS Issues Cybersecurity Recommendations
MLN Connects Provider eNews Available
CMS Extends eCQM Data Submission Deadline
MedPAC Discusses Unified Payment For Post-Acute Care
Mercy St. Francis Hospital Names New Administrator

Advocate
state and federal health policy developments


8.8 Million Americans Sign Up For Marketplace Coverage

Staff Contact: Andrew Wheeler

Through Jan. 14, more than 8.8 million Americans have signed up for 2017 health care coverage through HealthCare.gov. This is a slight increase from last year’s plan selections of 8.7 million. In Missouri, 244,593 have made plan selections for 2017. The Centers for Medicare & Medicaid Services states that the next enrollment snapshot will be released Friday, Feb. 3, which will cover enrollments through the final open enrollment deadline of Tuesday, Jan. 31.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Announces APM Participants For 2017

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced the participants in four alternative payment models in 2017. Acting Administrator Andy Slavitt stated, “By listening to physicians and engaging them as partners, CMS has been able to develop innovative payment reforms that bring physicians back to the core practice of medicine — caring for the patient. By reducing regulatory burden and paying for quality, CMS is offering solutions that improve the quality of services our beneficiaries receive and reduce costs to help ensure the Medicare program is sustainable for generations to come.” More than 359,000 clinicians are participating, with more than 12.3 million Medicare and/or Medicaid beneficiaries served in 2017.

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SAMHSA Issues Confidentiality Final Rule

Staff Contact: Sarah Willson

The Substance Abuse and Mental Health Services Administration’s final rule concerning the confidentiality of substance use disorder patient records has been published in the Federal Register. The rule updates regulations in an effort to modernize the provisions of the rule and increase flexibility with new delivery models, while maintaining patient confidentiality. The effective date is Friday, Feb. 17.

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CMS Issues Cybersecurity Recommendations

Staff Contacts: Sarah Willson or Bryant McNally

The Centers for Medicare & Medicaid Services recently issued a guidance letter for surveyors concerning cybersecurity events in hospitals. The letter notes that the areas subject to the most regulatory scrutiny include governing body, medical records/patient records and nursing services. CMS urges facilities to treat cyberattacks as an emergency preparedness issue using an all-hazards, risk-assessment approach to ensure policies and procedures are in place in the event of an attack.

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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.

  • new care management webpage
  • outpatient PPS hospital claim issues
  • 2017 annual stationary oxygen budget neutrality calculations
  • CMS releases end-stage renal disease quality incentive program performance score reports for payment year 2017


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Quality and Population Health


CMS Extends eCQM Data Submission Deadline

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has extended the deadline for reporting electronic clinical quality measure data for the calendar year 2016 reporting period to Monday, March 13. The extension applies to the eCQM submission requirement for the Hospital Inpatient Quality Reporting Program and the CQM submission options (reporting by attestation or electronically) for the Medicare Electronic Health Record Incentive Program for eligible and critical access hospitals. For CY 2016 reporting, all other aspects of eCQM reporting requirements remain the same. Successful submission continues to be defined as reporting on at least four eCQMs using certified EHR technology, certified to the 2014 or 2015 edition. The reporting must be a combination of Quality Reporting Document Architecture Category I files, zero denominator declarations and/or case threshold exemptions. The information is reported through the QualityNet Secure Portal. Data submitters will have access to the pre-submission validation application for test and production QRDA I file format validation activities. The deadline for hospitals submitting an extraordinary circumstances extensions/exemptions request for CY 2016 reporting is Saturday, April 1.

For CY 2017 reporting, CMS intends to initiate the rulemaking process regarding modifications to the eCQM requirements established in the fiscal year 2017 inpatient PPS final rule in response to concerns raised by stakeholders. The intended changes would help reduce reporting burden while supporting the long-term goals of the programs. Additional information is available online.

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Noteworthy


MedPAC Discusses Unified Payment For Post-Acute Care

Staff Contact: Jim Mikes

The Medicare Payment Advisory Commission continues to explore development of a unified payment system that would apply to home health agencies, skilled nursing facilities, inpatient rehabilitation facilities and long-term care hospitals. MedPAC analysts presented a framework and timeline for transitioning to a unified payment system during the commission’s Jan. 12 meeting. Collection of uniform patient assessment information is scheduled to begin in October 2018 followed by recommendations from the U.S. Department of Health & Human Services’ secretary to Congress in 2022. With the proposed timeline, it is unlikely that a new system could be unveiled before 2024, although the commissioners discussed the possibility of accelerating a transition. The MedPAC meeting presentation and transcript are available.

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CEO Announcements


Mercy St. Francis Hospital Names New Administrator

Staff Contact: Carol Boessen

Mercy St. Francis Hospital in Mountain View has named Cindy Tooley as Administrator and Director of Nursing, effective Jan. 2. Tooley served as Executive Director of Operations since September 2014 and has been with Mercy since 2009. She replaces David Steinmann who served as Administrator of both Mercy St. Francis Hospital and Mercy Hospital Lebanon since July 2015. Steinmann will continue as Administrator of Mercy Hospital Lebanon. A list of CEO changes is available online.

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Consider This ...

January is National Blood Donor Month. Every two seconds someone in the U.S. needs blood.

Source: American Red Cross