MHA Today | February 16, 2017

February 16, 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
Senate Approves Tort Reform Legislation
MO HealthNet Begins Reimbursement For HBAI Services
CMS Delays Medicare Bundled Payments Rule
HHS Issues Market Stabilization Proposed Rule
DHSS Issues Health Update On Mumps Outbreak In Missouri
HIDI Releases Fourth Quarter FFY 2016 Inpatient, Outpatient, Missouri Databases
Kindred Hospital St. Louis Names Interim CEO

Advocate
state and federal health policy developments


Senate Approves Tort Reform Legislation

Staff Contacts: Daniel Landon or Rob Monsees

By a vote of 25-7, the Missouri Senate has given its final approval to Senate Bill 237. It would revise medical liability law to reverse the Jefferson v. Missouri Baptist court ruling. The bill now moves to the House of Representatives.

Back To Top


MO HealthNet Begins Reimbursement For HBAI Services

Staff Contact: Brian Kinkade

MO HealthNet released guidance for the reimbursement of health and behavior assessment and intervention services performed by licensed psychologists, provisionally licensed psychologists, licensed clinical social workers and licensed master social workers, for dates of service on or after Feb. 1. HBAI services are used to identify and address the psychological, behavioral, emotional, cognitive and social factors that are important to the treatment and management of physical health problems.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


CMS Delays Medicare Bundled Payments Rule

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has issued a final rule that delays the effective date of new rules that were previously published on Jan. 3. According to Larry Goldberg, a Medicare consultant, “The proposed rule is intended to implement three new Medicare Parts A and B episode payment models and a cardiac rehabilitation incentive payment model, and implements changes to the existing comprehensive care for joint replacement model under Section 1115A of the Social Security Act. Under the three new episode payment models, acute care hospitals in certain selected geographic areas will participate in retrospective episode payment models targeting care for Medicare fee-for-service beneficiaries receiving services during acute myocardial infarction, coronary artery bypass graft, and surgical hip/femur fracture treatment episodes. All related care within 90 days of hospital discharge will be included in the episode of care.” That rule’s effective date is now delayed from Saturday, Feb. 18, to Tuesday, March 21.

Back To Top


HHS Issues Market Stabilization Proposed Rule

Staff Contact: Andrew Wheeler

The U.S. Department of Health & Human Services has issued a proposed rule that would help stabilize the individual and small group health care markets. The proposed rule would amend standards relating to special enrollment periods, guaranteed availability and the timing of the annual open enrollment period in the individual market for the 2018 plan year; standards related to network adequacy and essential community providers for qualified health plans; and the rules around actuarial value requirements. The rule is scheduled for publication in the Friday, Feb. 17, Federal Register. MHA has published an issue brief with additional information.

Back To Top


Quality and Population Health


DHSS Issues Health Update On Mumps Outbreak In Missouri

Staff Contact: Jackie Gatz

Yesterday, the Missouri Department of Health and Senior Services released a second update to the ongoing mumps outbreak that was first referenced in November 2016. The update provides an overview of the current status and reported cases of the outbreak in Missouri.

As of Feb. 7, a total of 361 laboratory-confirmed and probable cases of mumps associated with the University of Missouri-Columbia outbreak have been reported. Mumps continues to have a presence on the MU campus despite the implementation of traditional control measures, the recommendation for a third dose of MMR vaccine, and a reduced student population on campus during the winter break. In response to new case reports, MU has scheduled a mass vaccination clinic for students to ensure a third dose of MMR vaccine is available.

In addition, 22 counties in Missouri, including Boone County, have had at least one confirmed or probable mumps case reported since Aug. 22, 2016. As of Feb. 7, the statewide case count was 396 during this time period. Health care providers should maintain a high index of suspicion for mumps among people with symptoms compatible with the disease. Mumps should not be ruled out because of appropriate vaccination history. Additionally, health care providers should consider evaluating patients for MMR catch-up dose(s) as appropriate. Questions should be directed to DHSS’ Bureau of Communicable Disease Control and Prevention at 573/751-6113 or 800/392-0272.

Back To Top


HIDI Tech Connect


HIDI Releases Fourth Quarter FFY 2016 Inpatient, Outpatient, Missouri Databases

Staff Contact: Shane VanOverschelde

The fourth quarter federal fiscal year 2016 inpatient and outpatient databases, including HIDI-reporting hospitals in Missouri, Illinois and Kansas City, Kan., are available for download to subscribers of the Premier Data Package on HIDI Analytic Advantage.® The databases consist of a patient-level limited dataset, including all HIDI-reported discharges and visits to hospitals. Files are delivered as both text files and ready-to-query Microsoft Access database files. The files are located in “Strategic Planning/Premier Data” section and are organized in the following categories.

  • Q1-Q4 FFY2016, Inpatient
  • Q1-Q4 FFY2016, Outpatient Classified
  • Q1-Q4 FFY2016, Outpatient Unclassified


Hospitals interested in subscribing to the 2017 HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.



Back To Top

 


CEO Announcements


Kindred Hospital St. Louis Names Interim CEO

Staff Contact: Carol Boessen

Aaron Anothayanontha, Executive Director at Kindred – Missouri Hospitals, has been named Interim CEO of Kindred Hospital St. Louis, effective Feb. 15. He replaces Stephanie Bridges, who served as CEO since September 2013. A search is underway for a permanent replacement. A list of CEO changes is available online.

Back To Top



Consider This ...

February is American Heart Month. On average, Hispanic women are likely to develop heart disease 10 years earlier than non-Hispanics.

Source: American Heart Association