MHA Today | March 23, 2017

March 23, 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 Releases FFY 2017-2019 Medicare Pay-For-Performance Reference Guide
MLN Connects Provider eNews Available
CMS Hosts Hospice Open Door Forum
CMS Releases Outpatient Quality Reporting Checklist And Submission Deadlines
JAMA Publishes Septic Shock Drug Shortage Study
MHA Joins Growing List Of Challengers To DSH Audit Methodology

Regulatory News
the latest actions of agencies monitoring health care


MHA Releases FFY 2017-2019 Medicare Pay-For-Performance Reference Guide

Staff Contact: Andrew Wheeler

To assist member hospitals in preparing for the effects of future reimbursement changes to the Medicare pay-for-performance programs, MHA is providing a reference guide that includes program timeframes, weights, care minimums, benchmarks and the calculation methodology. Policy and analytic studies are made available for download to authorized users of HIDI Analytic Advantage.® If you need a user ID and password or have questions about accessing these reports, please contact hidi@mhanet.com. MHA also has made available several on-demand webinars that include an introductory overview, measurement and calculation details, and simulation examples.

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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.

  • preventive services CMS provider minute video
  • inpatient rehabilitation facility and long-term care hospital compare quarterly refresh
  • new educational initiative to raise awareness of chronic care management
  • provider enrollment revalidation: cycle two MLN Matters article
  • Medicare shared savings program accountable care organization: preparing to apply for the 2018 program year call

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CMS Hosts Hospice Open Door Forum

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services is hosting a webinar for hospice providers on Tuesday, April 25. The webinar has been rescheduled to start at 11 a.m. While the registration has reached capacity at 1,000 registrants, those not already registered can be placed on a waiting list if spots become available.

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Quality and Population Health


CMS Releases Outpatient Quality Reporting Checklist And Submission Deadlines

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has released the outpatient quality reporting checklist related to submission of fourth quarter 2016 data. Submission deadlines are as follows.

  • Monday, May 1 — Outpatient clinical data
  • Monday, May 15 — Web-based measures for calendar year 2016 submitted into the secure portal. This application will be available after Saturday, April 1.
  • Monday, May 15 — Health care personnel influenza vaccination summary data for the time period Oct. 1, 2016, through March 31, 2017, submitted to the National Healthcare Safety Network.


Failure to submit data by the deadline puts a hospital at risk of a two-point reduction to the hospital’s 2018 outpatient PPS annual payment update.

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JAMA Publishes Septic Shock Drug Shortage Study

Staff Contact: Jessica Rowden

According to a recent study published by the Journal of the American Medical Association, the U.S. norepinephrine shortage in 2011 was associated with increased mortality among hospital patients with septic shock. At the time, the Food and Drug Administration reported a severe nationwide shortage of norepinephrine because of production interruptions at three drug manufacturers. Based on a retrospective analysis of administrative and pharmacy billing data from the Premier Healthcare Database, the study found that septic shock patients at hospitals that experienced a norepinephrine shortage had a 3.7 percent higher rate of in-hospital mortality. The FDA Safety and Innovation Act of 2012 included a number of American Hospital Association-supported provisions to help alleviate critical drug shortages.

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Noteworthy


MHA Joins Growing List Of Challengers To DSH Audit Methodology

Staff Contact: Jane Drummond

MHA filed suit in federal court on Tuesday challenging the audit methodology imposed by the Centers for Medicare & Medicaid Services for the 2011 and 2012 DSH audits. In 2010, CMS issued FAQ guidance on calculating hospital-specific DSH limits, requiring offset of Medicare and third-party payments. MHA asserts that this methodology is a substantive change in the cost calculation which must be promulgated as a formal rule. The suit further contends that any such rule would be ineffective, as it clearly violates the plain text of the Medicaid Act.

Similar suits are pending in the District of Columbia, New Hampshire, Tennessee and Minnesota. Two courts have issued preliminary rulings in favor of the hospital and hospital association plaintiffs. MHA’s goal is to compel CMS to derive hospital-specific DSH limits without the offsetting payments, which would greatly benefit the majority of members.

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Consider This ...

In a recent Journal of the American Medical Association study, the overall rate of attrition among general surgery residents is 18 percent, and female residents are more likely to leave (25 percent) than male residents (15 percent).

Source: HealthLeaders