MHA Today | April 10, 2017

April 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
Missouri Senate Approves FY 2017 Supplemental Appropriations
Missouri House Adopts FY 2018 Budget
House Committee Reviews Concealed Weapon Bill
MedPAC Releases April Meeting Summary
CMS Releases Region 7 Updates
MHA Releases Interactive Opioid Toolkit
CMS Announces OQR Education Session
CMS Updates 2017 QRDA Category I PSVA Tool

What You Need To Know This Week

  • Congress is on its two-week Easter break — take this opportunity to meet and connect with them on issues facing your hospital.
  • Last week, the Missouri House of Representatives finished its work on the state budget — this week, the Senate will begin its work.

Advocate
state and federal health policy developments


Missouri Senate Approves FY 2017 Supplemental Appropriations

Staff Contacts: Rob Monsees or Brian Kinkade

On Thursday, the Missouri Senate passed House Bill 14, the supplemental budget for state fiscal year 2017. HB 14 will provide an additional $50 million for Medicaid hospital payments to fully fund the program for the current fiscal year. Although the House and Senate agree on funding for the Medicaid hospital program, there are differences between their positions on other appropriations that must be resolved before the supplemental budget bill is finalized.

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Missouri House Adopts FY 2018 Budget

Staff Contacts: Rob Monsees or Brian Kinkade

The Missouri House of Representatives passed its version of the state’s fiscal year 2018 budget on Thursday. While the House budget makes no significant change in Medicaid policy for hospitals, two elements of the House spending plan are noteworthy. First, the House did not include the continuation funding from the current year’s supplemental budget in its FY 2018 appropriations, but rather held the funding on the state’s balance sheet to appropriate in the supplemental budget again next year. Second, the House did not designate the appropriation for federal reimbursement allowance payments as an “estimated” or “E” appropriation. Estimated appropriations are unique in that they can be adjusted upward by the governor’s budget office without further legislative approval. The House added additional spending authority to compensate for the lost flexibility.

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House Committee Reviews Concealed Weapon Bill

Staff Contacts: Daniel Landon or Rob Monsees

A state House of Representatives committee is slated to hold a hearing today on House Bill 630. The bill revises state law regarding concealed weapons. One of its changes would allow those with a permit to carry a concealed weapon in the areas of a hospital that are accessible to the public. Current law allows hospitals to bar concealed weapons from those areas. MHA opposes the change.

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MedPAC Releases April Meeting Summary

Staff Contact: Andrew Wheeler

The Medicare Payment Advisory Commission met last week and covered a wide array of issues, including Part B drug payments, Medicare premium support, unified payment system for post-acute care and measuring low-value care. Highlights include the following.

  • Post-acute care PPS – unified payment system
    • Recommended to speed up implementation
    • Phased in throughout a three-year transition period
    • Included a 5 percent payment reduction
  • Part B drugs
    • Recommended reducing Part B drug payments and launching a market-based alternative
    • Drug manufacturers would report sales price data or face penalties
    • Require drug manufacturers to pay rebates if their prices exceed inflation
  • Effects of provider consolidation
    • Consolidation tends to increase Medicare physician payments
    • Physician and hospital prices tend to increase based on regional market share
    • Recommended to continue policies, such as site-neutral payments
  • Part D drug payment analysis
    • Examined potential ways to help rein-in drug pricing and shield beneficiaries
    • Revised a series of recommendations relating to policies that would more align Medicare payments in Part D with value
    • Examined ways to encourage the use of generic drugs
  • Premium support
  • Medical device industry
  • Regional variation in Medicare Part A, Part B and Part D spending and service use
  • Measuring low-value care in Medicare


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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Region 7 Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services’ Region 7 updates for April address the following topics.

  • 2017 marketplace final open enrollment report
  • Medicare Access and Children’s Health Insurance Program quality payment program updates
  • Long-term care hospital quality reporting program Listserv/spotlight announcement
  • Medicare home health services pre-claim review demonstration phase
  • Clinical lab fee schedule 60-day reporting extension
  • Web interface and consumer assessment of healthcare providers and systems reporting
  • 2018 final payment and policy updates for Medicare health and drug plans – request for information
  • Offering states flexibility to increase market stability and affordable choices
  • CMS interim summary report on risk adjustment for the 2016 benefit year


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Quality and Population Health


MHA Releases Interactive Opioid Toolkit

Staff Contact: Leslie Porth

Today, MHA launched an interactive opioid toolkit that provides access to current national and Missouri research, and practice and policy guidance to address the opioid epidemic. Specific resources for prevention, assessment, treatment and patient education are included. The toolkit also includes in-depth instruction and resources to join the St. Louis County prescription drug monitoring program. The toolkit will expand in breadth and depth as more information becomes available. MHA has additional opioid resources online.

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CMS Announces OQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Outpatient Quality Reporting Program has been scheduled for Wednesday, April 19. The webinar, titled “The Treasure Hunt: Valuable Tools for Successful Reporting,” will include a discussion of OQR measures and a review of reports, including the provider participation report. The webinar is offered at 9 a.m. and 1 p.m. Registration is required.

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CMS Updates 2017 QRDA Category I PSVA Tool

Staff Contact: Sherry Buschjost

Updates to the Hospital Quality Reporting 2017 Centers for Medicare & Medicaid Services Quality Reporting Document Architecture Category I schematron for the pre-submission validation application are available to download through secure file transfer on the QualityNet Secure Portal. Upon opening the PSVA, the application will run a check against the schematron stored on the server and prompt users to download the new schematron. The hospital electronic clinical quality measure receiving system is expected to be able to receive test and production files, and perform complete file validation and measure calculation by the end of April.

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Consider This ...

The number of American adults with hearing loss is expected to nearly double to 73.5 million in the next 40 years.

Source: American Academy of Otolaryngology – Head and Neck Surgery