MHA Today | April 17, 2017

April 17, 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 Submits Comments Supporting CMS EPM Delay
CMS Releases FY 2018 IPPS And LTCH Proposed Payment, Policy Updates
CDC Releases Interim Guidance: Managing Occupational Exposures To Zika
MHA Releases Aim For Excellence Award Application Tutorial
CMS Announces Next Rural Open Door Forum

What You Need To Know This Week

  • Comment letters on the implementation delay of the comprehensive joint replacement episode payment models are due to the Centers for Medicare & Medicaid Services by Wednesday. MHA’s letter is included in today’s edition.

Regulatory News
the latest actions of agencies monitoring health care


MHA Submits Comments Supporting CMS EPM Delay

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced the delay of the Advancing Care Coordination Through Episode Payment Models, the Cardiac Rehabilitation Incentive Payment Model, and changes to the Comprehensive Care for Joint Replacement Model from Saturday, July 1, to Sunday, Oct. 1. CMS specifically asked for comments about a longer delay, possibly delaying the effective date until Jan. 1, 2018. MHA submitted comments encouraging CMS to delay the effective date, as well as recommended that CMS withdraw from this and other similar mandatory models. Comments are due Wednesday, April 19.

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CMS Releases FY 2018 IPPS And LTCH Proposed Payment, Policy Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the fiscal year 2018 payment and policy updates to the acute inpatient and long-term care PPS. Although the document is more than 1,800 pages long, CMS comments that the proposed rule aims to relieve regulatory burdens for providers. CMS is soliciting by way of a request for information, “ideas for regulatory, policy, practice and procedural changes to better achieve transparency, flexibility, program simplification and innovation.” The rule includes some good news for hospitals in Missouri, including revising the way Medicare disproportionate share hospital payments are distributed by transitioning away from Medicaid and Medicare supplemental security income days to the use of Worksheet S-10. MHA has published an issue brief with additional details. Other notable changes include the following.

IPPS Proposed Updates

  • CMS projects a payment increase of $3.1 billion or 2.9 percent (1.7 percent marketbasket and an additional 1.2 percent for uncompensated care payments)
  • increase of $1 billion in uncompensated care payment for a total of $7 billion
  • three-year transition to using Worksheet S-10 to distribute uncompensated care Medicare DSH payments
  • seeking comments about the use of social risk factors within the hospital-acquired conditions program
  • eliminate the Medicare dependent hospital program, unless Congress authorizes continuation through legislation


Long-Term Care Hospital Proposed Updates
  • payment decrease of $173 million or 3.75 percent — mostly because of the continued phase-in of the dual payment rate system
  • changes to the LTCH quality reporting program


Other Proposed Updates
  • proposed changes to the Medicare and Medicaid electronic health record incentive program
  • proposed changes to the Medicare code editor
  • revisions to quality reporting requirements
  • changes to instructions for the review of critical access hospital 96-hour certification requirements



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Quality and Population Health


CDC Releases Interim Guidance: Managing Occupational Exposures To Zika

Staff Contacts: Jackie Gatz or Toi Wilde

The Centers for Disease Control and Prevention has released interim guidance for managing occupational exposures to Zika for health care personnel. While there are no reported transmissions of the virus from infected patients to caregivers in a health care setting, the publication was developed in an effort to prevent occupationally acquired infections and reduce the spreading of infectious disease. The resource provides guidance for facilities to determine when providers should be tested for Zika following exposure. CDC reminds providers that health care personnel should adhere to standard precautions for all patient care activities as a preventive measure.

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MHA Releases Aim For Excellence Award Application Tutorial

Staff Contact: Leslie Porth

MHA is accepting applications for the 2017 Aim for Excellence Award. A recorded instructional webinar is available on MHA’s website to help applicants with the process. Applications must be received by 5 p.m. Monday, May 1.

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Noteworthy


CMS Announces Next Rural Open Door Forum

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services has scheduled the next Rural Health Open Door Forum at 1 p.m. Thursday, April 20. The clinical lab fee schedule and implementation of Section 216(a) of the Protecting Access to Medicare Act will be discussed. Dial 800/837-1935 and enter passcode 57728700 to participate. Forum recordings are available as podcasts a week after live events.

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Consider This ...

National Healthcare Decisions Day helps people understand the importance of advance care planning. Approximately 73 percent of people ages 65 and older have not discussed their end-of-life care with a physician.

Source: Kaiser Family Foundation, The Journal of the American Medical Association