MHA Today | February 19, 2016

February 19, 2016
MHA Today: News for Healthcare Leaders

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet. Connect with us on LinkedIn.


Herb Kuhn, MHA President & CEOAccording to Dan Mehan, President and CEO of the Missouri Chamber of Commerce and Industry, “It’s hard to overestimate the impact Missouri hospitals have on the economy.” True enough.

This week, MHA released the annual Community Investment Report. It spotlights Missouri hospitals' essential role in providing a safety net, and underscores hospitals’ significant contributions to the economy. The report finds that in 2014, the state’s hospitals provided $2.75 billion in community benefit and their investments in salaries, benefits and capital improvements exceeded $11.2 billion.

There’s no question that the problem of Missouri’s uninsured is as profound as ever. Although 2014 was the first year of enrollment in the federal marketplace, and the Missouri economy was on the mend, reductions in uncompensated care costs were not realized. In fact, the costs of caring for the uninsured and underinsured grew — significantly.

Charity care cost increased by $136 million in 2014 to a record total of $723 million. Bad debt increased to $563 million, an increase of $56 million. The total cost of uncompensated care in 2014 was $1.3 billion — another record.

There was another stunning fact included in the release. Between 2004 and 2014, Missouri hospitals' charity care cost increased by 469 percent — from $154 million to $723 million throughout a decade.

Two weeks ago, MHA launched an expanded price and quality transparency program with the Focus On Hospitals website relaunch. The Community Investment Report is the final data component of the site.

As we move toward the Triple Aim promise of better care, better health and lower cost, we need partners committed to helping build a high-performing health care system. It will include expanded coverage, because a well-designed system begins with primary care, not an emergency department visit. It also demands serious partners — organizations committed to improvement and the delivery of value. I appreciate the Missouri Chamber’s leadership in supporting the building of a better health care system and their recognition of the contribution of hospitals to the state’s economy. They are a great partner on a variety of issues.

Missouri’s hospitals can’t rebuild this system alone. Presently, we’re doing our share and then some. This week’s report is evidence.

Drop me a note with your thoughts.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
MHA Comments To Congressional Committee On Site-Neutral Payments
State Senate Approves Tort Reform Bill

Convenants Not To Compete Bill Sent Back To Lower Committee
MHD Issues Program Updates
CMS Releases Supplemental Guidance For Abstracting Sepsis
CMS Schedules Rural Health Open Door Forum

state and federal health policy developments

MHA Comments To Congressional Committee On Site-Neutral Payments

Staff Contact: Daniel Landon

In response to a solicitation from the chairmen of the U.S. House of Representatives Energy and Commerce Committee and its Health Subcommittee, MHA has commented on recent federal legislation to impose a site-neutral Medicare payment structure on some off-campus hospital outpatient departments.

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State Senate Approves Tort Reform Bill

Staff Contact: Daniel Landon

After an all-night filibuster culminated in a compromise, the state Senate has given its final approval to legislation that would revise the collateral source rule, which defines how medical costs will be considered in liability lawsuits. The bill now moves to the House of Representatives.

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Convenants Not To Compete Bill Sent Back To Lower Committee

Staff Contact: Rob Monsees

The Select Committee on Social Services has voted to send House Bill 1660, sponsored by Rep. Keith Frederick (R-Rolla), which would prohibit the use of non-compete clauses in contracts between physicians and nonprofit hospitals, back to the House Health and Mental Health Policy Committee for further discussion and work on the bill. Rep. Frederick has offered an amendment to address criticisms of his initial legislation, but MHA remains opposed and is actively working with a coalition of other opponents.

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MHD Issues Program Updates

Staff Contact: Steve Renne

The MO HealthNet Division issued bulletins to update the following programs.

  • Behavioral Health Individualized Education Plan School-Based Services
  • Private Duty Nursing
  • Ambulance
  • Women’s Health Services Program

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Regulatory News
the latest actions of agencies monitoring health care

CMS Releases Supplemental Guidance For Abstracting Sepsis

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has posted an additional guidance document for the Early Management Bundle, Severe Sepsis/Septic Shock measure set for implementation with acute inpatient discharges from Oct. 1, 2015, through June 30, 2016. The additional guidance document, SEP-1 Additional Notes for Abstraction for Version 5.0b, provides clarification from frequently asked questions for SEP-1 data elements. The document should be reviewed in conjunction with all SEP-1 documentation, including the specifications manual and posted Q&As.

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CMS Schedules Rural Health Open Door Forum

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services will present the next Rural Health Open Door Forum at 1 p.m. Thursday, Feb. 25. Included in the agenda will be an update on rural health clinic coding and a review of the critical access hospital necessary provider designation documentation requirements. Participants should dial 800/837-1935, and reference conference ID: 38296329.

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Did You Miss An Issue Of MHA Today?

February 18, 2016
House Committee Approves Perinatal Care Legislation
Hospital Life Safety Bill Advances
St. Louis County Considers Prescription Monitoring Program
Senate Advances Legislation On Patient Cost-Sharing And Price Transparency
CMS Provides OP-33 EBRT Flowchart
MLN Connects Provider eNews Available
HIDI Releases Management And Productivity Report
CDC Seeks Feedback From LTCHs And IRFs On Additional Training Needs

February 17, 2016
MHA Releases Community Investment Report
House Approves Collaborative Practice Legislation
Senate Advances Tort Reform Measure
TJC Announces New Requirements For Diagnostic Imaging Services
CMS Provides Information On Data Entry And Public Reporting Of OP-31
FDA Releases Fact Sheet About New Opioid Action Plan
ACGME Announces Funding Opportunity For Physician And Resident Education

February 16, 2016
State Senate Approves Infection Control Measure
MMAC Issues Forged Prescription Alert
CMS Announces Physician Quality Measure Alignment Initiative

February 15, 2016
CMS Issues Guidance On CAH Necessary Provider Status
HIDI HealthStats — Sociodemographic Factors In Risk-Adjusted Readmission Measures
Landmark Hospital Of Columbia Names New CEO

Consider This ...

More than one-third of adults in the U.S. are not getting enough sleep. The American Academy of Sleep Medicine and the Sleep Research Society recommend that adults ages 18 to 60 years sleep at least 7 hours each night.

Source: Centers for Disease Control and Prevention