MHA Today | April 19, 2016

April 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.

In This Issue
Majority Of U.S. House And Senate Support CMS Star Rating Delay
MHD Posts Mental Health Crisis Prevention Project 1115 Waiver
CMS Releases FY 2017 IPPS And LTCH Proposed Rule

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state and federal health policy developments

Majority Of U.S. House And Senate Support CMS Star Rating Delay

Staff Contact: Daniel Landon

Sixty U.S. Senators wrote the Centers for Medicare & Medicaid Services asking the agency to delay the April 21 release of its Star Ratings of overall hospital quality on Hospital Compare. Two hundred and twenty-five members of the U.S. House of Representatives signed a similar letter. The Senate letter was signed by Sens. Roy Blunt and Claire McCaskill. The House letter was signed by Reps. William “Lacy” Clay, Jason Smith, Ann Wagner, Billy Long and Blaine Luetkemeyer. MHA thanks the legislators for their leadership on this issue.

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MHD Posts Mental Health Crisis Prevention Project 1115 Waiver

Staff Contact: Steve Renne

The Mental Health Crisis Prevention Project 1115 Waiver application and public comments have been posted on the MO HealthNet Division’s website. The proposed demonstration is based on the Community Mental Health Liaison and Emergency Room Enhancement programs. The programs identify young adults who are experiencing a behavioral health crisis and link them to health care and behavioral health services. The demonstration provides greater access to medical and behavioral services, including evidence-based supported employment services.

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Regulatory News
the latest actions of agencies monitoring health care

CMS Releases FY 2017 IPPS And LTCH Proposed Rule

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the proposed payment and policy rules for fiscal year 2017 inpatient and long-term care hospital prospective payment systems. CMS projects that IPPS payments will increase by $539 million, while LTCH PPS payments will decrease by $355 million. CMS has proposed the following.

  • permanently remove the 0.2 percent payment reduction because of the 2-midnight rule implementation
  • transition the distribution of Medicare disproportionate share hospital uncompensated payments from Medicaid and Medicare surgical site infection days to using the Medicare cost report, form S-10
  • pay-for-performance and quality reporting revisions
  • implementation of the Notice of Observation Treatment and Implications for Care Eligibility Act and introduction of the Medicare Outpatient Observation Notice
  • temporary exception for certain severe wound discharges from the LTCH site-neutral payment adjustment

Comments are due by 4 p.m. Friday, June 17. MHA will release an issue brief when available.

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Consider This ...

Seventy-five percent of adults ages 50 and older regularly take prescription medicine, and 53 percent of adults ages 65 and older regularly take four or more prescriptions.

Source: AARP