MHA Today | September 8, 2016

September 8, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
U.S. House Subcommittee Receives Testimony About Medicare’s Pay-For-Performance
MLN Connects Provider eNews Available
July MUR Available On HIDI Analytic Advantage®

state and federal health policy developments

U.S. House Subcommittee Receives Testimony About Medicare’s Pay-For-Performance

Staff Contacts: Andrew Wheeler or Alison Williams

The U.S. House of Representatives’ Committee on Ways and Means Subcommittee on Health asked for testimony about the status of, and opportunities to improve upon, the Medicare Part A pay-for-performance programs. Witnesses urged the subcommittee to revise the current programs to include sociodemographic risk adjustments, streamline and align the incentives across the continuum of care, and change the hospital-acquired condition payment penalty cliff while giving credit to hospitals that are improving their scores. Testimonies were given by Barbara Gage, Associate Research Professor at George Washington University, Elisabeth Wynn, Senior Vice President of Health Economics and Finance at the Greater New York Hospital Association, Steve Guenther, President of Almost Family, and Gregory Worsowicz, M.D., President of the American Academy of Physical Medicine Rehabilitation, and Chairman and Professor of Clinical PM&R at the University of Missouri School of Medicine.

MHA also has been advocating for revisions to the current pay-for-performance programs with a significant focus adjusting for sociodemographic factors. Most recent efforts include a New England Journal of Medicine Catalyst publication, titled “Before Penalizing Hospitals, Account for the Social Determinants of Health.”

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Regulatory News
the latest actions of agencies monitoring health care

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.

  • skilled nursing facility 30-day potentially preventable readmission measure updates
  • October 2016 average sales price files now available
  • inpatient rehabilitation facility and long-term care hospital quality reporting program preview reports available until Friday, Sept. 30
  • new advance care planning fact sheet
  • durable medical equipment, prosthetics, orthotics and supplies fee schedule corrections to the July 2016 file and assignment monitoring data posted

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HIDI Tech Connect

July MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the July 2016 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. The contacts from the participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once transferred, the data must be secured according to the hospital’s security procedures. August data are being collected and are scheduled to be available Wednesday, Oct. 5.

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Consider This ...

September is National Childhood Obesity Month. About 1 of every 5 (17 percent) children in the U.S. is obese and certain groups of children are more affected than others.

Source: Centers for Disease Control and Prevention