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In This Issue
MHA Submits Letter And Research To CMS On Star Ratings
MHA Posts Presumptive Eligibility Plan Resources
MHA Distributes Analysis Of Final Medicare Inpatient PPS For FFY 2017
VA St. Louis Health Care System Names Director
state and federal health policy developments
Staff Contact: Mat Reidhead
On Friday, MHA submitted a formal letter and analysis to the Centers for Medicare & Medicaid Services Acting Administrator, Andy Slavitt, detailing widespread industry concern over the new overall hospital quality star rating system. Using the CMS data and methodology, Hospital Industry Data Institute researchers found the star ratings were significantly influenced by hospitals’ data submission across the seven domains measured and when two measures with questionable integrity — the PSI-90 composite and hospitalwide readmissions — were excluded. HIDI also uncovered a significant relationship between the number of stars awarded and the sociodemographic status of hospitals’ patients and communities, such as the 277 percent difference in a standard socioeconomic deprivation index (pictured above). Together, these factors demonstrate a systemic disadvantage for hospitals that serve communities with few health resources, more complex patients, and robust surveillance and reporting systems.
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Staff Contact: Steve Renne
On Sept. 22, MHA hosted a webinar addressing the Presumptive Eligibility Plan, which was presented by Dwight Fine, a consultant at the Family Support Division. The slides are available for download. Because of technical difficulties, the audio portion starts at slide four.
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the latest actions of agencies monitoring health care
Staff Contact: Andrew Wheeler
MHA has made available a summary and analysis of the federal fiscal year 2017 inpatient prospective payment system final payment and policy updates. The analysis includes the financial effects of marketbasket updates, the budget neutrality adjustment, reductions mandated by the Affordable Care Act, the prospective coding adjustment as mandated by the American Taxpayer Relief Act of 2012 and two-midnight rule adjustments. The analysis also includes results from the adoption of using three years to determine Factor 3 that distributes disproportionate share payments to hospitals and the transition to a Z-score methodology to assign hospital-acquired condition payment cuts. Results are illustrated in national, state, health system and individual hospital groupings. Inpatient PPS hospitals in Missouri are projected to receive a 0.4 percent increase in Medicare payments. Although footnoted, the effects of the Medicare sequestration are not included. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are made available for download to authorized users of HIDI Analytic Advantage.®
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Staff Contact: Carol Boessen
The VA St. Louis Health Care System has named Keith Repko as Director, effective Oct. 2. He has been serving as Interim Director since January 2016 and previously was Associate Director, Chief of Facilities Engineering and Chief of Biomedical Engineering. A list of CEO changes is available online.
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Arthritis strikes 1 in 5 adults and is the nation’s leading cause of disability.
Source: Arthritis Foundation