MHA Today | October 10, 2016

October 10, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
CMS Contractor Evaluates IMD Demonstration
CMS Releases Hospice Transparency Data Tool

What You Need To Know This Week

state and federal health policy developments

CMS Contractor Evaluates IMD Demonstration

Staff Contacts: Daniel Landon or Sarah Willson

The Centers for Medicare & Medicaid Services has released the evaluation of the Medicaid Emergency Psychiatric Services Demonstration, which temporarily waived Medicaid’s coverage exclusion for nonelderly adults treated in institutions for mental disease. The evaluation contractor concludes that “data limitations prevent us from drawing strong conclusions about the effect of MEPD on access to inpatient care, length of stays, ER visits and costs. Available data suggest, however, that increased access of adult Medicaid beneficiaries to IMD inpatient care would likely come at a cost to the federal government.” The report includes a review of Missouri’s role in the demonstration. As previously reported, reauthorization and a potential expansion of the demonstration were blocked when CMS actuaries declined to attest its budget neutrality for the federal government.

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Regulatory News
the latest actions of agencies monitoring health care

CMS Releases Hospice Transparency Data Tool

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a new hospice transparency payment data tool. The tool includes information on utilization, Medicare payment data, submitted charges, hospice beneficiary demographics and more. According to CMS, the new data includes information on 4,025 hospice providers, more than 1.3 million hospice beneficiaries and more than $15 billion in Medicare payments. In 2014, Medicare spent an average of $11,393 per hospice beneficiary. CMS Chief Data Officer Niall Brennan stated, “The Hospice data and Market Saturation and Utilization Data Tool made available today support our goals of increasing access to Medicare data and improving the flow of information. CMS believes that greater data transparency leads to a more effectively functioning health care system, which leads to better care and smarter spending.”

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Consider This ...

October is Breast Cancer Awareness Month. Eighty-five percent of women diagnosed with breast cancer have no family history of the disease.

Source: National Breast Cancer Foundation, Inc.