MHA Today | January 26, 2017

January 26, 2017
MHA Today: News for Healthcare Leaders

twitter linkedin MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
MHA Distributes Projected Payment Implications Of Medicare’s VBP, HAC And Readmissions
Coalition Releases Prior Authorization Principles

state and federal health policy developments

MHA Distributes Projected Payment Implications Of Medicare’s VBP, HAC And Readmissions

Staff Contacts: Andrew Wheeler or Peter Rao

MHA has made available a hospital-specific summary about how the Medicare pay-for-performance system is affecting payments in fiscal years 2015 through 2017. The analysis includes details about the performance of each domain, as well as the fiscal implications for value-based purchasing, the readmissions reduction program and hospital-acquired conditions. MHA has posted these files to HIDI Analytic Advantage® for review.

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Coalition Releases Prior Authorization Principles

Staff Contact: Peter Rao

The American Medical Association and 16 other health care organizations, including the American Hospital Association, released a set of 21 principles for ensuring that prior authorization requirements do not hinder patient access to care. Members of the coalition — which include representatives from hospitals, medical groups, patients, pharmacists and physicians — seek to work collaboratively with health plans and others to implement fair prior authorization programs that are consistent with the principles. The principles are grouped into five categories: clinical validity; continuity of care; transparency and fairness; timely access and administrative efficiency; and alternatives and exemptions.

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Consider This ...

Lung cancer is the No. 1 killer of women, and two-thirds of lung cancer diagnoses are people who have never smoked or who have quit smoking.

Source: American Lung Association