MHA Today | May 5, 2017

May 5, 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.


Herb Kuhn, MHA President & CEO

Tomorrow is National Nurses Day. And, Sunday is the kickoff of National Hospital Week, which runs parallel with National Nurses Week. At the same time, hospital leaders from throughout the state will be in Washington, D.C., visiting with lawmakers and their staff. Many hospital leaders also will attend the American Hospital Association’s annual membership meeting. There’s a lot to discuss; the timing is perfect.

On Thursday, the U.S. House of Representatives adopted an amended version of the American Health Care Act. Although the U.S. Senate seems skeptical of many of the provisions, and scoring from the Congressional Budget Office has yet to be released, the AHCA has potential massive implications for hospitals and the health care system.

Hospital and nurses week provide an interesting prism to view the AHCA and the advocacy trip. Washington, D.C., can seem miles away — or perhaps worlds apart — from the hospital bedside. Nonetheless, decisions, both policy and political, have very real implications for the way care is delivered in communities large and small.

Although the AHCA, as a major legislative issue, will be central to our discussions, there also is a long list of regulatory issues that we’ll be sharing with our congressional delegation. One key issue is a recent local coverage decision by Medicare Administrative Contractor Wisconsin Physicians Services to require new accreditation standards for sleep labs. We’re working with the Centers for Medicare & Medicaid Services on a solution, but having the interest and support from our congressional delegation will be vital.

We’ll also be discussing the Worksheet S-10 issue for calculating Medicare disproportionate share hospital payments. S-10 measures the amount of uncompensated care cost that each facility incurs. CMS is proposing a transition that will result in funds being distributed in a more accurate way to hospitals that bear the burden of the uninsured. CMS estimates the transition to S-10, along with the national change to the uninsured pool, will increase payments to Missouri Medicare DSH hospitals by more than $34 million in federal fiscal year 2018. That’s important help, given Missouri’s higher uninsured rates.

These are but a few of the issues we’ll be discussing with the delegation and their staff. However, as I mentioned, these policy issues translate into hospitals’ effectiveness in delivering care to their communities and individuals at the bedside.

Beginning this weekend, MHA will be sharing new hospital stories as part of our “H” campaign. We’ll be releasing powerful videos of hospitals and hospital staff members delivering on their mission, and sharing the important story about how hospitals connect with their communities. You can help. Tag Missouri Health Matters on Facebook and @MoHealthMatters and @MoHospitals on Twitter with your stories. And, take a couple of minutes to recognize a hospital staff member next week by nominating them as a Hospital Hero. The nominator, along with the person they nominate, have the chance to receive $100 for doing so.

Finally, let me just offer a sincere thank you for all of the work that the state’s hospitals do to make Missouri a better place. It is a privilege to serve alongside the state’s hospitals and to advocate for the policies that make hospitals stronger.

Have a great National Hospital Week. Let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
State Senate Finishes Budget, Raids State Accounts To Stop Medicaid Cut
CMS Publishes Midwest Division Provider Update
CMS Announces IPFQR Webinar
CMS Posts Draft 2018 QRDA Implementation Guide For Public Comment
HCA Holdings To Change Name

state and federal health policy developments

State Senate Finishes Budget, Raids State Accounts To Stop Medicaid Cut

Staff Contacts: Daniel Landon or Rob Monsees

The General Assembly has completed its work enacting the state budget for the fiscal year beginning Saturday, July 1. Its constitutional deadline was 6 p.m. today. The final budget was orchestrated so that eligibility and payment restrictions for Medicaid in-home and nursing home care could be avoided only by passage of controversial legislation to restrict a property tax credit given to elderly and disabled renters. With intractable opposition both to the tax credit legislation and ratifying the budget cuts, the Senate forged an alternative proposal. It would sweep unexpended funds from most state accounts and use the proceeds to prevent the $35 million Medicaid budget cut. Recognizing the danger to the hospital provider tax account, MHA successfully amended the proposal to exclude it. The fund sweep proposal was approved by the Senate. It will be considered by the House of Representatives next week.

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Regulatory News
the latest actions of agencies monitoring health care

CMS Publishes Midwest Division Provider Update

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services’ Region 7 has published the May edition of the Midwest Division Provider Update newsletter. Major topics include Elder Justice Act posting requirements and resources for compliance with emergency preparedness regulations.

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Quality and Population Health

CMS Announces IPFQR Webinar

Staff Contact: Sherry Buschjost

An outreach and education webinar for participants in the Inpatient Psychiatric Facility Quality Reporting Program is scheduled at 1 p.m. Thursday, May 18. The webinar is titled “Navigating to Success: Navigating the Abstraction Process for the Transition Record Measures.” Registration is required.

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CMS Posts Draft 2018 QRDA Implementation Guide For Public Comment

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has posted the draft 2018 Quality Reporting Document Architecture Implementation Guide for Hospital Quality Reporting in JIRA (ticket QRDA-514). The deadline to submit comments is Monday, May 22. A JIRA account is required.

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HCA Holdings To Change Name

Staff Contact: Carol Boessen

HCA Holdings, based in Nashville, Tenn., will change its name to HCA Healthcare, effective Monday, May 8. CEO Milton Johnson reported the new name is more reflective of their mission and the broad spectrum of care they provide to communities.

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Did You Miss An Issue Of MHA Today?

May 4, 2017
U.S. House Approves American Health Care Act
Budget Conference Committee Completes Work On State FY 2018 Budget
House Passes Omnibus Appropriations Bill
Department Of Insurance Urges Missouri Insurers To Provide Assistance
MLN Connects Provider eNews Available
NHSN Revises Enrollment And HCP Measure Data Submission Checklist
MHA Launches Complimentary Culture Of Safety Survey
Six Missouri Colleges And Universities Receive Nursing Education Grants
Kindred Hospital St. Louis Names New Permanent And Interim CEOs

May 3, 2017
New Amendment Could Trigger U.S. House Vote On ACA Repeal/Replacement
General Assembly Faces Budget Deadline
MO HealthNet Issues Managed Care Enrollment Report
CMS Releases Region 7 Updates
CMS Hosts Opioid Epidemic Webinar
HIDI HealthStats — Opioid Mortality Research
CMS Announces Change In Distribution Of OQR Claims Detail Reports
CMS Accepts Submissions For QRDA Category I Files

May 2, 2017
State House Adds 20 Amendments To Advanced Directive Bill
careLearning Celebrates 17th Anniversary

May 1, 2017
Congress Reaches Agreement On FY 2017 Budget Accord
CMS Issues Proposed Payment, Policy Updates For SNFs
CMS Solicits Comments About SNF PPS Payment Revisions
DHSS Updates Controlled Substance List
MHA Distributes Medicare Final Episode Payment Model Analysis
MHA Releases Missouri Price And Quality Transparency Update
CMS Updates Hospital Compare Website
Ellett Memorial Hospital Names New CEO

Consider This ...

Approximately 1 in 3 adults with diabetes and 1 in 5 adults with high blood pressure could have chronic kidney disease.

Source: Centers for Disease Control and Prevention