Trump Releases FY 2018 Budget
Staff Contact: Andrew Wheeler
The White House released the president’s budget for fiscal year 2018, calling for $4.1 trillion in spending, which is a $636 billion cut in federal spending. The U.S. Department of Health & Human Services would have a budget of $1.13 trillion, which is an increase of $421 million. MHA has published an issue brief with additional details. The budget also includes the following.
- medical liability reforms that would reduce medical malpractice costs
- investing in activities that prevent fraud, waste and abuse, while promoting quality and efficient health care
- net savings related to repealing and replacing the Affordable Care Act
- provides additional flexibility to states, allowing for a choice between a per capita cap or block grant beginning in FY 2020
- although the Children’s Health Insurance Program would need to be extended through legislation, the budget includes funding for an additional two years
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MHA Submits AHCA Comments To Senate Finance Committee
Staff Contact: Daniel Landon
MHA has responded to a request for comments and recommendations about the American Health Care Act from U.S. Sen. Orrin Hatch, chair of the Senate Finance Committee. The U.S. Senate is expected to develop a new version of the legislation in the coming weeks or month. The committee is likely to play a significant role in the process. Missouri Sen. Claire McCaskill recently became a member of the committee.
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MO HealthNet Clarifies Outpatient Lab Billing
Staff Contact: Brian Kinkade
MO HealthNet has issued a bulletin clarifying the requirements for hospitals that submit claims for outpatient laboratory services. Outpatient lab services performed by an independent laboratory may be billed either by the hospital or independent laboratory, but not both. The hospital and independent lab must agree and document which entity will bill Medicaid. If the hospital bills for services performed by a laboratory that is not an enrolled MO HealthNet provider, the hospital must keep a copy of the laboratory’s clinical laboratory improvement amendment certification with its records. Outpatient lab services are reimbursed on a fee schedule and not as percentage of billed charges like other outpatient services. Hospitals may not bill a facility charge if the only service rendered is the laboratory service. Clinical laboratory services are covered in sections 13.54 and 13.55 of the MO HealthNet hospital provider manual.
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