MHA Today | May 23, 2017

May 23, 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
Trump Releases FY 2018 Budget
MHA Submits AHCA Comments To Senate Finance Committee
MO HealthNet Clarifies Outpatient Lab Billing
CMS Posts CY 2017 eCQM Reporting Resources
Moberly Regional Medical Center Names New CEO


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state and federal health policy developments


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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Quality and Population Health


CMS Posts CY 2017 eCQM Reporting Resources

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has updated resources to assist eligible and critical access hospitals report calendar year 2017 electronic clinical quality measure data for the inpatient quality reporting and Medicare electronic health record programs. The documents are available on the eCQM resources pages on QualityNet and Quality Reporting Center.

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CEO Announcements


Moberly Regional Medical Center Names New CEO

Staff Contact: Carol Boessen

Ranee Brayton has been named CEO of Moberly Regional Medical Center, effective May 22. She also is CEO of Northeast Regional Medical Center in Kirksville. Brayton had been serving as Interim CEO of Moberly Regional Medical Center since November 2016 following John Dawes’ resignation. A list of CEO changes is available online.

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Consider This ...

May is Hepatitis Awareness Month. In the U.S., an estimated 3.5 million people are living with hepatitis C and up to 2.2 million people are living with hepatitis B.

Source: Centers for Disease Control and Prevention