MHA Today | May 24, 2017

May 24, 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
CBO Issues Score On American Health Care Act
MHA Releases Statement On Trump Budget Plan
BCBS Of Kansas City Exits Individual Marketplace In 2018
MHA Supports Proposed Change To Medicare DSH Formula
MO HealthNet Posts Managed Care Training Presentation
MHA Distributes Analysis Of Proposed Medicare Inpatient PPS For FFY 2018
CMS Updates Known Issues Documents

Advocate
state and federal health policy developments


CBO Issues Score On American Health Care Act

Staff Contact: Daniel Landon

The Congressional Budget Office has issued its much-anticipated assessment of the coverage and financing implications of the American Health Care Act as passed by the U.S. House of Representatives. It projects that enactment of the legislation would increase the number of uninsured Americans by 23 million throughout the next decade. CBO also projects that the legislation would reduce the federal deficit by $119 billion during the next decade. Medicaid spending would be lessened by $834 billion from 2017 to 2026.

Back To Top


MHA Releases Statement On Trump Budget Plan

Staff Contact: Dave Dillon

MHA President and CEO, Herb B. Kuhn, released the following statement regarding President Trump’s proposed budget that was released yesterday.

“The budget proposal released by President Trump would eviscerate the health care safety net for many poor and low-income Americans. It would shift costs to states like Missouri that are already struggling to fund Medicaid. When combined with the health care legislation being considered in Congress, the budget would further expand the inequity between states that have and have not expanded Medicaid through the Affordable Care Act.

The budget decreases investments in the health care workforce at a time when additional, rather than fewer, health care professionals will be needed. And, the proposal would jeopardize children’s health by reducing eligibility for enrollment in the Children’s Health Insurance Program and the incentives for states to participate.

Although several of the provisions to streamline Medicare are laudable, overall the budget would hamstring efforts to improve the health of Missourians.”


Back To Top

 


BCBS Of Kansas City Exits Individual Marketplace In 2018

Staff Contact: Andrew Wheeler Herb Kuhn, MHA President & CEO

Blue Cross and Blue Shield of Kansas City announced that they are withdrawing participation in the 2018 individual marketplace. Unless another insurer enters the individual marketplace, 25 western counties in Missouri will be left without any insurers. Thirty counties in Missouri and two counties in Kansas City, amounting to 67,000 Blue KC members, will be affected. MHA has prepared a visual of the affected counties in Missouri (map pictured).

Back To Top


MHA Supports Proposed Change To Medicare DSH Formula

Staff Contacts: Daniel Landon or Andrew Wheeler

MHA has submitted a comment letter expressing support for the Centers for Medicare & Medicaid Services’ proposed transition to the use of Worksheet S-10 in distributing Medicare disproportionate share hospital payments. CMS included this initiative in its proposed regulatory changes for the Medicare inpatient PPS for fiscal year 2018. MHA has promoted the change in its legislative and regulatory advocacy. The current formula for distributing Medicare DSH payments relies on a flawed metric that disadvantages states, such as Missouri, that chose not to expand Medicaid eligibility as authorized by federal law. If finalized by CMS, the change would increase Medicare DSH payments to Missouri hospitals by $34 million.

Back To Top


MO HealthNet Posts Managed Care Training Presentation

Staff Contact: Brian Kinkade

MO HealthNet has posted its 2017 managed care provider training presentation online. Visit MHA’s website for additional Medicaid managed care resources.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis Of Proposed Medicare Inpatient PPS For FFY 2018

Staff Contact: Andrew Wheeler

MHA has made available a summary and analysis of the federal fiscal year 2018 inpatient PPS proposed payment and policy updates. Hospitals have until Tuesday, June 13, to review their hospital-specific data and submit comments to the Centers for Medicare & Medicaid Services. The analysis included the financial effects of marketbasket updates, reductions mandated by the Affordable Care Act, 21st Century Cures Act mandated coding adjustments and two-midnight rule adjustments. The analysis also includes results from the proposed transition to S-10 for Medicare disproportionate share hospital uncompensated care payments. Results are illustrated in national, state, health system and individual hospital groupings. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are made available for download to authorized users of HIDI Analytic Advantage.®

Back To Top


Quality and Population Health


CMS Updates Known Issues Documents

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has updated the known issues documents associated with the inpatient quality reporting and electronic health record programs. The documents have been updated with issue resolutions and newly identified issues, and are available on QualityNet.

Back To Top



Consider This ...

One in 5 adults in America experience a mental illness. That’s 43.8 million per year.

Source: National Alliance on Mental Health