MHA Today | June 22, 2017

June 22, 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
Senate Reveals AHCA Proposal
MHA Policy Brief Finds 1.2 Million Missourians Have Preexisting Conditions
MHA Distributes FFY 2018 Medicare VBP Projection And Pay-For-Performance Measure Trends
CMS Opens 60-Day Comment Period On CLIA Changes
MLN Connects Provider eNews Available
CMS Releases 1Q2017 Quality Reporting Checklists
CMS Updates IPFQR Program Resources
CMS Updates Known Issues Documents
Videos: Rural Health Care Workforce Insights

Advocate
state and federal health policy developments


Senate Reveals AHCA Proposal

Staff Contact: Daniel Landon

The U.S. Senate Republicans have released their version of the American Health Care Act. It is dubbed the “Better Care Reconciliation Act of 2017.” MHA has assessed its components and their implications for Missouri hospitals. Media reports indicate that Senate leadership intends to debate and seek a vote on the measure next week, although it is uncertain whether the proposal will win Senate approval. The Congressional Budget Office score on the bill ― an estimate of its fiscal and coverage effects ― is projected to be issued early next week.

Back To Top


MHA Policy Brief Finds 1.2 Million Missourians Have Preexisting Conditions

Staff Contacts: Mat Reidhead or Dave Dillon

A new MHA policy brief released today finds that 33.7 percent of all Missourians between the ages of 18 and 64 were diagnosed in a hospital with one or more preexisting conditions during 2015 and 2016. This raises significant concerns about the financial, physical and mental health outcomes for these at-risk Missourians, as well as the bill’s implications for Missouri hospitals’ growing burden of uncompensated care.

The policy brief expands on MHA’s review of the U.S. House of Representatives’ version of the American Health Care Act. An earlier brief addressed the questions of equity for Medicaid nonexpansion states. Another concern of the bill is the risk it could pose for individuals with preexisting conditions. While the Senate’s version of the bill — released today — maintains the Affordable Care Act’s prohibition of denied coverage and medically underwritten premium pricing, it also allows states to leverage waivers to opt out of these requirements. These waivers could significantly weaken protections for people with preexisting conditions.

Back To Top

Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes FFY 2018 Medicare VBP Projection And Pay-For-Performance Measure Trends

Staff Contacts: Andrew Wheeler or Peter Rao

To assist member hospitals in preparing for the effects of future reimbursement changes relating to Medicare’s pay-for-performance programs, the Missouri Hospital Association is providing an analysis of the first quarter 2017 data found in the Centers for Medicare & Medicaid Services’ Hospital Compare database. First quarter 2017 data is used to project the effects of the federal fiscal year 2018 Medicare value-based purchasing program. These data also are used to update the quality program measure trends analysis.

The latest release indicates that the VBP effect on PPS hospital finances in Missouri is estimated to increase operating payments by $574,900. These results are based on the latest available VBP data, which use different baseline and performance date ranges than the actual FFY 2018 program. Policy and analytic studies are available for download to authorized users of HIDI Analytic Advantage.®

Back To Top


CMS Opens 60-Day Comment Period On CLIA Changes

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services opened a 60-day public comment period inviting public feedback on proposed changes to the Clinical Laboratory Improvement Amendments application form and supporting regulations. CMS notes the most prominent change to the CMS-116 Application Form is the addition of non-waived testing requirements. If you have questions regarding the proposed regulation change, please contact Sarah Willson. If you would like to comment directly to CMS on the proposed change, you may send your comments electronically at http://www.regulations.gov.

Back To Top


MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • Coming in April 2018: new Medicare card — new number
  • Quality payment program: new resources and recordings of recent webinars available
  • 2015 referring DMEPOS utilization and payment data
  • Quality measure development plan annual report

Back To Top

 


Quality and Population Health


CMS Releases 1Q2017 Quality Reporting Checklists

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has released the first quarter 2017 inpatient and outpatient quality reporting checklists to assist hospitals in determining necessary steps for submitting data and running reports for the upcoming deadlines.

  • Tuesday, Aug. 1 — inpatient and outpatient population and sampling counts
  • Tuesday, Aug. 1 — outpatient clinical data
  • Tuesday, Aug. 15 — inpatient clinical data

Failure to submit data by the data deadline puts a hospital at risk of a two-point reduction to the hospital’s annual payment update.

Back To Top


CMS Updates IPFQR Program Resources

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has updated the Quality Reporting Center with additional resources to assist Inpatient Psychiatric Facility Quality Reporting Program participating facilities in the collection and successful submission of data for the fiscal year 2018 data submission period and beyond.

  • IPFQR Program Manual version 3.0 and associated release notes
  • HBIPS-2 and HBIPS-3 paper tools effective for dates of service Jan. 1 through Dec. 31, 2016 and Jan. 1 through Dec. 31, 2017
  • Claims-based measure specifications document which provides detailed specifications about the Follow-Up after Hospitalization for Mental Illness and 30-day All-cause Unplanned Readmission Following Psychiatric Hospitalization in an Inpatient Psychiatric Facility measures

Back To Top

 


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 and outpatient quality reporting programs. The documents have been updated with issue resolutions and newly identified issues and are available on QualityNet.

Back To Top


Workforce News


Videos: Rural Health Care Workforce Insights

Staff Contact: Jill Williams

The American Hospital Association has developed four videos on team building, retention, leadership and behavioral health. The videos are designed to help rural and critical access hospitals identify and address the challenges of shortages across disciplines, retirements, an aging population and the hospital environment.

Back To Top



Consider This ...

More than one-third of all Missourians between the ages of 18 and 64 have a preexisting medical condition that would result in a denial of coverage or prohibitive pricing in a medically underwritten individual health insurance market.

Source: MHA Policy Brief: The American Health Care Act Adds Risk for 1.2 Million Missourians



Missouri Hospital Association • P.O. Box 60 • Jefferson City, MO 65102
Phone: 573/893-3700 • Fax: 573/893-2809
MHAnetUnsubscribeContact UsPrivacy Policy