MHA Today | July 3, 2017

July 3, 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.

Editor’s Note: MHA Today will not be published Tuesday, July 4. Publication will resume Wednesday, July 5. Have a safe and happy Fourth of July!

In This Issue
Greitens Announces Restrictions On FY 2018 Appropriations
Greitens Vetoes Fund Sweep Bill
CMS Releases IQR Specifications Manual

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state and federal health policy developments


Greitens Announces Restrictions On FY 2018 Appropriations

Staff Contact: Brian Kinkade

On June 30, Gov. Greitens approved the state budget for fiscal year 2018, which began July 1.   The approval was accompanied by the announcement of $251 million in general revenue fund expenditure restrictions, which the governor says is necessary to ensure a balanced budget for the upcoming fiscal year. Several of the budget balancing actions are of interest to hospitals, including the following.

  • $29 million disproportionate share hospital program increased federal earnings to be transferred to general revenue;
  • $60 million in projected decrease in FY 2018 Medicaid supplemental budget funding needs;
  • $12 million for a 1.5 percent Medicaid provider rate cut; and
  • $30 million savings from Department of Social Services’ efficiencies.  

At this time, there is insufficient detail to assess how these actions will be implemented and how impactful they will be on hospitals. MHA will provide more information as it becomes available.

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Greitens Vetoes Fund Sweep Bill

Staff Contact: Brian Kinkade

On June 30, Gov. Greitens vetoed House Committee Bill 3, which authorized the sweeping of dozens of state funds of $35.4 million to continue nursing home and in-home services for about 8,000 Medicaid participants. The federal reimbursement allowance was exempted from the funds to be swept. Originally, the funding for the continuation of these services was tied to the repeal of property tax credits for low-income elderly and disabled renters. In the waning days of session, the House and Senate modified HCB 3 to preserve the property tax credit by authorizing the fund sweep. The Missouri Department of Health and Senior Services will enforce the eligibility reduction as part of the fiscal year 2018 state budget, which began July 1.

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Quality and Population Health


CMS Releases IQR Specifications Manual

Staff Contact: Sherry Buschjost

Version 5.3 of the Hospital Inpatient Quality Reporting Specifications Manual, effective for acute inpatient discharges from Jan. 1 through June 30, 2018, is available on QualityNet. A complete list of the changes is available in the release notes. Items of special interest include the following.

  • updated early management bundle, severe sepsis/septic shock measure set and algorithm
  • data dictionary revisions, including deletion of the data element patient HIC# and updated multiple data elements
  • updated venous thromboembolism measure set (VTE-6) algorithm to remove redundant logic
  • updated measure in substance use measure set (SUB-1) and removed SUB-4 from the manual
  • updated measures in tobacco treatment measure set (TOB-1, TOB-2, TOB-3) and removed TOB-4

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Consider This ...

According to 2014 data, sparklers accounted for more than one-quarter (28 percent) of emergency room fireworks injuries.

Source: National Fire Protection Association