MHA Today | July 20, 2017

July 20, 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 Continues Work On Health Care Legislation
MO HealthNet Posts Physician Services Rate Cuts
MLN Connects Provider eNews Available
Missouri Foundation For Health Provides Grant Opportunities
CMS Publishes 2018 QRDA Category I HQR Implementation Guide
Gallup Releases Report: Combatting Turnover And Improving Performance

Advocate
state and federal health policy developments


Senate Continues Work On Health Care Legislation

Staff Contacts: Dave Dillon or Andrew Wheeler

U.S. Senate Majority Leader, Mitch McConnell, (R-KY), has indicated that the Senate will take up legislation next week related to the Affordable Care Act. A group of “hold out” senators met last night to discuss opportunities for compromise on the Better Care Reconciliation Act. However, absent an agreement on replace legislation, the Senate may vote on an ACA repeal without replacement. Both bills harm hospitals and the patients that hospitals serve. Additional information on the bills follows. Hospitals are urged to contact Missouri’s senators to ask them to oppose the measures.

The latest version of BCRA removes language from the Cruz-Lee amendment and retains an additional $70 billion in funding that may be used for reinsurance and other mechanisms to help stabilize state health insurance markets. The CBO is estimating that 22 million Americans would be left without insurance by 2026 and the federal deficit would be reduced by $420 billion from 2017 through 2026. The CBO states that the “current version of the legislation would result in greater deficit reduction mostly because it would retain certain taxes that the previous version of the legislation would have eliminated.” MHA has published an issue brief with additional details.

The Senate’s ACA replacement bill, the Obamacare Repeal Reconciliation Act of 2017, would repeal much of the law. However, since the legislation is being pursued under budget reconciliation rules, it does not completely repeal the ACA. The CBO projects that the proposal would leave 32 million more people uninsured by 2026 and projects a federal deficit decrease of $473 billion between 2017 and 2026. In addition, the CBO projects that between 2017 and 2026, $842 billion would be cut in federal spending on the Medicaid program. The bill would revise which qualified health plans are eligible to receive premium tax credit support, eliminate the individual and employer mandates, repeal the ACA’s Medicaid expansion and repeal Medicaid disproportionate share reductions. MHA has published an issue brief with additional details.

Hospitals can contact Sens. Blunt and McCaskill through MHA’s federal advocacy portal.

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MO HealthNet Posts Physician Services Rate Cuts

Staff Contact: Brian Kinkade

The MO HealthNet Division has published a provider bulletin on payment rates for physician services for the state fiscal year beginning July 1. The maximum allowable rates are reduced by approximately 3 percent as provided in the state budget. 

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Regulatory News
the latest actions of agencies monitoring health care


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.

  • Health care fraud takedown: charges against individuals responsible for $1.3 billion in fraud
  • Noncompliance letters for hospice, inpatient rehabilitation facility, long-term care hospital and skilled nursing facility quality reporting programs
  • New Program for Evaluating Payment Patterns Electronic Reports available for home health agencies and partial hospitalization programs
  • Improving Medicare Post-Acute Care Transformation of 2014 drug regimen review measure overview for the home health quality reporting program call – Thursday, Aug. 17
  • Chronic care management services fact sheet

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Quality and Population Health


Missouri Foundation For Health Provides Grant Opportunities

Staff Contact: Leslie Porth

The Missouri Foundation for Health is offering multiple grant opportunities, with deadlines fast approaching. MFFH would like to partner with organizations that approach health issues from a new perspective and always keep the well-being of Missourians at the heart of their work.

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CMS Publishes 2018 QRDA Category I HQR Implementation Guide

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has published the 2018 CMS Quality Reporting Document Architecture Category I hospital quality reporting implementation guide, schematron and sample files. The guide provides technical instructions for QRDA Category I reporting for eligible and critical access hospitals for the inpatient quality reporting and Medicare electronic health record programs. It includes the following high-level changes compared with the reporting specifications in the 2017 CMS QRDA I HQR implementation guide.

  • The 2018 HQR IG is based on the HL7 implementation guide for CDA Release 2:  QRDA Category I, Release 1, Standard for Trial Use Release 4, which supports the Quality Data Model version 4.3.
  • The CMS certification identification number is a required data element.
  • The Medicare beneficiary identifier should be submitted if the payer is Medicare and the patient has an assigned MBI number.

Additional QRDA-related resources, as well as current and past implementation guides, are available on the eCQI Resource Center and the CMS eCQM Library. CMS also has published the 2017 CMS eligible clinicians and eligible professionals programs QRDA Category III implementation guide with schematron and sample files on the eCQI Resource Center.

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Workforce News


Gallup Releases Report: Combatting Turnover And Improving Performance

Staff Contact: Jill Williams

The Gallup Organization has released a sobering report on the nation’s workforce, reporting that 67 percent of Americans are not engaged — or worse, actively disengaged — in their jobs. Disengagement can lead to lost productivity, theft, missed workdays, customer dissatisfaction and other related factors that undermine a business’ profitability. The effect on the bottom line sends a clear message to America’s employers: Staff retention and engagement are an ongoing journey and investment. A white paper released by Relias Learning describes how health care organizations can reverse the “turnover spiral” by becoming a high-performing organization dedicated to building a positive company culture, retaining an engaged workforce and providing best-in-class patient care.

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Consider This ...

In the U.S., 9.4 percent of the population has diabetes. That’s nearly 1 in 10.

Source: Los Angeles Times