MHA Today | July 27, 2017

July 27, 2017
MHA Today: News for Healthcare Leaders

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MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
Federal Appeals Court Strikes Medicare DSH Regulation
CMS Issues Proposed Rules On Medicaid DSH Allotment Reductions
MO HealthNet Posts Medicaid Home Health Rate Cut
CMS Releases Information On Exemptions From The Medicare Quality Payment Program
CMS Announces Steps To Address CLABSI, CDI, CAUTI Data Errors
CMS Updates Hospital Compare Website

Advocate
state and federal health policy developments


Federal Appeals Court Strikes Medicare DSH Regulation

Staff Contacts: Daniel Landon or Jane Drummond

The U.S. Court of Appeals of the District of Columbia circuit has invalidated a Centers for Medicare & Medicaid Services’ regulation specifying how Medicare Part A patients will be treated in formulas to calculate Medicare disproportionate share hospital payments. The court ruled that CMS violated federal law when it “changed its reimbursement formula without providing notice and opportunity for comment.” The effect of the ruling should be to increase Medicare DSH payments; however, the new ruling differs from court decisions of four other federal appeals courts, potentially setting up an appeal to the U.S. Supreme Court.

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CMS Issues Proposed Rules On Medicaid DSH Allotment Reductions

Staff Contacts: Kim Duggan or Daniel Landon

The Centers for Medicare & Medicaid Services has issued proposed rules specifying how states’ Medicaid disproportionate share hospital allotments will be reduced. The Affordable Care Act included reductions in state Medicaid DSH allotments. Those reductions have been delayed and revised several times, but are slated under current law to take effect Sunday, Oct. 1. MHA has published an issue brief on the proposed rules, which are to be formally published in the Federal Register on Friday, July 28. Public comments are due by 4 p.m. Monday, Aug. 28.

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MO HealthNet Posts Medicaid Home Health Rate Cut

Staff Contact: Brian Kinkade

The MO HealthNet Division has published a provider bulletin on payment rates for home health services for the state fiscal year which began July 1. The maximum allowable rate is 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


CMS Releases Information On Exemptions From The Medicare Quality Payment Program

Staff Contact: Daniel Landon or Andrew Wheeler

Through its Open Door Forum, the Centers for Medicare & Medicaid Services has announced new information regarding available exemptions for clinicians from the reporting requirements of the Medicare Quality Payment Program. Eligibility for the exemptions is based on Medicare B claims data. The exemptions can apply to eligible clinicians in the following settings: health professional shortage areas, and rural, “non-patient facing” hospital-based and small practices. CMS has a web portal for determining a clinician’s role in the program.

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Quality and Population Health


CMS Announces Steps To Address CLABSI, CDI, CAUTI Data Errors

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has identified data errors that impacted first quarter 2015 through third quarter 2016 central line-associated bloodstream infection data, first quarter 2015 through fourth quarter 2016 catheter-associated urinary tract infection data for all hospitals, and Clostridium difficile data for a select group of facilities impacting third quarter 2016 only. CMS has provided steps to resolve the data issue for hospitals participating in the following programs impacted by the error: Hospital Value-Based Purchasing Program, Hospital Inpatient Quality Reporting Program, and Hospital Compare overall hospital quality star ratings.

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CMS Updates Hospital Compare Website

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has updated the Hospital Compare website. Details are available.

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Consider This ...

Almost 1 in 3 people in the U.S. will develop shingles during their lifetime.

Source: Centers for Disease Control and Prevention