MHA Today | August 15, 2017

August 15, 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 Estimates Cutting ACA Payments Would Increase Insurance Premiums
CMS Releases Proposed Rule To Change CJR, Cancel EPMs And CR
AHRQ Releases 2016 Quality And Disparities Report
HIDI Releases Management And Productivity Report



Upcoming EVENT
Preventing Avoidable Readmissions: The Art & Science of Post Discharge Calls — Studer Group
Wednesday, Sept. 13
Hilton Garden Inn, Columbia, Mo.


Regulatory News
the latest actions of agencies monitoring health care


CBO Estimates Cutting ACA Payments Would Increase Insurance Premiums

Staff Contact: Andrew Wheeler

According to a Congressional Budget Office analysis, if the cost-sharing reduction subsidy were to be eliminated, marketplace silver plan premiums would increase 20 percent next year and some people would be left with no insurance options. By 2020, silver plan premiums could increase as much as 25 percent. The CBO also estimates that pulling the payments would increase the deficit by $194 billion throughout a decade because of higher spending on premium subsidies.

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CMS Releases Proposed Rule To Change CJR, Cancel EPMs And CR

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a proposed rule which would cancel the episode payment models and the cardiac rehabilitation incentive payment model. CMS states that by eliminating these models it gives them greater flexibility to design and test innovation that improve quality and care coordination.

The proposed rule also makes changes to the comprehensive care for joint replacement model. These changes include reducing the mandatory geographic areas participating in CJR from 67 to 34. CMS is allowing those 33 geographic areas, which are no longer mandated to participate, the option to voluntary participate. The revision also would make participation voluntary for all low-volume and rural hospitals in all of the CJR geographic areas. According to tables 1 and 2 in the proposed rule, the previously mandated geographic areas in Missouri would now become voluntary participation areas; Cape Girardeau, Columbia, Kansas City, and St. Louis. Comments about the proposed rule are due by 10:59 p.m. on Monday, Oct. 16.

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Quality and Population Health


AHRQ Releases 2016 Quality And Disparities Report

Staff Contact: Leslie Porth

The Agency for Healthcare Research and Quality has released the 2016 National Healthcare Quality and Disparities Report. The report tracks trends in patient safety, person-centered care, care coordination, effective treatment, healthy living, care affordability and access to health care. In addition to quality of care, the report identifies disparities experienced by different racial, ethnic and socioeconomic groups. An FAQ document also is available online.

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HIDI Tech Connect


HIDI Releases Management And Productivity Report

Staff Contact: Cerise Seifert

MHA-member hospitals that submitted second quarter data for the “Management & Productivity Report” can access their completed reports online through a secure, password-protected website. Access to this report is limited to hospitals that participate in HIDI’s voluntary management and productivity program. The reports are located on HIDI Analytic Advantage® in the “Management & Productivity” folder under the “Finance and Policy” tab. Contacts from the participating hospitals have been notified by email. Staff may download and save the reports to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once the data have been transferred, they must be secured according to the hospital’s security procedures.

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Consider This ...

Nearly twice as many females age 12 and older (16.5 percent) took antidepressants in the past month compared to males (8.6 percent).

Source: Centers for Disease Control and Prevention