MHA Today | September 20, 2017

September 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
Governors Weigh In On Graham-Cassidy Federal Health Reform Legislation
CMS Seeks Feedback On New Direction To Promote Patient-Centered Care
Trajectories — Population Health: Models and Pillars for Success
CMS Announces Education Session

Hurricane Irma

Hurricane Harvey

state and federal health policy developments

Governors Weigh In On Graham-Cassidy Federal Health Reform Legislation

Staff Contact: Daniel Landon

Governors of 10 states have written U.S. Senate leadership to voice opposition to the Graham-Cassidy health reform legislation that is pending in the U.S. Senate. Also, governors of 15 other states, including Gov. Greitens of Missouri, have sent a letter to Senate leadership expressing support for the Graham-Cassidy legislation.

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Regulatory News
the latest actions of agencies monitoring health care

CMS Seeks Feedback On New Direction To Promote Patient-Centered Care

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services Innovation Center announced an informal request for information on a new direction to promote patient-centered care and test market-driven reforms. CMS is interested in testing models in the following focus areas.

  • increased participation in advanced alternative payment models
  • consumer-directed care and market-based innovation models
  • physician specialty models
  • prescription drug models
  • Medicare advantage innovation models
  • state-based and local innovation, including Medicaid-focused models
  • mental and behavior health models
  • program integrity

Comments must be received no later than 10:59 p.m. Monday, Nov 20.

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Quality and Population Health

Trajectories — Population Health: Models and Pillars for Success

Staff Contact: Peter Rao

September 2017 Issue of Trajectories The September 2017 issue of Trajectories focuses on population health. Population health programs require significant data. However, not every hospital has an information technology platform suitable to the work — a system that is interoperable and capable of delivering meaningful data at the right time.

Staffing challenges exist as well. Some organizations have the capacity to dedicate staff to population health management and related activities. Others do not, and use existing staff to build their program. In addition, hospitals will be required to align incentives for both employed and independent physicians.

Results have been mixed. Some accountable care organizations and medical homes have taken on financial risk and are attempting to implement innovative staffing models or technology with the aim of improving care delivery and garnering incentives. However, this risk has often resulted in costly overhead with negative consequences to their bottom line. A “phased-in” approach, driven by a well-reasoned business model, can increase the chances of success. Population health takes time and the return on investment is not immediate.

A successful population health strategy is underpinned by the Triple Aim — better health, better care and lower cost. Another evolving strategy is the “Quadruple Aim,” recommended by Thomas Bodenheimer, M.D., and Christine Sinsky, M.D. Although their work focuses on engaged physicians, a more expansive definition — suitable to hospitals overall effort in the population health space — might be an “engaged workforce.”

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CMS Announces Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the hospital inpatient quality reporting, hospital value-based purchasing, and hospital-acquired condition reduction programs, has been scheduled at 1 p.m. Wednesday, Sept. 27. Registration is required for the webinar, which is titled “Healthcare-Associated Infection Measures: Reminders & Updates.”

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Consider This ...

More than 28,000 men die from prostate cancer in the U.S. annually.

Source: Centers for Disease Control and Prevention