MHA Today | September 26, 2017

September 26, 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
Graham-Cassidy Bill Stalls In U.S. Senate
CBO Releases Preliminary Analysis Of Graham-Cassidy ACA Repeal Bill
CMS Releases Preliminary CY 2018 Clinical Lab Fee Schedule Payment Rates
TJC Announces Pioneers In Quality Webinar
CMS Selects Hospitals For OQR Validation



Upcoming EVENT
Medical Staff Leadership Credentialing and Privileging Workshop
Friday, Oct. 13, 2017
Courtyard by Marriott, Columbia, Mo.


Hurricane Response

  • MHA has numerous resources and guidance for hospitals regarding the recent devastation of hurricanes Irma and Harvey.

Advocate
state and federal health policy developments


Graham-Cassidy Bill Stalls In U.S. Senate

Staff Contact: Brian Kinkade

Graham-Cassidy, the Senate’s latest attempt at an Obamacare repeal, has stalled after the announced opposition from Sens. Rand Paul (R-Ky.), John McCain (R-Ariz.) and Susan Collins (R-Maine). A Senate vote on the proposal anticipated this week was cancelled this afternoon. Besides radically redistributing funds supporting individual market subsidies and Medicaid expansion, the bill would have put caps on federal Medicaid funds to the states and put limits on Medicaid provider taxes, like the Federal Reimbursement Allowance. MHA prepared a summary and financial impact estimates projected for the state of Missouri from the significant provisions of the bill.

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CBO Releases Preliminary Analysis Of Graham-Cassidy ACA Repeal Bill

Staff Contact: Andrew Wheeler

The Congressional Budget Office and the Joint Committee on Taxation released a report projecting the direct spending and revenue effects of H.R. 1628. The latest ACA repeal effort is projected to reduce the federal deficit by $133 billion between 2017 and 2026. The bill would appropriate $1.2 trillion in new block grants between 2020 and 2026. Although advocacy efforts continue, it appears that the bill is dead because of the recent announcement by Sen. Collins that she cannot support the bill. MHA has published an issue brief with additional details.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Preliminary CY 2018 Clinical Lab Fee Schedule Payment Rates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services published preliminary clinical lab fee schedule rates for calendar year 2018. The new rates would decrease clinical lab payments by $670 million, amounting to a nearly 10 percent payment reduction. The payment reduction is a result of new rates set under the Protecting Access to Medicare Act of 2014. PAMA instructed CMS to set CLFS rates based on what private payors pay for services performed in labs that have more than $12,500 in Medicare revenues from lab services on the CLFS, and if they receive more than 50 percent of the Medicare revenues from laboratory and physician services. In 2016, CMS estimated that the reductions would be $390 million in CY 2018. Comments about the draft payment rates are due Monday, Oct. 23.

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Quality and Population Health


TJC Announces Pioneers In Quality Webinar

Staff Contact: Sherry Buschjost

The Joint Commission Pioneers in Quality™: Proven Practices Collection recognizes organizations that leverage electronic clinical quality measures and health information technology to drive quality improvement. The next webinar in this series, “Ensuring eCQM Accuracy,” is scheduled at 11 a.m. Tuesday, Oct. 10. Registration is required and will close when maximum capacity is reached.

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CMS Selects Hospitals For OQR Validation

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services Hospital Outpatient Quality Reporting Program has selected up to 500 hospitals for validation of chart-abstracted measures for the calendar year 2019 annual payment update determination. The list of the selected hospitals is available on QualityNet.

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Consider This ...

September is Pulmonary Fibrosis Awareness Month. Pulmonary fibrosis is a serious, chronic lung disease affecting more than 140,000 Americans.

Source: American Lung Association