MHA Today | October 4, 2017

October 4, 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
CMS Withdraws Medicare Part B Drug Payment Model
CMS Publishes FY 2018 IPPS Rates Correction Notice
Free Opioid Training Available
Facility-Specific OP-32 Reports Available
CMS Reminds Hospitals About Second Quarter 2017 Data Submission Deadlines


Regulatory News
the latest actions of agencies monitoring health care


CMS Withdraws Medicare Part B Drug Payment Model

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services previously proposed a “two-phase model to test whether alternative drug payment designs will lead to a reduction in Medicare expenditures, while preserving or enhancing the quality of care provided to Medicare beneficiaries.” MHA submitted a comment letter about the rule, voicing concerns. CMS has now announced the proposed rule’s withdrawal.

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CMS Publishes FY 2018 IPPS Rates Correction Notice

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a correction notice to the final inpatient PPS rule changing the base rates to calculate payments. The CN corrected logic for the MS-DRG grouper, made several technical error corrections with regard to the calculation of disproportionate share Factor 3 and corrected errors in the wage data for six hospitals. Because of these corrections, CMS recalculated all IPPS budget neutrality factors, the outlier threshold, the final wage indexes and geographic adjustment factors, the national operating standardized amounts, and capital rate updates. MHA has published an issue brief with additional details.

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Quality and Population Health


Free Opioid Training Available

Staff Contact: Leslie Porth

A free, clinician-focused training session on managing the opioid crisis is scheduled from 1 p.m. to 5 p.m. Monday, Nov. 6, in Moberly, Mo. The training is funded through the Opioid State Targeted Response grant and sponsored by the Missouri Department of Mental Health, Missouri Institute for Mental Health and Missouri Coalition for Community Behavioral Healthcare. Registration is required.

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Facility-Specific OP-32 Reports Available

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has released facility-specific reports for the facility risk-standardized hospital visits within seven days after outpatient colonoscopy measure, OP-32, for hospital outpatient departments. The FSRs contain calendar year 2016 performance period measure results for public reporting in December 2017, which will affect 2018 payment determination. The FSRs are available through the QualityNet secure portal. Additional details are available here.

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CMS Reminds Hospitals About Second Quarter 2017 Data Submission Deadlines

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services reminded hospitals of the following second-quarter 2017 data submission deadlines.

  • Wednesday, Nov. 1 — Hospital Outpatient Quality Reporting Program clinical data
  • Wednesday, Nov. 1 — Inpatient Quality Reporting population and sampling counts
  • Wednesday, Nov. 15 — IQR clinical data
  • Wednesday, Nov. 15 — Perinatal care (PC-01) web-based measure data
Additional information is available by viewing the IQR and OQR 2Q2017 checklists and PC-01 quick start guide.

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Consider This ...

Overweight and obesity are associated with at least 13 different types of cancer. These cancers make up 40 percent of all cancers diagnosed.

Source: Centers for Disease Control and Prevention