MHA Today | October 5, 2017

October 5, 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
CHIP Bills Advance In Senate And House
GAO Assesses Neonatal Abstinence Syndrome
CMS Publishes Correction Notice To FY 2018 SNF PPS Rates
CY 2017 Qualifying APM Participant Determination And Status Data Available
MLN Connects Provider eNews Available
CMS Issues Addendum To May 2017 eCQM Specifications
December 2017 Hospital Compare Preview Reports Available

Advocate
state and federal health policy developments


CHIP Bills Advance In Senate And House

Staff Contact: Brian Kinkade

The Senate Finance Committee and the House Energy and Commerce Committee passed Children’s Health Insurance Program reauthorization bills on Wednesday. Both the Senate’s KIDS Act of 2017 and the House’s HEALTHY KIDS Act will fund CHIP for five years. Additionally, the bills continue the Affordable Care Act’s 23 percent increase in federal matching rate for 2018 and 2019, and provide an 11.5 percent increase for 2020, while extending the requirement that states maintain existing eligibility limits through 2022. The Senate bill passed with bipartisan support. However, the House bill passed on a party line vote with Democrats objecting to budget offsets in the House version of the bill. Neither chamber is expected to act on the bills before the last week of October.

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GAO Assesses Neonatal Abstinence Syndrome

Staff Contacts: Daniel Landon or Alison Williams

The U.S. Governmental Accountability Office has issued a report and summary of its findings regarding neonatal abstinence syndrome, a condition induced by prenatal use or misuse of opioids. Commissioned by 2016 federal legislation, the report examines the incidence and treatment of NAS and federal initiatives to address it. The GAO recommends the Department of Health and Human Services “expeditiously develop a plan for implementing the recommendations included in its strategy related to addressing NAS.” Earlier this year, MHA and the Hospital Industry Data Institute released research on NAS in Missouri.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Publishes Correction Notice To FY 2018 SNF PPS Rates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a correction notice to the final skilled nursing facility PPS rule which corrects wage data and revises the wage index budget neutrality factor. MHA has published an issue brief with additional details.

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CY 2017 Qualifying APM Participant Determination And Status Data Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a new interactive look-up tool that allows providers to check their Advanced Alternative Payment Model participation status based on claims with dates of service between Jan. 1 and March 31. If a provider is considered part of an Advanced APM in 2017, they can be eligible to receive a 5 percent lump sum Medicare incentive payment in 2019. CMS also released a methodology fact sheet and a supplemental service payments fact sheet with additional information.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issued updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • FY 2018 IPPS and LTCH PPS claims hold
  • 2018 eCQM value set addendum and logic flows available
  • 2016 annual QRURs webcast – Oct. 19
  • Extension of Medicare IVIG demonstration through Dec. 21, 2020

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Quality and Population Health


CMS Issues Addendum To May 2017 eCQM Specifications

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has issued an addendum to the electronic clinical quality measure annual update specifications published in May 2017. The addendum updates the eCQM value sets, technical release notes and the binding parameter specifications for the 2018 reporting period for eligible hospitals and critical access hospitals, and the performance period of eligible professionals and eligible clinicians. The addendum affects electronic reporting of eCQMs for the following programs.

  • Quality Payment Program: Merit-based Incentive Payment System and Alternative Payment Models
  • Hospital Inpatient Quality Reporting
  • Medicaid Electronic Health Record Incentive Program for EPs
  • Medicare and Medicaid EHR Incentive Programs for EHs and CAHs
Additional details are available here.

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December 2017 Hospital Compare Preview Reports Available

Staff Contacts: Sherry Buschjost

The Centers for Medicare & Medicaid Services announced that December 2017 Hospital Compare preview reports are now available on the QualityNet secure portal. The reports include data for hospitals participating in the Inpatient Quality Reporting, Outpatient Quality Reporting, Inpatient Psychiatric Facility Quality Reporting and PPS-Exempt Cancer Hospital Quality Reporting programs. Hospitals are encouraged to access and download their reports early in the preview period, which ends Tuesday, Oct. 31.

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Consider This ...

The Centers for Disease Control and Prevention, American Academy of Pediatrics and the American Academy of Family Physicians recommend all children receive their first dose of hepatitis B vaccine shortly after birth and complete the vaccine series by 18 months.

Source: Centers for Disease Control and Prevention