MHA Today | November 20, 2017

November 20, 2017

 

 

MHA Today: News for Healthcare Leaders

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November 20, 2017

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 Announces 2018 Medicare Parts A And B Premiums And Deductibles
CMS Proposes Policy Changes And Updates For MA And Part D
HIDI HealthStats — Hospital Super-Utilizers
CMS Announces Improvements To HQR System
Nursing Economics Releases State Of The RN Workforce

Regulatory News
the latest actions of agencies monitoring health care


CMS Announces 2018 Medicare Parts A And B Premiums And Deductibles

Staff Contact: Andrew Wheeler

Premiums, deductibles and coinsurance amounts for the 2018 Medicare Part A and B programs were announced by the Centers for Medicare & Medicaid Services. Major highlights include the following.

Part A

  • deductible paid when admitted to the hospital will be $1,340, which is an increase of $24 in 2017
  • daily coinsurance for days 61 through 90 as an inpatient is $335, up from $329 in 2017
  • daily coinsurance for lifetime reserve days is $670, up from $658 in 2017
  • skilled nursing facility coinsurance is $167.50, up from $164.50
  • most individuals do not have a Part A premium
Part B
  • monthly premium will be $134, which is the same as 2017
  • premiums are higher for individuals with greater than $85,000 in annual income
  • some beneficiaries who were held harmless in prior years might see premium increases, which are offset by an increase in Social Security benefits
  • annual deductible is $183, which is the same as 2017

The Missouri Hospital Association released an issue brief with additional details.

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CMS Proposes Policy Changes And Updates For MA And Part D

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a proposed rule that updates the Medicare Advantage and prescription drug benefit programs for contract year 2019. CMS is promoting innovation, providing new tools to improve the quality of care, and providing more plan choices for MA and Part D enrollees. The Missouri Hospital Association released an issue brief with additional details.

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HIDI Tech Connect


HIDI HealthStats — Hospital Super-Utilizers

Staff Contact: Mat Reidhead

The November edition of HIDI HealthStats discusses hospital super-utilizer predictive risk models.
Aim for Excellence Award
To enable near real-time notification of events, HIDI is developing an Admit, Discharge, Transfer feed and alerting solution within its HIDI Advantage platform. The transmission of the ADT feeds will trigger notification for patients identified on watch lists. There are two primary types of watch lists — hospital defined and an analytic return to sender watch list. In both types of watch lists, there are four triggering events that may trigger a notification about a patient on a watch list, including inpatient admission, emergency department registration, transfer from outpatient to inpatient status and discharge. Once an alert is created based on the watch list, an email is sent to the individual(s) designated by the hospital.

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Quality and Population Health


CMS Announces Improvements To HQR System

Staff Contacts: Sherry Buschjost

The Centers for Medicare & Medicaid Services announced several improvements to the calendar year 2017 Hospital Quality Reporting System electronic clinical quality measure reporting for the Hospital Inpatient Quality Reporting and Electronic Health Record Incentive Programs, including the following.

  • eCQM submission status report updates
  • performance improvements to eCQM submission reports
  • quarter four eCQM addendum update
  • known issue corrections

Additional details are available.

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Workforce News


Nursing Economics Releases State Of The RN Workforce

Staff Contacts: Jill Williams

In the "State of the Registered Nurse Workforce as a New Era of Health Reform Emerges" report, researchers examine the state of the nursing workforce in light of previous shortage forecasts, public and private efforts to mitigate those projections, national versus regional forecasts, the rate of new entry into the workforce, challenges facing the nursing workforce in the next 15 years, and more.

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Consider This ...

Federal guidelines recommend that adults eat at least one and a half to two cups per day of fruit and two to three cups per day of vegetables as part of a healthy eating pattern. Studies find that just one in 10 adults meet the federal fruit or vegetable recommendations.

Source: Centers for Disease Control and Prevention