MHA Today | November 30, 2017

November 30, 2017
MHA Today: News for Healthcare Leaders

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November 30, 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
Trump Administration Scales Back Mandatory Bundled Payment Initiatives
MHA Releases Study Of The Senate Finance Committee Medicare Extenders Discussion Draft
MLN Connects Provider eNews Available

Advocate
state and federal health policy developments


Trump Administration Scales Back Mandatory Bundled Payment Initiatives

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services finalized their proposal to cancel the mandatory Episode Payment Models and Cardiac Rehabilitation incentive payment model. CMS also made significant changes to the Comprehensive Care for Joint Replacement Model. These changes include splitting the previous mandatory metropolitan statistical areas into a voluntary and mandatory list. The previously mandatory MSAs in Missouri, consisting of Cape Girardeau, Columbia, Kansas City and St. Louis, are now considered voluntary MSAs. If hospitals choose to voluntarily participate, CMS must receive the voluntary participation election letter no later than Jan. 31, 2018 for calendar year 2018. MHA published an issue brief with additional details.

This announcement marks an official scaling back of previous Capability Maturity Model Integration programs requiring hospitals to participate in new care delivery models. The Trump administration states this is an ongoing effort to ease regulatory mandates imposed on providers. CMS Administrator Seema Verma stated the agency will announce a new set of voluntary payment bundles in the near future. MHA applauds these changes and continues to support efforts to promote flexibility.

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MHA Releases Study Of The Senate Finance Committee Medicare Extenders Discussion Draft

Staff Contact: Andrew Wheeler

The Medicare Dependent Hospital and expanded Low-Volume Hospital payment adjustments expired on October 1. To mitigate these payment reductions, MHA has been involved in advocacy efforts to extend these programs. The Senate Finance Committee released a discussion draft, which modifies the definition of low-volume payment adjustments and extends both programs. MHA provided a summary and analysis of the effect of the discussion draft. Results are illustrated in national, state, health system and individual hospital groupings. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are available for download to authorized users of HIDI Analytic Advantage®.

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Regulatory News
the latest actions of agencies monitoring health care


MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. 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.

  • Hospice Compare search function
  • DMEPOS: Traveling beneficiary clarification
  • Medicare diabetes prevention program model expansion call – Tuesday, Dec. 5
  • National partnership to improve dementia care and QAPI call – Thursday, Dec. 14
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Consider This ...

The nation's current obesity rate for children and teens is 18.5 percent. Fifty-seven percent of the nation's youth will be obese by age 35 if current trends continue.

Source: USA TODAY