MHA Today | December 8, 2017

December 8, 2017
MHA Today: News for Healthcare Leaders

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December 8, 2017

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


Herb Kuhn, MHA President & CEO
One of Gov. Eric Greitens’ first acts after his inauguration in January was an executive order calling for a halt to new regulations and a full review of the state’s existing regulations. Since then, his administration has been actively reviewing the influence of regulations on citizens and businesses, conducting top to bottom reviews of state agencies and soliciting the input of individuals and organizations for ideas to improve efficiency.

Hospitals haven’t been sitting on the sidelines. MHA and individual hospitals have been contributing ideas through the governor’s No MO Red Tape website and sending thoughts directly to the administration. Many of these hospital- and health care-related suggestions have come through MHA’s Streamlining Government initiative.

Regulations are necessary. They are the product of the bureaucracy’s obligation to implement laws. In addition, the rulemaking process can provide an important opportunity for stakeholders to offer input on what the impact of policy will be. However, rules should be subject to scrutiny. Some rules create unnecessary burdens or duplicate existing requirements, driving up costs for citizens and the regulated while creating no additional safety and adding no additional value.

Greitens has demonstrated a willingness to work with hospitals to ensure the right regulations are in place. Earlier this year, Greitens signed MHA-backed legislation to block state hospital licensure regulations that are contrary to, or duplicative of, the Centers for Medicare & Medicaid Services’ Medicare Conditions of Participation. Streamline Government The same legislation included essential changes to the state’s trauma, stroke and STEMI law. After signing the legislation, the governor helped fast track the rulemaking process directing agencies to issue an emergency rule. In addition, MHA also worked with regulators this year to eliminate obsolete life safety regulations and unnecessary data collection.

Approximately 30 regulations — spanning several state agencies — have been identified as appropriate targets for reform. Among other efforts, next year MHA will pursue additional licensure regulation reform with the intent of automatically aligning state hospital licensure and CMS standards. State law currently prohibits automatic rule updates. This causes state rules to be inconsistent with federal rules, which is both difficult and confusing for our members.

A regular review of the state’s rules is a very good thing. Gov. Greitens should be applauded for making this effort a priority. It’s too early to know exactly how deep and wide the results of his regulatory reform program will be, or the challenges the administration will face in implementing the changes. Nonetheless, the signs are positive that real progress can be made.

Share your thoughts in an email.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
MO HealthNet Releases First Quarter Training Schedule
MedPAC Recommends 1.25 Percent Payment Increase For Hospitals In 2019
FDA Approves Monthly Buprenorphine Injection For OUD Treatment
ASAM Announces OUD Treatment Course
CMS Updates QRDA I Conformance Statement Resource

state and federal health policy developments

MO HealthNet Releases First Quarter Training Schedule

Staff Contact: Brian Kinkade

MO HealthNet scheduled interactive webinar trainings on Missouri Medicaid benefits and limitations, claims submission, and administrative support resources. The two-hour training sessions are differentiated by provider type. There is no cost, but registration is required.

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Regulatory News
the latest actions of agencies monitoring health care

MedPAC Recommends 1.25 Percent Payment Increase For Hospitals In 2019

Staff Contact: Andrew Wheeler

The Medicare Payment Advisory Commission supported recommendations to give hospitals a 1.25 percent payment update in fiscal year 2019. MedPAC also is projecting hospital Medicare margins to drop to an 11 percent loss in 2018. Commissioners voiced concerns about the negative margins and expect to take a closer look at what’s behind the deteriorating margins.

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Quality and Population Health

FDA Approves Monthly Buprenorphine Injection For OUD Treatment

Staff Contact: Leslie Porth

The Food and Drug Administration approved use of Sublocade, a monthly buprenorphine injection, for treatment of adults with Opioid Use Disorder. Sublocade provides patients with a new treatment option and alleviates the need for daily buprenorphine dosing.

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ASAM Announces OUD Treatment Course

Staff Contact: Leslie Porth

The American Society of Addiction Medicine announced a course for physicians, nurse practitioners and physician assistants who treat patients with Opioid Use Disorder and wish to obtain a waiver to prescribe buprenorphine. The course will be held 8 a.m. Friday, Jan. 26, 2018, at the University of Missouri School of Medicine, and registration is required. Reimbursement for attending a PCSS-MAT waiver training is available.

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CMS Updates QRDA I Conformance Statement Resource

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the Quality Reporting Document Architecture I Conformance Statement Resource and moved it to a new location on the eCQI Resource Center. The Conformance Statement Resource helps calendar year 2017 data submitters troubleshoot the most commonly occurring conformance errors by providing detailed information to resolve file rejection errors. Details are available.

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Did You Miss An Issue Of MHA Today?

December 4, 2017
MHA Distributes Analysis For Final Updates To CY 2018 Medicare Home Health PPS
CMS Launches New LTC Survey Process
FDA Issues Supply Chain Update Post Hurricane
Osage Beach Center For Cognitive Disorders Names New CEO
Poplar Bluff Regional Medical Center Names New CEO

December 5, 2017
Missouri DHSS Releases Biennial Rural Health Care Report
CMS Announces IQR Webinar

December 6, 2017
Trajectories: ED Utilization Right Care. Right Place. Right Time.
SpectraMedix To Host MACRA 2018 Final Ruling Webinar
October MUR Available On HIDI Analytic Advantage®

December 7, 2017
Myers And Stauffer LC Announces DSH Audit Survey Training
MLN Connects Provider eNews Available
CMS Announces Deadline To Submit 3Q2017 HCAHPS Survey Data
CMS Announces Education Sessions

Consider This ...

There are 60 million adults and children living with mental health conditions in the U.S., and nearly 30 million of them go without treatment.