December 18, 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
Medicare OPPS Final Rule CY 2018 Available
Study Concludes UberX Reduces Ambulance Usage
Missouri Flu Activity Is Widespread
the latest actions of agencies monitoring health care
Staff Contact: Andrew Wheeler
A comprehensive analysis of the final Medicare Outpatient PPS for calendar year 2018 has been published by MHA. The analysis includes a summary of the final rule, a description of the methods underlying the analysis, assessments of the financial implications each hospital and/or health system, and a 340B impact calculator. The financial implications include effects of the CY 2018 updates to the marketbasket, ambulatory payment classification factor updates, wage index adjustments, pre-determined marketbasket reductions as outlined by the Affordable Care Act and budget neutrality adjustments due to the 340B conversion factor update.
This analysis, which is available online for authorized users of HIDI Analytic Advantage®, includes a summary for the nation, Missouri and individual hospitals. Nationally, hospitals will experience an estimated 1.51 percent increase in payments. Missouri hospital payments are projected to increase by an estimated 1.57 percent. Even though the effects of the Medicare sequestration are not factored into the projected payment increases for 2018, the overall estimated sequestration cuts are footnoted.
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Quality and Population Health
Staff Contacts: Daniel Landon or Jackie Gatz
The entry of the UberX ride-sharing service reduced ambulance use by an average of 7 percent, according to an analysis by an economist at the University of Kansas and another researcher. The study reviewed the effect of UberX entering markets in 766 cities across the nation between 2013 and 2015. A co-author noted in media comments that, “Many patients don’t need something that can break traffic laws and don’t need something staffed by paramedics with a bunch of fancy equipment.” The study also suggests a potential benefit of decreasing ambulance waiting times.
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Staff Contacts: Jackie Gatz
According to the Department of Health and Senior Services Weekly Influenza Surveillance Report, Missouri’s estimated influenza activity has increased to ‘widespread’ in week 49 of the 2017-2018 flu season. As defined by the Centers for Disease Control and Prevention, influenza activity is considered widespread when “outbreaks of influenza or increases in influenza-like illness cases and recent laboratory-confirmed influenza in at least half the regions of the state with recent laboratory evidence of influenza in the state.” From Dec. 3 to 9, a total of 771 laboratory-positive influenza cases were reported. A season-to-date total of 3,558 laboratory-positive influenza cases have been reported in Missouri. More information on the 2017-2018 flu season is available.
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Missouri's tobacco tax is 17 cents per pack — the lowest in the nation. Twenty-two percent of adult Missourians smoke, which is 7 percent higher than the national average.
Source: The Kansas City Star