MHA Today | January 11, 2018

January 11, 2018
MHA Today: News for Healthcare Leaders

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January 11, 2018

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

In This Issue
Greitens Delivers State Of The State Speech
Legislative Committee Reviews FRA Reauthorization Legislation
CBO Estimates Cost To Extend CHIP
CMS Provides Guidance For States To Test Community Engagement For Able-Bodied Adults
WPS Adds Emergency Evaluation And Management Coding To The Probe And Educate Review Process
DHSS Requests Pre-Designated Alternative Administrator
MLN Connects Provider eNews Available
Missouri Foundation For Health Releases New Report On Mortality In Missouri
Influenza Activity in Missouri Continues, MHA Activates Queries To Monitor Impact
Opioid STR Announces MAT Waiver Training

Advocate
state and federal health policy developments


Greitens Delivers State Of The State Speech

Staff Contact: Daniel Landon

Governor Eric Greitens delivered the 2018 State of the State address to the Missouri General Assembly and other state officials. The annual speech outlines the governor’s policy priorities for the year. Traditionally, the governor concurrently releases and discusses a proposed budget for the upcoming fiscal year, which initiates legislative budget debate. This year, as in 2017, the governor’s proposed budget will be released separately, probably next week. Greitens’ remarks did not directly address health care. They focused on job creation, smaller government, regulatory relief, initiatives to benefit veterans and law enforcement officials, ethics reform, and lower taxes. Greitens previewed his upcoming announcement of the “boldest state tax reform in America.”

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Legislative Committee Reviews FRA Reauthorization Legislation

Staff Contacts: Daniel Landon or Rob Monsees

The Missouri House of Representatives Budget Committee held a hearing on two bills that would reauthorize the state’s provider taxes, which are used to generate funding for Medicaid payments. MHA expressed support for House Bill 1410 and House Bill 1747, as did the Missouri Chamber of Commerce and Industry and the other provider groups that pay provider taxes. One of the bills would reauthorize the provider taxes for two years; the other, for five years. Earlier this week, MHA was asked to testify to a House appropriations subcommittee about provider taxes.

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CBO Estimates Cost To Extend CHIP

Staff Contact: Andrew Wheeler

The Congressional Budget Office completed an estimate of the budgetary effects of extending the Children’s Health Insurance Program. Specifically, the CBO score is based on extending provisions within S. 1827, entitled the Keep Kids’ Insurance Dependable and Secure Act of 2017, for 10 years. The KIDS Act would decrease the deficit by $6 billion from 2018 to 2027. The projected deficit reduction is due to the cost of alternatives to providing CHIP coverage, including Medicaid, marketplace subsidies and employment-based insurance, are larger than the cost of providing coverage under CHIP.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Provides Guidance For States To Test Community Engagement For Able-Bodied Adults

Staff Contacts: Brian Kinkade or Andrew Wheeler

The Centers for Medicare & Medicaid Services released guidance that will “support state efforts to improve Medicaid enrollee health outcomes by incentivizing community engagement among able-bodied, working-age Medicaid beneficiaries.” These demonstration projects would exclude enrolled Medicaid recipients, including those with a disability, the elderly, children or pregnant women. CMS Administrator Seema Verma stated, “Medicaid needs to be more flexible so that states can best address the needs of this population. Our fundamental goal is to make a positive and lasting difference in the health and wellness of our beneficiaries, and today’s announcement is a step in that direction.”

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WPS Adds Emergency Evaluation And Management Coding To The Probe And Educate Review Process

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services authorized WPS Government Health Administrators to review documentation and coding of emergency room evaluation and management services. The review process will be part of the targeted probe and educate program. WPS will look at documentation from emergency room notes, certain diagnostic testing, medication administration and physician attestation statements.

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DHSS Requests Pre-Designated Alternative Administrator

Staff Contact: Sarah Willson

New home health regulations, which go into effect Saturday, Jan. 13, require a pre-designated alternative administrator to be named, approved in writing by the governing body and on file with the U.S. Department of Health and Human Services. Since the pre-designated alternative administrator is a new requirement, persons eligible to be named were not grandfathered in as was the case with the agency administrator. Home health agencies have until close of business Monday, Jan. 15, to get the DHSS Initial-Pre-Designated Alternative Administrator form completed and turned in to the department. Forms are to be submitted to Patty Perkins at Patty.Perkins@health.mo.gov.

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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.

  • new payment model to improve quality, coordination and cost-effectiveness for both inpatient and outpatient care
  • new Medicare card project special open door forum – Tuesday, Jan. 23
  • major joint replacement (hip or knee) booklet

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Quality and Population Health


Missouri Foundation For Health Releases New Report On Mortality In Missouri

Staff Contacts: Mat Reidhead or Leslie Porth

A new report titled “Why Are Death Rates Rising Among Whites in Missouri?” spotlights a disturbing trend in life expectancies in the state. Since 2000, 79 of 114 Missouri counties have seen a rise in white mortality rates for those aged 25 to 59. The publication released by the Missouri Foundation for Health and created in partnership with Virginia Commonwealth University's Center on Society and Health and the University of Pittsburgh examines the trend in detail. The researchers delve into the demographics behind this shift and offer potential causes and solutions to this troubling issue.

The findings of this new research substantiate previous HIDI research on opioid-related “deaths of despair.”

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Influenza Activity in Missouri Continues, MHA Activates Queries To Monitor Impact

Staff Contact: Jackie Gatz

The Centers for Disease Control & Prevention’s most recent national flu report continues to indicate widespread influenza activity throughout most of the nation, including Missouri. The Missouri Department of Health and Senior Services’ Weekly Influenza Surveillance Report for Dec. 31, 2017, through Jan. 6, 2018, indicates influenza-like illness activity remains above baseline for both the Missouri Outpatient ILI Surveillance Network and the hospital emergency room visit chief complaint data reported through ESSENCE. Regional and state coordination systems currently are monitoring ILI activity and potential impacts to health care facilities.

MHA conducted EMResource queries Monday and Wednesday of this week and will conduct another query between 9:30 a.m. and 1:30 p.m. Friday, Jan. 12. Data compiled from the most recently conducted query indicate hospitals are experiencing high patient volumes with some also reporting an impact to staffing. Information from the Jan. 12 query will be used to evaluate current or potential impacts. Information will be shared with key regional and state partners for continued collaboration and event monitoring.

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Opioid STR Announces MAT Waiver Training

Staff Contact: Leslie Porth

Opioid State Targeted Response is partnering with the Missouri Coalition for Behavioral Healthcare to provide medication-assisted treatment waiver training. The eight-hour waiver course will include four hours of live training and four hours of individual online coursework. The live training will be held at 8 a.m. Saturday, Feb. 24, at St. Anthony’s Medical Center. Registration is required. Reimbursement for attending PCSS-MAT waiver training is available.

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Consider This ...

More people develop skin cancer because of tanning than develop lung cancer because of smoking. Those who have ever tanned indoors have a 69 percent risk of developing basal cell carcinoma before age 40.

Source: The Skin Cancer Foundation