MHA Today | January 23, 2018

January 23, 2018

MHA Today: News for Healthcare Leaders

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January 23, 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
Governor Releases Budget Proposal
Congress Reauthorizes CHIP, Postpones Shutdown
State Senate Committee Advances FRA Legislation
New Report Highlights The Public Health Consequences Of E-Cigarettes
CMS Corrects Third Quarter 2017 Other VTE Sub-Population Discrepancy
CMS Posts HQR News Blast



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Governor Releases Budget Proposal

Staff Contacts: Daniel Landon or Brian Kinkade

Governor Eric Greitens released his administration’s proposed budget for state fiscal year 2019, which will begin July 1, 2018. The governor’s budget proposal traditionally serves as the starting point for legislative appropriations work. MHA will convene three telephone conferences this week to review and discuss the proposal with executives of its member hospitals. The proposed state operating budget is $28.8 billion, supported in equal parts by state general revenue, other state funds and federal funds. Gov. Greitens proposes $40 million in unspecified cost containment initiatives for the Medicaid program, but otherwise does not suggest major Medicaid funding restrictions for hospitals. MHA expressed support for the inclusion of new spending to address opioid abuse.

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Congress Reauthorizes CHIP, Postpones Shutdown

Staff Contact: Daniel Landon

Congress negotiated and enacted legislation to temporarily restore funding for the federal government after a three-day partial government shutdown. The legislation extends funding through Thursday, Feb. 8 to provide time for Congress to craft a spending plan for the fiscal year that started Oct. 1, 2017. The new legislation also reauthorizes the Children’s Health Insurance Plan for six years, as well as delays federal taxes on “Cadillac” health insurance coverage, medical devices and health insurers.

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State Senate Committee Advances FRA Legislation

Staff Contacts: Daniel Landon or Rob Monsees

Today, the state Senate Appropriations Committee reviewed and approved legislation to reauthorize the hospital Federal Reimbursement Allowance and the other provider taxes. Without legislative action, the laws creating the provider taxes will lapse as of Sept. 30. The legislation extends them for three years. The committee approved a revised bill that includes an MHA-promoted revision of a payment safeguard in the current hospital FRA law. The current safeguard is increasingly obsolete; the proposed new standard enhances accountability for how state government uses hospital FRA funds.

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Quality and Population Health


New Report Highlights The Public Health Consequences Of E-Cigarettes

Staff Contact: Stephen Njenga

The National Academies of Sciences, Engineering and Medicine released a publication on the public health consequences of e-cigarettes. It highlights that millions of Americans use e-cigarettes, even as rates of smoking combustible tobacco cigarettes continue to decline among youth and adults.

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CMS Corrects Third Quarter 2017 Other VTE Sub-Population Discrepancy

Staff Contact: Sherry Buschjost

As reported in the Jan. 3 issue of MHA Today, the Centers for Medicare & Medicaid Services identified an issue within the CMS data receiving system that caused claims to be incorrectly evaluated for the other venous thromboembolism subpopulation. This issue impacts the accuracy of third quarter and fourth quarter 2017 eligible claims data for the Hospital Inpatient Quality Reporting Program as displayed on the IQR Claims Detail Report and the Provider Participation Report.

CMS corrected the 3Q2017 data in the system and is pursuing a final resolution for the issue regarding 4Q2017 data. CMS recommends hospitals re-run 3Q2017 Provider Participation and Claims Detail Reports to ensure their accuracy. The final resolution is anticipated to be released in the production system in early April 2018, and no impact to the annual payment update determinations is expected.

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CMS Posts HQR News Blast

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services posted the latest Hospital Quality Reporting News Blast to the Quality Reporting Center.

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Consider This ...

Overall, cigarette smoking among U.S. adults declined from 20.9 percent in 2005 to 15.5 percent in 2016. Yet, nearly 38 million American adults smoked cigarettes “every day” or “some days” in 2016.

Source: Centers for Disease Control and Prevention