MHA Today | April 11, 2018

April 11, 2018
MHA Today: News for Healthcare Leaders

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April 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
Practitioner Licensure Boards Respond To Medicaid Opioid Prescriber Query
State House Approves Opioid Abuse Legislation
House Advances Organ Donation Measure
Legislation To Limit Punitive Damages Wins House Approval
CMS Releases Final Decision Memo For MRI
CMS Appeals Unfavorable DSH Decision
CMS Announces Preview Period For VBP FY 2019 HSRs

Advocate
state and federal health policy developments


Practitioner Licensure Boards Respond To Medicaid Opioid Prescriber Query

Staff Contacts: Daniel Landon or Leslie Porth

Three state health practitioner licensure boards responded to MHA’s letter regarding their enforcement of a new opioid prescriber standards initiative in the Medicaid program. One of the potential consequences of noncompliance with the Medicaid prescriber standards is referral of the practitioner to the appropriate licensure board. Administrators of the State Board of Registration for the Healing Arts, the State Board of Nursing and the Missouri Dental Board indicate their respective boards “would apply the same standard and follow the same process set forth by law and regulation, regardless of the source of the complaint.”

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State House Approves Opioid Abuse Legislation

Staff Contacts: Daniel Landon or Leslie Porth

The state House of Representatives gave final approval to House Bill 2105, sending the proposal to the Missouri Senate. The legislation proposes various new laws and programs to prevent and treat opioid addiction. The legislature’s staff estimate of its implementation cost is more than $36 million annually, most of which relates to treatment services.

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House Advances Organ Donation Measure

Staff Contact: Daniel Landon

The state House of Representatives gave first-round approval to House Bill 2129. The legislation requires that public high school students receive at least 30 minutes of instruction regarding organ, eye and tissue donation before they graduate. MHA supports the bill.

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Legislation To Limit Punitive Damages Wins House Approval

Staff Contacts: Ted Wedel or Rob Monsees

The state House of Representatives gave first-round approval to House Bill 2119, which revises legal standards for lawsuits seeking punitive damages. Before approving the bill, legislators adopted an amendment promoted by MHA to strengthen its proposal regarding punitive damages involving medical malpractice or wrongful death.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Final Decision Memo For MRI

Staff Contacts: Sarah Willson or Jim Mikes

The Centers for Medicare & Medicaid Services modified the national coverage determination for Magnetic Resonance Imaging, eliminating the collection of additional information under the Coverage with Evidence Development. The Final Notice explains removal of contraindications for Medicare coverage of MRI and lists the expanded coverage areas.

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Health Law Insight


CMS Appeals Unfavorable DSH Decision

Staff Contact: Jane Drummond

The Centers for Medicare & Medicaid Services appealed the decision issued by the federal district court in favor of MHA in the Disproportionate Share Hospital audit litigation. MHA obtained a ruling in February that invalidated FAQ guidance and a final rule requiring Medicaid and third party payments be used to offset costs in calculating a hospital’s DSH limit. The decision was the first in the nation to enjoin the rule. The case will be briefed and argued before the Eighth Circuit Court of Appeals, with a decision likely in late 2018 or early 2019.

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Quality and Population Health


CMS Announces Preview Period For VBP FY 2019 HSRs

Staff Contact: Sherry Buschjost

The hospital-specific reports for the fiscal year 2019 Hospital Value-Based Purchasing Program preview period will be available for hospitals from Wednesday, April 11, through Thursday, May 10. The measures included in the reports are the following: the 30-day risk-standardized mortality measures for acute myocardial infarction, heart failure and pneumonia; and the procedure-specific, risk-standardized total hip arthroplasty/total knee arthroplasty complication measure. Hospitals can view their HSRs on the QualityNet Secure Portal. Additional details are available.

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Consider This ...

In 2014, Americans' life expectancy ranked 43rd in the world, despite the U.S. spending more per person on health care than any other country in the world.

Source: Los Angeles Times