MHA Today | April 20, 2018

April 20, 2018


MHA Today: News for Healthcare Leaders

twitter linkedin
April 20, 2018

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

Last November, Shelly Simonds went to bed on election night thinking she had narrowly lost a race for a seat in the Virginia House of Delegates. During a recount, her opponent’s 10-vote margin shrunk by 11 votes, leaving Simonds the victor by a single vote. Later, a judicial panel reviewed the ballots and determined the race was a tie — 11,608 each. In January, the race was decided by lottery. Simonds lost when her opponent’s name was pulled from a bowl.

I can’t help but think that Simonds asks herself whether she could have gone to one more event, walked through one more neighborhood or spent more time getting out the vote. These are “what if…” moments.

Wednesday night, after a major push by our hospital-community team — in the Capitol and by hospital leaders and grassroots advocates from throughout the state — members of the Senate Appropriations Committee modified the House’s cuts to hospital Medicaid payments. This is exceptionally good news.

Under the leadership of Chairman Dan Brown, the Senate committee’s version of the state fiscal year 2019 budget restores $49 million of the Medicaid cuts included in the House-approved version. More importantly, the committee added a directive that caps hospitals’ cuts at $20.8 million. The cap will act as a bulwark against any effort by the Department of Social Services to pursue further unbudgeted cuts, block the spill-over effect of cuts to Medicaid managed care and ensure that cuts are proportional to hospitals’ share of Medicaid General Revenue spending.

The goal now is to hold the language. The Senate is expected to take up the budget next week. The differences between the House and Senate versions will be resolved by conference committee negotiations to produce a final version to send to the governor.

Throughout the budget process, we’ve done everything possible to maintain fairness and equity in Medicaid funding. Certainly, there continues to be emphasis on the long-term partnership between hospitals and the state to fund the program. But, we’re also committed to ensuring the program is modeled to best serve Medicaid recipients.

It’s time to make that extra call to lawmakers — and encourage members of your team to do the same. Although tradition would indicate that Senate changes to the Appropriations Committee’s proposal are unlikely, they are possible. We know that changes certainly will occur in the House-Senate conference as legislators juggle priorities in creating a $28 billion budget, so advocacy with both House and Senate members is essential. To eliminate chance, we need a strong get-out-the-vote effort now. There’s too much at stake for a “what if…” moment.

I have one more good news item this week. Corizon Correctional Healthcare has been working with a House committee to require hospitals to contract with them for reimbursement at Medicaid rates. Proponents tried to get the language amended to the Senate’s budget on Wednesday. MHA and its members were able to block the amendment.

Look for more information about how to weigh in with lawmakers in the days ahead. And, as always, let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
MHA Celebrates National Healthcare Volunteer Week
U.S. Senate Committee Considers Opioid Policy Recommendations
Legislators Review Mammography Legislation
MO HealthNet Division Issues Guidelines For School-Based Behavioral Health Services
MLN Connects Provider eNews Available
Report Highlights Medicaid Spending On Medications To Treat OUD And Overdose
CMS Seeking Feedback From QualityNet Users
Missouri Telehealth Network Hosts Webinar On MO HealthNet Telehealth Provider Bulletin


MHA Celebrates National Healthcare Volunteer Week

Phyllis CottrellIn honor of National Healthcare Volunteer Week, MHA is featuring the 2017 hospital auxiliaries and auxilian of the year award winners. Today, we recognize Phyllis Cottrell of Mercy Hospital Joplin Auxiliary, recipient of the 2017 Auxilian of the Year Award. Throughout 30 years of service to the auxiliary, Phyllis has donated 32,000 hours of service. During her tenure, she has served as a member of the board for 24 years, as auxiliary president twice and within the gift shop for 20 years. In addition, she’s served on or led countless auxiliary committees and spearheaded hospital and auxiliary projects. As a retiree from a corporate position, she brings an eye for management of auxiliary projects, and encourages other volunteers to help them be the best at the services they provide when volunteering their time.

Citizens Memorial HospitalMHA also recognizes the volunteer services of the Citizens Memorial Hospital’s “Ice Cream Cart.” Citizens Memorial Hospital earned the Award for Excellence from the Midwest Association for Healthcare Volunteer Resource Professionals at MHA’s annual convention. The original ice cream cart concept was developed by a volunteer who desired to be the “ice cream man” for one of CMH’s facilities. Volunteers use the carts to distribute ice cream among the residents at CMH long-term care facilities, ringing a bell as they proceed through the halls. The initial idea proved so popular and successful that an additional five carts were purchased. The two-fold goal is to bring joy to the residents while increasing the calorie intake of patients who often lack a desire to eat. Thirty volunteers have been trained to serve as ice cream cart vendors, and the program is so popular that volunteers take turns.

Highlight your hospital's auxiliary or an auxilian during National Healthcare Volunteer Week by submitting an Auxiliary of the Year Award or Outstanding Auxilian Award nomination form by Monday, July 16.

Back To Top


state and federal health policy developments

U.S. Senate Committee Considers Opioid Policy Recommendations

Staff Contacts: Daniel Landon or Leslie Porth

The U.S. Senate Finance Committee held a hearing on opioid policy, featuring testimony from the Centers for Medicare & Medicaid Services and an Assistant Secretary for Health in the Department of Health and Human Services.

Back To Top

Legislators Review Mammography Legislation

Staff Contacts: Daniel Landon or Rob Monsees

A state Senate committee reviewed House Bill 1252. The legislation would add digital mammography and breast tomosynthesis to the definition of low-dose screening mammography in a state law requiring insurance coverage of mammography. It also would require coverage of annual mammograms for women age 40 and older. Currently, coverage of annual examinations begins at age 50.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care

MO HealthNet Division Issues Guidelines For School-Based Behavioral Health Services

Staff Contact: Brian Kinkade

The MO HealthNet Division issued a bulletin with guidelines for providers billing behavioral health services in school settings. MHD and its managed care plans will reimburse eligible behavioral health services delivered in schools that are not included in a student’s individualized education plan. IEP-defined services are paid for by the school.

Back To Top

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.

  • Merit-based Incentive Payment System study on burdens associated with reporting quality measures apply by Monday, April 30
  • market saturation and utilization data tool
  • new Medicare card new numbers are confidential
  • Program for Evaluating Payment Patterns Electronic Reports available for hospices, skilled nursing facilities, inpatient rehabilitation facilities, inpatient psychiatric facilities, critical access hospitals, and long-term acute care hospitals

Back To Top



Quality and Population Health

Report Highlights Medicaid Spending On Medications To Treat OUD And Overdose

Staff Contacts: Leslie Porth or Shawn Billings

The Urban Institute issued a brief titled, “Rapid Growth in Medicaid Spending on Medications to Treat Opioid Use Disorder and Overdose.” The brief presents new spending data and analysis to give policymakers and the public perspective on the scope of Medicaid spending increases that states could face in the coming years addressing the opioid crisis. Between 2011 and 2016, spending on Medicaid-covered prescriptions used to treat OUD (i.e. buprenorphine, naltrexone and Naloxone) increased from $394.2 million to $929.9 million, suggesting a large, rapid and ongoing expansion in treatment. These figures underestimate the total spending on OUD prescriptions in Medicaid since they do not include spending on methadone, a highly effective treatment that was not included in the analysis.

Back To Top

CMS Seeking Feedback From QualityNet Users

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services seeks feedback from users of the QualityNet Secure Portal. Interested individuals are asked to submit the 2018 HQR sign up form.

Back To Top



Missouri Telehealth Network Hosts Webinar On MO HealthNet Telehealth Provider Bulletin

Staff Contact: Jim Mikes

The Missouri Telehealth Network will host an upcoming webinar, “MO HealthNet Telehealth Provider Bulletin…Explained,” on Wednesday, May 16. The webinar will address the new MO HealthNet guidance on the use of telehealth and telemedicine released on Feb. 1. FAQs surrounding this new guidance are available. To register, contact Wendy Hough.

Back To Top


Did You Miss An Issue Of MHA Today?

April 16, 2018
MHA Celebrates National Healthcare Volunteer Week
Missouri Announces STEMI Designation Go-Live
CMS Announces Sepsis Education Session

April 17, 2018
MHA Celebrates National Healthcare Volunteer Week
Senate Committee Reviews Assistant Physician Bill
Registration Open For Physician-Focused Opioid Use Disorder Conference
HIDI Releases Fourth Quarter 2017 VBP Payments Model

April 18, 2018
MHA Celebrates National Healthcare Volunteer Week
Committee Advances Hospital Regulatory Reform Legislation
Legislators Advance Differing Versions Of Newborn Eye Drops Bill
Legislators Consider Bills On Post-Discharge Caregivers
Senate Approves Bill On Insurer Coverage And Payment Standards
MHA Posts Recording Of MO HealthNet Division Hospital Cost Containment Call
HIDI Releases First Quarter FFY 2018 Inpatient, Outpatient, Databases
CMS Reminds IPFs About HCP Measure Data Submission Deadline
CDC Issues Spanish Version Of Antibiotic Stewardship Materials
TJC Announces Pioneers In Quality Webinar

April 19, 2018
MHA Celebrates National Healthcare Volunteer Week
Senate Committee Limits MO HealthNet Division Hospital Cuts
Legislative Committees Reject Or Restrict Prisoner Care Mandates
Committee Reviews Prudent Layperson Proposal
Committee Approves Expansion Of Short-Term Insurance Policies
Punitive Damages Legislation Advances
State Senate Advances Nursing Licensure Bill
House Approves Organ Donation Measure
TJC Initiates Sentinel Event Alert On Workplace Violence
HHS Awards States Second Year Of Funding To Combat Opioid Crisis
NSC Releases Report On The Status Of The Opioid Crisis
CMS Hosts Quality Measures Webinar Series

Consider This ...

Every second of every day in the U.S. an older adult falls. Among older Americans, falls are the number one cause of injuries and death from injury. In 2014 alone, 28.7 percent of Americans 65 and older fell, resulting in 29 million falls, causing 7 million fall injuries and costing an estimated $31 billion in annual Medicare costs.

Source: Centers for Disease Control and Prevention