MHA Today | April 26, 2018

April 26, 2018
MHA Today: News for Healthcare Leaders

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April 26, 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
House Approves Provider Tax Legislation
State Senate Completes Budget Work
Congressional Committees Advance A Slew Of Opioid Bills
MHA Releases Bundled Payments For Care Improvement Advanced Analysis
MLN Connects Provider eNews Available
CMS Updates Hospital Compare
Patient And Family Engagement Guide For Primary Care Practices Available

Advocate
state and federal health policy developments


House Approves Provider Tax Legislation

Staff Contacts: Rob Monsees or Daniel Landon

The state House of Representatives approved a revised version of legislation to reauthorize the hospital Federal Reimbursement Allowance and the other state provider taxes that generate funding for the Medicaid program. It also updates a 17-year-old safeguard for hospital payments funded by the FRA. House committee changes included authorizing a managed care provider tax and adding protection for proprietary data. During its debate, the House adopted two amendments. One shortened the duration of the extension to one year from two years. The other increased the threshold of the hospital payment safeguard to 45 percent from the 41 percent of the original bill. This provides a state “cushion” comparable to that of current law. The bill returns to the Senate for consideration of the House changes. If the changes are rejected by the Senate, the House could retract them or engage in conference committee negotiations to resolve its differences with the Senate.

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State Senate Completes Budget Work

Staff Contacts: Rob Monsees or Daniel Landon

The Missouri Senate debated the bills creating the next state budget and approved them with few changes to what was passed last week by the Senate Appropriations Committee. The bills return to the House of Representatives and will become the subject of conference committee negotiations to resolve differences between the House and Senate versions. MHA urges its member hospitals to contact legislators to express support for the much more favorable Senate position on Medicaid hospital payments. The constitutional deadline for completing work on the $28 billion operating budget is Friday, May 11.

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Congressional Committees Advance A Slew Of Opioid Bills

Staff Contacts: Daniel Landon or Leslie Porth

The U.S. House of Representatives Energy and Committee’s Health Subcommittee considered 60 bills concerning opioid abuse treatment and prevention and approved 57 of them. Not to be outdone, the U.S. Senate Health, Education, Labor and Pensions committee approved an “Opioid Crisis Response Act of 2018” that includes 40 separate opioid control proposals from 38 senators.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Releases Bundled Payments For Care Improvement Advanced Analysis

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services Innovation Center announced a new voluntary episode payment model — Bundled Payments for Care Improvement Advanced Analysis. Providers can voluntarily participate with a choice of 29 inpatient and three outpatient clinical episodes. MHA released an analysis of two of these episodes — the inpatient simple pneumonia and respiratory infections episode and the outpatient percutaneous coronary intervention episode. The analysis includes episode care cost by provider type for the hospital and national averages.

Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are available for download to authorized users of HIDI Analytic Advantage®.

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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.

  • CMS changes name of the Electronic Health Record Incentive Programs and Advancing Care Information to “Promoting Interoperability”
  • Medicare Access and CHIP Reauthorization Act of 2015 funding opportunity: Deadline extended to Monday, May 30
  • Proper use of the KX modifier for part B immunosuppressive drug claims
  • New Medicare card: Help your patients

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Quality and Population Health


CMS Updates Hospital Compare

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the Hospital Compare website with quality information for the following programs and initiatives.

  • Hospital Inpatient Quality Reporting
  • Prospective Payment System-Exempt Cancer Hospital Quality Reporting
  • Hospital Outpatient Quality Reporting

Details are available.

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Patient And Family Engagement Guide For Primary Care Practices Available

Staff Contact: Mary Shackelford

The Agency for Healthcare Research and Quality developed a guide for primary care practices to partner with patients and their families to improve patient safety. Materials and resources will help implement patient and family engagement practices.

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Consider This ...

Chronic obstructive pulmonary disease, which includes emphysema and chronic bronchitis, makes breathing hard for the 16 million Americans who have been diagnosed with COPD. One in four adults with COPD say they are not able to work, and more than one in three adults with COPD have trouble walking or climbing stairs.

Source: The Centers for Disease Control and Prevention