MHA Today | May 1, 2018

May 1, 2018


MHA Today: News for Healthcare Leaders

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

In This Issue
Senate Committee Considers Organ Donation Legislation
Legislative Committee Reviews Collaborative Practice Bill
CMS Releases FY 2019 Skilled Nursing Facility Proposed Rule
Meaningful Measures Initiative And The FY 2019 Medicare Proposed Rules
MO HealthNet To Implement Morphine MME Limitations May 1
HIDI Releases Hospital Profile Report
CMS Releases Hospital Quality Reporting Center Spring Newsletter
MHA Releases Issue Briefs For 2019 CMS Proposed Payment Systems


Upcoming SEMINAR
Missouri Hospital Association Leadership Forum

Thursday, May 17, to Friday, May 18
Lodge of Four Seasons
Lake Ozark, Mo.

Register on or before Wednesday, May 9.

Advocate
state and federal health policy developments


Senate Committee Considers Organ Donation Legislation

Staff Contacts: Daniel Landon or Rob Monsees

A Senate committee reviewed House Bill 2129, which would require 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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Legislative Committee Reviews Collaborative Practice Bill

Staff Contacts: Daniel Landon or Rob Monsees

A state Senate committee held a hearing on House Bill 1574. It addresses collaborative practice arrangements and allows more flexibility in the number of advanced practice registered nurses, assistant physicians and physician assistants that a physician may supervise.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases FY 2019 Skilled Nursing Facility Proposed Rule

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the federal fiscal year 2019 proposed Medicare payment and policy updates for skilled nursing facilities. The proposed rule includes details about the SNF quality reporting program, value-based purchasing program, payment updates and a request for information about advancing My HealthEData. The proposed rule also offers additional details and makes significant changes to the Resident Classification System. CMS also is renaming the RCS model to the SNF patient-centered-driven payment model. FY 2019 SNF payments are expected to increase $850 million or 2.4 percent. Comments about the proposed payment and policy updates are due no later than 4 p.m. on June 26, 2018. MHA released an issue brief with additional details.

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Meaningful Measures Initiative And The FY 2019 Medicare Proposed Rules

Staff Contact: Andrew Wheeler

Within each of the proposed FY 2019 Medicare payment and policy updates, the Centers for Medicare & Medicaid Services included proposals that work toward carrying out the Meaningful Measures initiative. The initiative works to identify the highest priority areas for quality measurement and improvement that are vital to advancing work to improve patient outcomes. MHA released an issue brief with additional details.

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MO HealthNet To Implement Morphine MME Limitations May 1

Staff Contact: Brian Kinkade

MO HealthNet Division announced that a pharmacy payment system edit to limit the accumulated milligram morphine equivalent of prescriptions authorized for payment for Missouri Medicaid participants will become effective May 1. Details of the edit have not yet been released, but will be posted to MHD's pharmacy edits webpage. Prior authorization will be required for patients with prescriptions exceeding MME limits. Patients with a cancer diagnosis and patients receiving palliative care will be exempt.

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HIDI Tech Connect


HIDI Releases Hospital Profile Report

Staff Contact: Shane VanOverschelde

The Hospital Profile Report is derived from several data sources that displays a comprehensive set of key hospital metrics in an Excel-based tabular display. Data from 120 Missouri hospitals, including acute care hospitals, critical access hospitals, children’s hospitals and cancer hospitals, appear side-by-side on the report.

This report is available to subscribers of the HIDI Premier Reporting Package and is located on HIDI Analytic Advantage® in the Strategic Planning/Premier Reports folder with the following file name: MO0000_2018 Hospital Profiles_(2018.05.01).xls. Hospitals interested in subscribing to the HIDI Premier Report Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Quality and Population Health


CMS Releases Hospital Quality Reporting Center Spring Newsletter

Staff Contact: Sherry Buschjost

The Hospital Quality Reporting Center Spring 2018 newsletter has been released by the Centers for Medicare & Medicaid Services. The issue includes information for acute and critical access hospitals, inpatient psychiatric facilities and PPS-exempt cancer hospitals.

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Spotlight


MHA Releases Issue Briefs For 2019 CMS Proposed Payment Systems

Issue_brief_logoThe Centers for Medicare & Medicaid Services released proposed rules for 2019 payment systems. Learn more about each in payment system-specific MHA Issue Briefs.

 

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Consider This ...

More adults than children are now living with congenital heart disease, the most common birth defect that is diagnosed in 1 of 100 births. About 1.4 million adults with birth defects of the heart are advised to stay under the care of an expert in the field their whole lives, according to the Adult Congenital Heart Association.

Source: St. Louis Post-Dispatch