MHA Today | May 24, 2018

May 24, 2018
MHA Today: News for Healthcare Leaders

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May 24, 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
Medicaid Opioid Prescribing Initiative To Send New Round Of Practitioner Mailings
U.S. House And Senate Pass VA Bill
CMS Holds Conference Call About Expedited Medicare Appeals Settlements
MLN Connects Provider eNews Available
SFCC To Offer Online Community Health Worker Training
CMS Announces IQR Education Sessions

Advocate
state and federal health policy developments


Medicaid Opioid Prescribing Initiative To Send New Round Of Practitioner Mailings

Staff Contacts: Daniel Landon, Leslie Porth or Jane Drummond

The Medicaid opioid prescribing initiative will issue another round of letters to Missouri practitioners this week, according to state officials. This latest mailing follows closely on the heels of the second round of the program’s initial two-stage effort to change practitioners’ opioid prescribing practices. It targets prescribers based on six proprietary quality metrics and focuses on polypharmacy issues. Patients concurrently taking both buprenorphine and another opiate were cited as an example. Recipients of the latest mailing are a subset of those who received the first OPI mailing. State officials say program forms have been revised to make it “easier to respond,” and that they “wanted to get the mailing out quickly because of the present dialogue around opioid issues.” MHA will provide further details to its membership as they become available.

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U.S. House And Senate Pass VA Bill

Staff Contacts: Daniel Landon or Andrew Wheeler

The U.S. House and Senate passed legislation that establishes the Veterans Community Care program, makes improvements to processing claims and prompt payment provisions, and establishes education about VA health care options. The House passed the bill on Friday, May 18, by a bipartisan vote of 347 to 70. The Senate passed the bill on Wednesday, May 23, by a bipartisan vote of 92 to five. The bill goes to the President who is expected to sign it into law.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Holds Conference Call About Expedited Medicare Appeals Settlements

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services held a conference call about an expanded dispute resolution option for providers with large claims that are pending at the Office of Medicare Hearings and Appeals. The Settlement Conference Facilitation option has been expanded to allow qualifying providers to settle Medicare appeals without waiting years for a hearing. The U.S. Department of Health and Human Services released FAQs about SCF expansion.

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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.

  • Targeted Probe and Educate video
  • proposals for new measures for promoting interoperability program: Deadline Friday, June 29
  • fiscal year 2019 ICD-10-PCS procedure codes
  • Merit-based Incentive Payment System promoting interoperability performance category
  • clinical quality measure annual update

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Quality and Population Health


SFCC To Offer Online Community Health Worker Training

Staff Contact: Stephen Njenga

State Fair Community College announced that they will start offering online community health worker courses beginning Monday, June 4. Registration is open and seats are still available.

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CMS Announces IQR Education Sessions

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services announced upcoming outreach and education sessions for hospitals participating in the Inpatient Quality Reporting Program.

Registration is required and available at the noted links.

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Consider This ...

According to a new study, more than 10 percent of hospitalized patients who took one or more opioid painkillers experienced a side effect tied to the drug. Of those patients, 93 percent suffered at least one episode that was deemed moderate or severe.

Source: Los Angeles Times