MHA Today | May 29, 2018

May 29, 2018

MHA Today: News for Healthcare Leaders

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May 29, 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
MHA Distributes Analysis Of Proposed FFY 2019 IPF PPS
AHIP Suggests Large Marketplace Premium Increases Likely
GAO Announces MedPAC Appointments

What You Need To Know This Week

  • Watch for more information about a second opioid prescriber letter being sent by the Department of Social Services this week.
  • Watch for an update on a new payment rule for Missouri Medicaid outpatient services.

Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis Of Proposed FFY 2019 IPF PPS

Staff Contact: Andrew Wheeler

MHA released an analysis illustrating the financial effect of the proposed federal fiscal year 2019 Medicare Inpatient Psychiatric Facility PPS updates. In aggregate, the state will see an increase of 1.4 percent for services paid under the IPF PPS. However, this rate increase does not take into account the Medicare sequestration payment reductions. The analysis, which is available online for authorized users of HIDI Analytic Advantage®, contains a summary for the nation, Missouri, health systems and individual hospitals. Comments about the proposed rule must be submitted by Tuesday, June 26.

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Noteworthy


AHIP Suggests Large Marketplace Premium Increases Likely

Staff Contact: Andrew Wheeler

America’s Health Insurance Plans released an issue brief suggesting that a variety of policy changes and cost could lead to double-digit increases in premiums for marketplace consumers in 2019. The brief suggests elimination of the individual mandate, authorization of association health plans and short-term plans are driving premium increases. Health care inflation and pharmacy costs also are contributing factors according to the research. AHIP estimates the congressional health insurance tax moratorium would have a positive 3 percent effect on premiums, but this bright spot for insurers is eclipsed by negative policy implications and cost growth among the other factors.

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GAO Announces MedPAC Appointments

Staff Contact: Daniel Landon

The U.S. Government Accountability Office announced the appointment of five new members and one current member to the Medicare Payment Advisory Commission. The newly appointed members are Karen DeSalvo, M.D., MPH, M.Sc, Professor of Medicine and Population Health at the Dell Medical School at the University of Texas in Austin, Texas; Marjorie Ginsburg, BSN, MPH, Sacramento, Calif.; Jonathan Jaffery, M.D., M.S., MMM, Professor of Medicine at the University of Wisconsin School of Medicine and Public Health in Madison, Wis.; Jonathan Perlin, M.D., Ph.D., MSHA, President of Clinical Services and Chief Medical Officer of HCA in Nashville, Tenn.; and Jaewon Ryu, M.D., J.D., Executive Vice President and Chief Medical Officer for Geisinger Health System in Danville, Pa. The reappointed member is Susan Thompson, R.N., Senior Vice President of Integration and Optimization with UnityPoint Health in West Des Moines, Iowa. All terms will expire in April 2021.

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Consider This ...

Compared to adults without disabilities, adults with disabilities in the U.S. are more likely to be obese, smoke, have high blood pressure and be physically inactive.

Source: Centers for Disease Control and Prevention