MHA Today | June 19, 2018

June 19, 2018
MHA Today: News for Healthcare Leaders

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June 19, 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
MO HealthNet Holds Managed Care Contract Hearing; Phone Problems Prevent Hospital Participation
MHA Submits Comment Letter On Proposed Medicare IPPS/LTCH Regulation Changes
Comments Offered On Proposed Medicare Rules For Psychiatric Facilities
Medicare Rehabilitation Facility Regulatory Comments Submitted
Association Health Plan Final Rule Available
NIH Research Finds Methadone And Buprenorphine Reduce Risk Of Death After Opioid Overdose
Talent For Tomorrow Initiative Hosts Regional Meetings
Trustee of the Year Award Call For Applications


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Monday, July 16, and Tuesday, July 17
Tan-Tar-A Resort
Osage Beach, Mo.

Register on or before Monday, July 2.

Advocate
state and federal health policy developments


MO HealthNet Holds Managed Care Contract Hearing; Phone Problems Prevent Hospital Participation

Staff Contact: Brian Kinkade

The MO HealthNet Division conducted a public hearing this morning to receive comments for and against its planned amendment to the state’s managed care contract that would limit reimbursement to nonparticipating providers to 90 percent of prevailing Medicaid fee-for-service rates. MHA spoke in opposition to the amendment at the hearing and filed written comments in opposition, as well. MHD’s attempt to provide participation in this morning’s hearing by phone and webinar failed; phone and webinar participants could neither hear nor be heard. Complaints have been registered with MHD. However, MHD will continue to accept written comments through Monday, July 9. Written comments may be sent by regular, express or overnight mail, or delivered in person or by courier to the following address.

MO HealthNet Division
615 Howerton Ct., 2nd Floor
Jefferson City, MO 65109
Attention: Rebecca Logan

Comments also may be emailed to Ask.MHD@dss.mo.gov. Comments sent by email must include “Public Comment for Prospective MO HealthNet Managed Care Reimbursement Methodology” in the subject line.

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MHA Submits Comment Letter On Proposed Medicare IPPS/LTCH Regulation Changes

Staff Contacts: Daniel Landon or Andrew Wheeler

MHA submitted a comment letter regarding the Centers for Medicare & Medicaid Services’ proposed Medicare regulatory changes for inpatient PPS and long-term care hospitals. The proposed changes are for fiscal year 2019 and affect a variety of topics. The proposed rules were issued in late April, and MHA published an Issue Brief on the topic. Public comments can be electronically submitted to CMS until 4 p.m. Monday, June 25.

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Comments Offered On Proposed Medicare Rules For Psychiatric Facilities

Staff Contacts: Daniel Landon or Sarah Willson

MHA submitted a comment letter regarding the Centers for Medicare & Medicaid Services’ proposed Medicare regulatory changes for inpatient psychiatric facilities. MHA previously published an Issue Brief about the proposed rules. Public comments can be electronically submitted to CMS until 4 p.m. Tuesday, June 26.

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Medicare Rehabilitation Facility Regulatory Comments Submitted

Staff Contacts: Daniel Landon or Jim Mikes

MHA submitted a comment letter regarding the Centers for Medicare & Medicaid Services’ proposed Medicare regulatory changes for inpatient rehabilitation facilities. MHA previously published an Issue Brief about the proposed rules. Public comments can be electronically submitted to CMS until 4 p.m. Tuesday, June 26.

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Regulatory News
the latest actions of agencies monitoring health care


Association Health Plan Final Rule Available

Staff Contact: Andrew Wheeler

The Department of Labor released details about the Trump administration’s final version of a rule that allows more small business and self-employed workers to purchase insurance as a group. Department of Labor Secretary Alexander Acosta stated, “The Trump administration hopes to level the playing field between large companies and small businesses by expanding access to association health plans. This expansion will offer millions of Americans more affordable coverage options.”

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Quality and Population Health


NIH Research Finds Methadone And Buprenorphine Reduce Risk Of Death After Opioid Overdose

Staff Contacts: Leslie Porth or Shawn Billings

A National Institutes of Health study found that treatment of opioid use disorder with buprenorphine or methadone following a nonfatal opioid overdose is associated with significant reductions in all-cause and opioid-related mortality. This study adds to a body of research confirming the efficacy of medications used to treat OUD.

  • Opioid overdose deaths decreased by 59 percent for those receiving methadone and 38 percent for those receiving buprenorphine over the 12 month follow-up period.

  • Thirty-four percent of people who experienced an overdose were subsequently prescribed one or more prescriptions for opioid painkillers over the next 12 months, and 26 percent were prescribed benzodiazepines.

  • A nonfatal opioid overdose treated in the emergency department is a critical time to identify people with OUD, to offer patients access to treatment interventions and provide linkage to care following their discharge, and to make improvements in treatment retention.


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Workforce News


Talent For Tomorrow Initiative Hosts Regional Meetings

Staff Contact: Mary Becker

The Department of Economic Development, the Department of Higher Education and the Hawthorn Foundation are launching an initiative that will fundamentally reset Missouri’s approach to meeting our state’s workforce needs. This transformational project is the cornerstone of a comprehensive strategy that will position Missouri to excel in a global economy changed by trade, technology and other dynamic forces. The final product will include an assessment of our current workforce and how well it matches our needs, deep dives into target economic sectors, economic scenario analysis, identification of pilot projects and recommendations for an overall workforce strategy.

Talent for Tomorrow regional meetings are being held Tuesday, June 26, to Wednesday, July 11, in Cape Girardeau, St. Louis, Kansas City, Springfield and Columbia. They will offer a forum for local business, education, economic development and workforce leaders to provide tangible workforce insights. Register online.

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Noteworthy


Trustee of the Year Award Call For Applications

Staff Contact: Dana Dahl
Trustee of the Year Award
The Trustee of the Year Award recognizes and honors up to two individual trustees from Missouri hospitals who currently serve on a Missouri hospital or health system governing board. The selection criteria is based on leadership skills, grassroots advocacy, community involvement, meeting participation and personal development. The awards will be presented at the Celebration of Achievement Dinner at MHA’s annual convention on Thursday, Nov. 8. The nomination deadline is Friday, June 29.

The nomination form, along with a narrative summary that addresses each section of the selection criteria and three letters of support, should be submitted to Dana Dahl, MBA, CPHQ, Vice President of Membership Services.

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Consider This ...

In the early 1960s, roughly 42 percent of U.S. adults smoked. Last year, about 14 percent of U.S. adults were smokers. That means there are still more than 30 million adult smokers in the U.S.

Source: AP