MHA Today | June 21, 2018

June 21, 2018
MHA Today: News for Healthcare Leaders

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June 21, 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, Hospitals And Health Systems Meet With Governor Parson
U.S. House Of Representatives Passes More Opioid Bills
Congressional Committee Reviews Opioid Programs In Military Health Care
MO HealthNet Posts Recording Of Flawed Managed Care Contract Hearing
CMS Issues RFI About Reducing Burdens Of Stark Law
CMS Issues Guidance On Extension Of EPSDT Services To Children In IMD Placements
Joint Commission Issues Safety Bulletin On Human Trafficking
CMS Launches Data Element Library
MLN Connects Provider eNews Available
KPMG Study Finds Traveling Nurses Cost Less Than Staff Nurses

Spotlight


MHA, Hospitals And Health Systems Meet With Governor Parson

Staff Contacts: Daniel Landon or Rob Monsees

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Yesterday, executives from several hospitals and health systems, and MHA met with Governor Mike Parson in St. Louis. The session went well, with good discussion on several issues including hospital economic impact, workforce challenges, opioid abuse initiatives and recent issues with the MO HealthNet Division. With regard to the latter, MHA’s ask was to immediately suspend action to amend the state’s contracts with Medicaid managed care plans. This pending amendment is scheduled to go into effect on July 1 and would permit Medicaid managed care organizations to drop their payment rate to 90 percent of the fee-for-service payment amount if a hospital, or other Medicaid provider, does not contract with the plan.

Although the governor listened and took notes on this issue, we need to do more to press our case. MHA will be contacting all hospitals to send a letter to Gov. Parson asking him to suspend this policy. The MHA Board of Trustees is sending today an official letter from the board asking him to do the same.

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Advocate
state and federal health policy developments


U.S. House Of Representatives Passes More Opioid Bills

Staff Contacts: Daniel Landon or Leslie Porth

The U.S. House of Representatives approved two bills relating to opioid abuse treatment. One is H.R. 5797, the “IMD Care Act.” It would permit Medicaid to pay for opioid dependence treatment in an “Institution for Mental Disease,” which is a hospital with more than 16 beds that primarily provides behavioral health treatment. The coverage option would be in effect in fiscal years 2019 to 2023 and would allow patients ages 21-65 to receive as much as 30 days of treatment for opioid dependence during a 12-month period. The bill was amended to include treatment of cocaine and crack cocaine dependence. The other bill is H.R. 6082, which would align medical record confidentiality standards for substance abuse treatment with those of the Health Insurance Portability and Accountability Act.

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Congressional Committee Reviews Opioid Programs In Military Health Care

Staff Contacts: Daniel Landon or Leslie Porth

The Military Personnel subcommittee of the U.S. House of Representatives Committee held a hearing on pain management and opioid prescribing in the Department of Defense’s military health system. Testimony from agency leaders addressed pharmacy and practitioner initiatives, partnerships and interaction with state prescription drug monitoring systems.

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MO HealthNet Posts Recording Of Flawed Managed Care Contract Hearing

Staff Contact: Brian Kinkade

MO HealthNet has issued a statement explaining that technical problems kept interested persons from participating by phone and webinar in the hearing that was held Tuesday morning on the state’s managed care contract that would limit reimbursement to nonparticipating providers to 90 percent of prevailing Medicaid fee-for-service rates. A recording of the hearing is included with the statement. Those wishing to comment on the amendment, but who were prevented from doing so, may submit written comments to MO HealthNet 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. MHA spoke in opposition to the amendment at the hearing and filed written comments in opposition, as well.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues RFI About Reducing Burdens Of Stark Law

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has been seeking comments about ways to reduce regulatory burden and one of the top areas identified is compliance with the Stark Law and accompanying regulations. In response to these comments, CMS has now issued a request for information about how to address burdens due to the Stark Law. CMS is particularly interested in comments about the structure of arrangements between parties that participate in alternative payment models. CMS Administrator Seema Verma stated, “we are looking for information and bold ideas on how to change the existing regulations to reduce provider burden and put patients in the driver’s seat. Dealing with the burden of the physician self-referral law is one of our top priorities as we move towards a health care system that pays for value rather than volume.” Comments are due by 4 p.m. on Thursday, Aug. 24.

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CMS Issues Guidance On Extension Of EPSDT Services To Children In IMD Placements

Staff Contact: Brian Kinkade

The Centers for Medicare & Medicaid Services has issued an informational bulletin to states concerning the implementation of Section 12005 of the 21st Century Cures Act that extends Early and Periodic Screening, Diagnostic and Treatment services to children under age 21 residing in an institution for mental diseases. Under prior law, child and adolescent Medicaid beneficiaries were restricted from receiving EPSDT services while residents of IMDs. However, the Act removed this restriction effective Jan. 1, 2019, by permitting the provision of the full range of EPSDT services to children in Medicaid-covered inpatient psychiatric hospitals.

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Joint Commission Issues Safety Bulletin On Human Trafficking

Staff Contacts: Sarah Willson or Jaclyn Gatz

The Joint Commission has issued a Quick Safety bulletin on identifying and managing human trafficking. According to the Commission, the United States is “one of the largest markets and destinations” for trafficking victims. The Missouri General Assembly addressed the issue of human trafficking this legislative session by passing House Bill 1246. The bill, signed by the governor, requires various establishments, including hospitals, to post information publically regarding human trafficking effective March 1, 2019.

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CMS Launches Data Element Library

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has announced a new database that supports the exchange of electronic health information. The Data Element Library is designed for the public to view specific types of data that CMS requires post-acute care facilities to collect as part of the health assessment. The DEL does not contain any patient-identifiable data. The DEL will:

  • serve as a resource for CMS assessment data elements
  • promote sharing of CMS assessment data sets and health IT standards
  • influence and support industry efforts to promote electronic health records and interoperability
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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.

  • quality payment program look-up tool updated
  • new Medicare cards may have QR codes
  • SNF, IRF and LTCH provider preview reports: review your data by July 1
  • CMS leverages Medicaid program to combat the opioid crisis
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Workforce News


KPMG Study Finds Traveling Nurses Cost Less Than Staff Nurses

Staff Contact: Jill Williams

For hospitals considering maintaining, or even increasing, their travel nurse staffing, a KPMG U.S. Hospital Nursing Labor Costs Study shares key findings and trends that reveal the impact traveling nurses are making on an industry challenged by a nurse labor shortage.

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Consider This ...

Almost 1 out of every 3 people in the United States will develop shingles, also known as herpes zoster, in their lifetime. There are an estimated 1 million cases of shingles each year in this country.

Source: Centers for Disease Control and Prevention