MHA Today | July 10, 2018

July 10, 2018

MHA Today: News for Healthcare Leaders

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July 10, 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
Regulatory Streamlining Legislation Becomes Law
Governor Approves Pharmacy Legislation
MO HealthNet Increases Rates For School-Based IEP Services
Secretary Azar Discusses 340B Drug Discount Program
CMS Freezes 2017 Risk-Adjustment Program
2018 Medicare National Training Program Workshops
CART Tool Updated For Outpatient Encounters


Upcoming SEMINAR
16th Annual Health Care Leadership Series 2018-2019

Series Dates
All sessions are held on Fridays.

  • Session 1 — Sept. 7, 2018
  • Session 2 — Oct. 5, 2018
  • Session 3 — Nov. 16, 2018
  • Session 4 — Jan. 11, 2019
  • Session 5 — Feb. 1, 2019
  • Session 6 — March 1, 2019
  • Session 7 — April 5, 2019
  • Session 8 — May 3, 2019

Courtyard by Marriott
Columbia, Mo.

Register on or before Friday, July 13.

 

Advocate
state and federal health policy developments


Regulatory Streamlining Legislation Becomes Law

Staff Contacts: Daniel Landon or Rob Monsees

Gov. Parson signed Senate Bill 951 of the 2018 legislative session. The legislation includes a variety of health-related components, some of which already are signed into law in other enactments. However, the governor’s approval will enable some new laws, such as allowing state hospital licensure regulations to automatically update to synchronize with federal standards. Current state law prevents state regulations from staying current with external standards, such as the Centers for Medicare & Medicaid Services’ Medicare Conditions of Participation. The change dovetails with a 2017 law to block duplicative or inconsistent federal and state hospital standards as of July 1, 2018.

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Governor Approves Pharmacy Legislation

Staff Contacts: Daniel Landon or Rob Monsees

Gov. Parson approved Senate Bill 826 of the 2018 legislative session. It addresses several topics mostly related to pharmacy and prescriptions. Among other changes, it limits initial prescriptions of opioids to a duration of seven days, with specified exceptions.

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MO HealthNet Increases Rates For School-Based IEP Services

Staff Contact: Brian Kinkade

The MO HealthNet Division rates for audiology services; occupational, physical and speech therapy; and personal care/private duty nurse services that are delivered by school districts through students’ individualized education plans are increased for dates of service on and after July 1. Private duty nurse rates are increased by 4.5 percent; all other services are increased by 1.5 percent. These rate adjustments reflect increases in the state fiscal year 2019 budget, which partially reverse the 3 percent rate cut for audiology, therapy and personal care services, and the 6 percent rate cut for private duty nursing care that were made in last year’s budget. School districts are responsible for the state share of costs.

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Secretary Azar Discusses 340B Drug Discount Program

Staff Contact: Daniel Landon

At the summer meeting of the 340B Coalition, U.S. Secretary of Health and Human Services Alex Azar II presented remarks regarding the 340B program.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Freezes 2017 Risk-Adjustment Program

Staff Contact: Andrew Wheeler

The Trump administration is freezing $10.4 billion of payments to insurers under the risk-adjustment program, which will further disrupt the health insurance marketplace. Analysts believe that Blue Cross and Blue Shield branded plans have benefited the most from these transfers and are set to lose the most.

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2018 Medicare National Training Program Workshops

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services Kansas City Regional Office is hosting three 2018 Medicare National Training Program Workshops. As part of the agenda, CMS will cover Medicare supplement insurance policies, Medicare Advantage and other Medicaid health plans, Medicare prescription drug coverage, programs for people with disabilities, fraud and abuse prevention, CHIP, and more. The meeting held in Kansas City is full; however, CMS is still accepting registrations for the St. Louis and Omaha, Neb., sessions. Although there is no fee to attend, registration is required. Details about each meeting are below.

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Quality and Population Health


CART Tool Updated For Outpatient Encounters

Staff Contact: Sherry Buschjost

Outpatient patch version 1.16 to the Centers for Medicare & Medicaid Services Abstraction and Reporting Tool has been released. This CART-Outpatient release matches the Hospital Outpatient Quality Reporting Specifications Manual, version 11.0a, effective for encounters Jan. 1 through Dec. 31, 2018. Installation instructions, edits and online help are located on QualityNet.

The patch includes the removal of measures OP-1, OP-4, OP-20 and OP-21. These measures were removed in accordance with the 2018 OPPS/ASC Final Rule for Payment Year 2020 and is effective beginning with April 1, 2018, encounters.

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Consider This ...

Drownings are a leading cause of injury death for young children ages one to 14. In fact, drowning kills more children aged one to four than anything else except birth defects.

Source: Centers for Disease Control and Prevention