MHA Today | July 17, 2018

July 17, 2018

MHA Today: News for Healthcare Leaders

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July 17, 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
Missouri House Budget Committee Reviews TCD, Managed Care Contract Amendment
Federal Court Upholds Dismissal Of 340B Challenge
Opportunity Available To Participate In A Non-Expansion State Medicare DSH Appeal
Enrollment Open To Join Opioid Use Disorder ECHO
Pike County Memorial Hospital Names New CEO


Upcoming SEMINAR
Orientation for New Quality Improvement Directors

Tuesday, Aug. 14, and Wednesday, Aug. 15
Missouri Hospital Association
Jefferson City, Mo.

Register on or before Tuesday, July 31.

Advocate
state and federal health policy developments


Missouri House Budget Committee Reviews TCD, Managed Care Contract Amendment

Staff Contact: Daniel Landon

The Missouri House of Representatives Budget Committee met today to discuss Gov. Parson’s veto of three full-time equivalent employees and approximately $150,000 that support the state’s Time Critical Diagnosis program. According to Rep. Scott Fitzpatrick, Budget Committee Chair, the veto effectively “killed the program, at least temporarily.” Initially, DHSS argued that it could continue the program with existing funds. MHA and hospital representatives attended the hearing to testify about the importance of continuing the program.

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Health Law Insight


Federal Court Upholds Dismissal Of 340B Challenge

Staff Contact: Jane Drummond

The Court of Appeals for the District of Columbia upheld the dismissal of a suit challenging the 340B payment reductions. The plaintiffs, which included hospital associations and individual hospitals, challenged the 2017 Outpatient Prospective Payment System rule that slashed 340B reimbursement by nearly 30 percent. The district court dismissed the case on the grounds that any claim arising under the Medicare Act must first be presented to the Department of Health and Human Services for review.

The plaintiffs argued on appeal that the comments they filed in response to the proposed rulemaking satisfied the jurisdictional requirement. The Court of Appeals disagreed, finding that the case presented a substantive challenge to the OPPS rule and therefore was a reimbursement claim that must be presented to the agency for adjudication before a party may seek judicial review.

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Regulatory News
the latest actions of agencies monitoring health care


Opportunity Available To Participate In A Non-Expansion State Medicare DSH Appeal

Staff Contact: Andrew Wheeler

The Missouri Hospital Association and APS extends an invitation to attend a webinar by Besler and Cozen O’Connor about an appeal opportunity for hospitals in non-expansion states. If successful, participants will receive a payment settlement that would reverse the impact of Medicare disproportionate care payments in non-Medicaid expansion states. If your organization is interested in participating in the appeal, please contact Dennis George or Andrew Wheeler. Besler and Cozen O’Connor are offering two opportunities to learn more about the appeal.

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Quality and Population Health


Enrollment Open To Join Opioid Use Disorder ECHO

Staff Contact: Shawn Billings

The University of Missouri opened enrollment for its second round of Opioid Use Disorder Extension for Community Healthcare Outcomes educational sessions, which are supported by a Substance Abuse and Mental Health Services Administration grant awarded to the Missouri Department of Mental Health.

Last year, the University of Missouri launched one of the nation’s first ECHOs focused on opioid use. Premier participants called it a “fabulous, informative and professional resource” that gave them the “confidence” they required to help address one of the country’s deadliest health crises. Show-Me ECHO uses videoconferencing to connect an interdisciplinary team of specialists with primary care providers. They collaborate in case-based learning sessions to help primary care providers develop advanced skills and best practices, which in turn, increases the availability and quality of patient care. Show-Me ECHO sessions covering chronic pain management, dermatology, Hepatitis C, child psychiatry, asthma, autism, health care ethics and community health workers also are offered. Free CME for health care professionals is available.

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CEO Announcements


Pike County Memorial Hospital Names New CEO

Staff Contact: Carol Boessen

Tylie Mills has been named CEO of Pike County Memorial Hospital in Louisiana, Mo., effective Friday, Aug. 3. Mills currently serves as director of nursing at the hospital, and before that, was director of the emergency department and EMS. She will replace Justin Selle, who served as CEO since March 2015. He accepted the president/CEO position at HSHS St. Nicholas Hospital in Sheboygan, Wis. A list of CEO changes is available online.

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Consider This ...

Today, researchers estimate that fewer than half of the country’s rural counties still have a hospital that offers obstetric care. More than 179 rural counties have lost hospital obstetric care since 2004.

Source: The New York Times