MHA Today | July 26, 2018

July 26, 2018
MHA Today: News for Healthcare Leaders

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July 26, 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
AHA Board Selects Estes As 2020 Chair-Elect Designate
MHA Releases Issue Brief On CY 2019 Outpatient And ASC PPS Payment And Policy Updates
DSS Suspends Opioid Prescriber Initiative
MLN Connects Provider eNews Available
Registration Open For Webinar On Treating Pregnant And Postpartum Women With Substance Use Disorder
CMS Announces Hospital VBP Education Session

Spotlight


AHA Board Selects Estes As 2020 Chair-Elect Designate

Staff Contact: Dave Dillon

Melinda L. Estes, M.D. Melinda L. Estes, M.D., president and CEO of Saint Luke’s Health System in Kansas City, Mo., has been selected as the American Hospital Association chair-elect designate for 2020. The announcement was made today at the AHA Leadership Summit in San Diego. Estes serves as a member of AHA’s Board of Trustees’ Executive Committee. During her tenure, she led an effort to strengthen physician engagement in the association and served on an advisory group focused on how the AHA engages its members. She is a past member of the AHA Metropolitan Hospital Council, the AHA Committee on Health Professions, and the AHA’s Advisory Committee on Health Care Reform. Estes is a member of the MHA Board of Trustees.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Releases Issue Brief On CY 2019 Outpatient And ASC PPS Payment And Policy Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the outpatient prospective payment system and ambulatory surgical center proposed payment and policy updates for CY 2019. CMS projects the proposed rule will increase OPPS payments by 1.25 percent and ASC payments by 2 percent. The proposal includes additional site-neutral payments for off-campus hospital outpatient departments paid under OPPS, reduced payments for certain drugs purchased under the 340B program when provided in nonexcepted off-campus provider-based departments, and requests for information about charge transparency. Comments about the proposed rule are due by 4 p.m. Monday, Sept. 24. MHA published an issue brief with additional details.

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DSS Suspends Opioid Prescriber Initiative

Staff Contacts: Brian Kinkade or Jane Drummond

The Department of Social Services announced a six-month suspension of its Opioid Prescription Intervention Program at a meeting Tuesday with its recently formed Opioid Advisory Council. The original approach of the OPI was to threaten thousands of prescribers with referral to licensure boards or the Bureau of Narcotics and Dangerous Drugs if they did not respond to reports of their Medicaid patients who appeared to have excessive opioid use based on a state contractor’s analysis. The hiatus will be used to reassess and reform the initiative. The council – comprised of officials from the state departments of Social Services, Health and Senior Services, and Mental Health, as well as health care professionals – will form subcommittees on prescriber compliance, education, standards and community outreach to help reshape the state’s effort to promote clinically appropriate opioid use in its Medicaid program. Participation in the council is open to health care professionals. Interested persons should contact Ollie Green with the MO HealthNet Division.

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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.

  • E/M coding reform: Recording of panel discussion
  • Patients Over Paperwork July newsletter
  • New Medicare card: Using your Medicare Administrative Contractor’s Medicare Beneficiary Identifier look-up tool
  • New waived tests MLN Matters article
  • Non-compliance letters: Request for reconsideration by Tuesday, Aug. 7 for the following.
    • Hospice Quality Reporting Program
    • Inpatient Rehabilitation Facility
    • Long-Term Care Hospital
    • Skilled Nursing Facility
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Quality and Population Health


Registration Open For Webinar On Treating Pregnant And Postpartum Women With Substance Use Disorder

Staff Contact: Shawn Billings

The Missouri Coalition for Community Behavioral Healthcare is hosting a webinar, “Treating Pregnant and Postpartum Women with Narcotic Addiction,” from 10 to 11:30 a.m. on Tuesday, Aug. 28. Dr. Jaye Shyken will discuss the epidemiology and trends in opiate use disorders in pregnancy, as well as the implications for pregnancy and newborn outcomes, and she will review treatment alternatives, including detoxification. Considerations for intrapartum and postpartum care and the role of breastfeeding to assist in recovery also will be addressed. The Missouri Coalition for Community Behavioral Healthcare will award 1.5 Clock Hours or 1.8 Contact Hours (.18 CEUs) for this activity.

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CMS Announces Hospital VBP Education Session

Staff Contact: Sherry Buschjost

An outreach and education webinar for participants in the Hospital Value-Based Purchasing Program is scheduled at 1 p.m. Tuesday, Aug. 7. Registration is required for the webinar, “Hospital VBP Program: Overview of the FY 2019 Percentage Payment Summary Reports.”

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Consider This ...

In 2016, among the 257 million people living with hepatitis B worldwide, only one in 10 had received a diagnosis and were aware of their infection. Of the estimated 27 million people who were aware of their infection, approximately one in six people were receiving treatment.

Source: Centers for Disease Control and Prevention