MHA Today | August 2, 2018

MHA Today: News for Healthcare Leaders

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August 2, 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
Congressional Committee Queries 340B Contract Pharmacies
MO HealthNet Offers Assistance For Providers With Managed Care Concerns
DHHS OIG Catalogs Unimplemented Recommendations On Fraud And Abuse
CMS Releases Final FY 2019 Payment And Policy Updates For IPPS And LTCH
Medicare Issues Final FY 2019 Payment And Policy Updates For Hospice
CMS Issues Clarification To Guidance On Psychiatric Environmental Risks
MLN Connects Provider eNews Available
Sierra Leone Reports New Ebola Species
Landmark Hospital Of Columbia Names New CEO

Advocate
state and federal health policy developments


Congressional Committee Queries 340B Contract Pharmacies

Staff Contact: Daniel Landon

The U.S. House of Representatives’ Energy and Commerce Committee sent letters of inquiry to nine firms involved in 340B contract pharmacy services. The committee’s query responds to concerns raised about the level of oversight of 340B contract pharmacy arrangements.

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MO HealthNet Offers Assistance For Providers With Managed Care Concerns

Staff Contact: Brian Kinkade

The MO HealthNet Division opened a line for providers to request assistance with managed care claim and policy issues. Questions directed to MHD.MCCommunications@dss.mo.gov will be researched and answered by MHD staff within two weeks. A permanent link to the mailbox also can be found in the “Contact Us” box on the MHD managed care providers web page.

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DHHS OIG Catalogs Unimplemented Recommendations On Fraud And Abuse

Staff Contact: Daniel Landon

The U.S. Department of Health and Human Services Office of Inspector General published its annual Solutions to Reduce Fraud, Waste and Abuse in HHS Programs: Top Unimplemented Recommendations. The document highlights a top 25 list of recommendations and also reviews those recommendations requiring congressional action. Some of the OIG’s recommendations are favorable to hospitals ― ensuring adequate and timely access to care for Medicaid managed care enrollees. Others are adverse ― severely limiting critical access hospital designations and gutting swing-bed payments.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Final FY 2019 Payment And Policy Updates For IPPS And LTCH

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the federal fiscal year 2019 acute inpatient prospective payment and long-term acute care hospital prospective payment system payment and policy updates. The final rule updates payment rates, changes price transparency requirements, removes 18 measures, de-duplicates 21 measures, continues the transition to utilize S10 data to distribute disproportionate share uncompensated care pool payments, and much more. CMS is projecting an increase in IPPS payments of $4.8 billion. CMS also projects an increase in LTCH payments of $39 million. MHA will release an issue brief with additional details.

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Medicare Issues Final FY 2019 Payment And Policy Updates For Hospice

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services finalized and released the federal fiscal year 2019 payment and policy updates for hospice. The final rule updates payment rates, the cap amount and hospice wage index; makes changes to the hospice quality reporting program; and improves transparency. CMS is projecting an increase in payments of $340 million, or 1.8 percent. MHA published an issue brief with additional details.

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CMS Issues Clarification To Guidance On Psychiatric Environmental Risks

Staff Contacts: Sarah Willson or Jim Mikes

The Centers for Medicare & Medicaid Services published a memo from the Quality, Safety & Oversight Group clarifying guidance on psychiatric environmental risks. The proposed CMS Psychiatric Care Task Force to address environmental risks related to the inpatient care of patients experiencing a psychiatric illness will not be convened as planned. CMS cites the successful efforts of The Joint Commission Suicide Panel in clarifying and refining the issues involving ligature and safety risks. CMS will continue with revisions to both the Interpretive Guidance for Psychiatric Hospitals (Appendix AA), as well as the Interpretive Guidance for Hospitals (Appendix A), which will incorporate the standards that were recommended in the TJC Suicide Panel special report on suicide prevention in health care settings.

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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.

  • CMS administrator address on strengthening Medicare
  • Long-term care hospital provider reports reissued
  • Data Element Library webinar: Video recording
  • Physician Fee Schedule proposed rule: Understanding three key topics listening session – Wednesday, Aug. 22
  • Qualified Medicare Beneficiary program billing requirements FAQs
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Quality and Population Health


Sierra Leone Reports New Ebola Species

Staff Contact: Jackie Gatz

A recently published article announced the government of Sierra Leone has discovered a new species of Ebola in bats. Even though there is no evidence the new virus has infected people, the EcoHealth Allicane, an environmental nonprofit group involved in the discovery, says it has the potential to infect human cells. Studies continue to understand the pathogen and provide information about how to better protect people.

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CEO Announcements


Landmark Hospital Of Columbia Names New CEO

Staff Contact: Carol Boessen

Laura Anstaett Peckham was named CEO at Landmark Hospital in Columbia, effective May 1. She replaces Mark Brodeur who had been serving as Interim CEO since January. Peckham served as chief clinical officer since January 2017, and in 2011, she joined the Landmark team as the wound and ostomy nurse working with specialists and surgeons from the mid-Missouri area. A list of CEO changes is available online.

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Consider This ...

According to a 2016 MIT study, the richest 1 percent of U.S. men live 14.6 years longer than the poorest 1 percent. Among women, the difference is 10.1 years. The average life expectancy in Missouri is 77.2 years, and 78.6 years for the country.

Source: DailyJournalOnline.com