MHA Today | August 13, 2018

August 13, 2018

MHA Today: News for Healthcare Leaders

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August 13, 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
CMS Proposes Rule To Shorten Time For Medicare ACOs To Operate Without Risk
HIDI HealthStats — How Effective Are Medicaid MCOs At Managing Care In Missouri?
MHA Participating In OSHA’s Safe And Sound Week, Promoting Safe Care Environments
Free Buprenorphine Waiver Training Available
CMS Announces OQR Education Session
2018 Missouri Rural Health Conference

What You Need To Know This Week

  • Applications now are being accepted by the MO HealthNet Division for primary care health home providers. More information is available on their website.

  • Look for a letter template from MHA to respond to the Centers for Medicare & Medicaid Services' Request for Information on reducing the regulatory burden of the Stark Law.


Regulatory News
the latest actions of agencies monitoring health care


CMS Proposes Rule To Shorten Time For Medicare ACOs To Operate Without Risk

Staff Contact: Andrew Wheeler or Brian Kinkade

The Centers for Medicare & Medicaid Services issued a proposed rule to overhaul the Medicare Shared Savings program. Comments will be accepted through Wednesday, Oct. 17. MHA published an issue brief with additional details.

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HIDI Tech Connect


HIDI HealthStats — How Effective Are Medicaid MCOs At Managing Care In Missouri?

Staff Contact: Mat Reidhead

HIDI HealthStats In May 2017, Medicaid managed care was expanded statewide in Missouri, adding 240,000 new MCO enrollees. The August 2018 edition of HIDI HealthStats examines managed Medicaid delivery models in Missouri and evaluates the effectiveness of MCOs to deliver efficiencies and cost savings while improving health outcomes for enrollees.

With the statewide expansion of the managed care delivery model, the differences in risk profiles between the Medicaid populations in Missouri that are covered by managed care and fee for service grew significantly. Among hospital patients with Medicaid during the 12 months following MCO expansion, the differences between the two populations for clinical and behavioral risk factors increased significantly compared to the year preceding the expansion. The report shows that compared to managed care, the rates of chronic disease among the fee-for-service population range from no difference in asthma, to five times the rate of cancer, to more than seven times the rates of both stroke and atherosclerosis. For behavioral risk factors, fee-for-service patients have nearly triple the rates of alcohol dependence and double the rates of opioid misuse and obesity diagnosis.

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Quality and Population Health


MHA Participating In OSHA’s Safe And Sound Week, Promoting Safe Care Environments

Staff Contact: Jackie Gatz
Safe + Sound Week
This week, MHA is participating in the Occupational Health and Safety Administration’s Safe and Sound Week to further demonstrate our ongoing support of Missouri hospitals' efforts to create safe environments to both deliver and receive quality health care. OSHA’s Safe + Sound Week, Aug. 13-17, 2018, is a nationwide event to raise awareness and understanding of the value of safety and health programs that include management leadership, worker participation, and a systematic approach to finding and fixing hazards in the workplace. MHA staff will be sharing resources throughout the week on social media and through this forum.

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Free Buprenorphine Waiver Training Available

Staff Contact: Shawn Billings

The Opioid State Targeted Response – in partnership with the Missouri Coalition for Community Behavioral Healthcare – is providing an eight-hour MAT Waiver Course. The first four hours of the course will be in person from 8 a.m. to noon on Monday, Aug. 27 at the University of Missouri – School of Medicine in Columbia, Mo. The second half of the course will be individual online work. Registration is required, and reimbursement is available.

The Missouri STR team has local buprenorphine-waivered and experienced physician and nurse practitioner consultants available to meet individually or respond to queries by phone or online. To connect with someone, email Philip Horn, STR Project Manager, at philip.horn@mimh.edu.

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CMS Announces OQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Outpatient Quality Reporting Program has been scheduled on Wednesday, Aug. 22. The webinar, “CY 2019 OPPS/ASC Proposed Rule: Hospital Outpatient Quality Reporting Program,” is offered at 9 a.m. and 1 p.m. Registration is required.

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Noteworthy


2018 Missouri Rural Health Conference

Staff Contact: Dana Dahl

Please join the Missouri Hospital Association during the Medicare Rural Hospital Flexibility Program overview and annual meeting at noon on Tuesday, Aug. 21. Attendees will receive an update on program specifics, work plans and data outcomes. Additionally, BKD LLC will outline financial and operational support specific to critical access hospitals that participate in the FLEX program. A session on the legal requirements and implications of the community health needs assessment will be presented, along with an update on rural hospital resources from the Office of Primary Care and Rural Health. A roundtable discussion amongst participants will finish out the annual meeting. All participants must register.

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Consider This ...

An estimated 12.8 percent of adolescents in the U.S. experience at least one episode of major depression. New research suggests that when teens are treated for depression, their parents' mental health improves, too.

Source: NPR