MHA Today | August 20, 2018

August 20, 2018

MHA Today: News for Healthcare Leaders

twitter linkedin
August 20, 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
MHA Distributes Analysis For Proposed Updates To CY 2019 Medicare Home Health PPS
CMS Awards $8.6 Million To Help Stabilize Markets
HIDI HealthStats — How Effective Are Medicaid MCOs At Managing Care In Missouri?

What You Need To Know This Week


Advocate
state and federal health policy developments


MHA Distributes Analysis For Proposed Updates To CY 2019 Medicare Home Health PPS

Staff Contact: Andrew Wheeler

MHA has prepared an analysis that illustrates the financial effect of the calendar year 2019 Medicare proposed home health PPS rule. The analysis, which is available online for authorized users of HIDI Analytic Advantage®, includes a summary for the nation, Missouri and individual hospitals. The financial implications include effects of the CY 2019 updates to the marketbasket, the productivity adjustment reduction mandated by the Affordable Care Act, changes to the Home Health Resources Group case-mix budget neutrality and changes to the wage index. The effect of the proposed home health rule will increase payments in Missouri by an estimated 3 percent. Although footnoted, the analysis does not include the effect of the 2 percent sequestration. Hospitals have until Friday, Aug. 31, to review their hospital-specific data and submit comments.

Back To Top

 

Regulatory News
the latest actions of agencies monitoring health care


CMS Awards $8.6 Million To Help Stabilize Markets

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services awarded $8.6 million in funding to provide state insurance regulators with the opportunity to strengthen the health insurance markets. States can use the funds to conduct economic analyses to improve coverage options and examine plan policies, procedures and claims-related data related to mental health and substance use disorder treatment. CMS Administrator Seema Verma stated, “These grants build on CMS’ ongoing efforts to give states the tools and flexibility they need to help people struggling to afford the year over year premium increases.”

Back To Top

 

HIDI Tech Connect


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

Staff Contact: Mat Reidhead

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.

HIDI HealthStats During the 36-month period leading to statewide expansion of Medicaid managed care in May 2017, hospital visits for behavioral health by MCO enrollees increased by 64 percent in Missouri, while fee-for-service visits increased 13 percent. And, during the first 11 months of expansion, these visits increased 39 percent for MCO enrollees and decreased 12 percent for fee-for-service patients. Overall, Medicaid managed care hospital visits for behavioral health have more than doubled with a 127 percent increase, while the same visits by fee-for-service patients have decreased by 1 percent.

Back To Top

 


Consider This ...

E-cigarettes are the most commonly used tobacco product among U.S. middle and high school students. More than eight of every 10 youth, aged 12-17 years, who use e-cigarettes said they use flavored e-cigarettes.

Source: Centers for Disease Control and Prevention