MHA Today | September 5, 2018

September 5, 2018
MHA Today: News for Healthcare Leaders

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MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
Senate Passes CHGME Reauthorization; Bill Awaits President’s Signature
Ways And Means Letter To CMS Recommends Red Tape Reduction
Hospitals Refile Lawsuit To Reverse 340B Payment Cuts
CMS Releases New Rules For PRRB
Trajectories — Integrating Evidence-Based OUD Treatment: A Medication First Model

Advocate
state and federal health policy developments


Senate Passes CHGME Reauthorization; Bill Awaits President’s Signature

Staff Contact: Brian Kinkade

The Senate passed H.R. 5385, the Dr. Benjy Frances Brooks Children's Hospital GME Support Reauthorization Act of 2018 by unanimous consent on Tuesday evening. The bill now is headed to the White House for President Trump’s signature. H.R. 5385 reauthorizes the Children’s Hospital Graduate Medical Education program for five years, through September 2023. Authorized funding for the program was increased by $25 million per year to $325 million. The CHGME program provides approximately $12 million to Missouris children’s hospitals to help offset the costs of training about 350 pediatric interns, residents and fellows each year.

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Ways And Means Letter To CMS Recommends Red Tape Reduction

Staff Contact: Andrew Wheeler

The House Ways and Means Chairman Kevin Brady and Subcommittee on Health Chairman Peter Roskam sent letters to the Centers for Medicare & Medicaid Services recommending reductions in Medicare red tape for hospitals, post-acute care providers and physicians. Chairmen Brady and Roskam stated, “we applaud the Administration for recent efforts to improve the Medicare program by cutting red tape for beneficiaries and reducing the regulatory burden for providers. As part of the Committee’s Medicare Red Tape Relief Project, we urge the Administration to continue its efforts to reduce burden for providers and remove other regulatory barriers that get in the way of patient care.”

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Regulatory News
the latest actions of agencies monitoring health care


Hospitals Refile Lawsuit To Reverse 340B Payment Cuts

Staff Contact: Andrew Wheeler

The American Hospital Association, Association of American Medical Colleges, America’s Essential Hospitals and three hospital plaintiffs have refiled a lawsuit to reverse the Medicare payment reductions for certain drugs purchased under the 340B program. An appeals court previously delayed a ruling on the merits of the case because no claims had been filed when the case was originally filed. Now that claims have progressed through the appeals process, and the plaintiffs have addressed the court’s concern, the plaintiffs are asking the court to rule on the merits. The hospital associations stated, “we look forward to receiving a prompt resolution on the merits of our case.”

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CMS Releases New Rules For PRRB

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released new rules about how cases brought before the Provider Reimbursement Review Board will be administered. The intention of the rule is to streamline the Medicare appeals process. The board now has implemented a new electronic filing tool, the Office of Hearings Case and Document Management System. While the board strongly encourages the use of the OH CDMS tool, updated forms are available for reference during the transition period.

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Quality and Population Health


Trajectories — Integrating Evidence-Based OUD Treatment: A Medication First Model

Staff Contact: Shawn Billings
Trajectories
Opioid use disorder is classified as a chronic, relapsing brain disease and is associated with increased morbidity and death. The September 2018 edition of Trajectories discusses a successful “medication first” model being used to treat individuals suffering from OUD.

The Substance Abuse and Mental Health Services Administration estimates that nearly 80 percent of individuals with an OUD do not receive treatment. This is due in large part to the perceived and real stigma attached to substance use, the nation’s fragmented care systems, and limited access to effective, evidence-based treatments. A systematic approach is required to reduce the toll of OUD. The medication-assisted treatment model of care has produced results, and is expanding throughout Missouri as a component of a three-faceted OUD care, harm reduction and avoidance strategy.

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Consider This ...

More than a quarter of the world’s adults — or 1.4 billion people — take too little exercise, putting them at higher risk of cardiovascular disease, type 2 diabetes, dementia and cancers, according to a World Health Organization-led study.

Source: Reuters