MHA Today | September 19, 2018

September 19, 2018
MHA Today: News for Healthcare Leaders

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September 19, 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 Comments On Medicare Outpatient Proposed Regulations
HHS Awards More Than $1 Billion To Combat The Opioid Crisis
MHA Distributes Analysis For FFY 2019 Final IRF PPS
Trajectories — Integrating Evidence-Based OUD Treatment: A Medication First Model
CMS Selects Hospitals For OQR CY 2020 Validation
North Carolina Hospital Foundation Establishes Disaster Relief Fund

Advocate
state and federal health policy developments


MHA Comments On Medicare Outpatient Proposed Regulations

Staff Contact: Daniel Landon or Andrew Wheeler

MHA submitted a comment letter to the Centers for Medicare & Medicaid Services regarding its proposed regulatory changes for the Medicare outpatient prospective payment system. The proposed rules address payment changes, wage index issues, price transparency and a variety of other Medicare topics, as described in an Issue Brief published by MHA. Comments must be submitted to CMS by 4 p.m. Monday, Sept. 24, and may be electronically submitted.

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HHS Awards More Than $1 Billion To Combat The Opioid Crisis

Staff Contact: Andrew Wheeler or Leslie Porth

The U.S. Department of Health and Human Services awarded more than $1 billion in opioid grants to help fight the opioid crisis. The reward supports HHS’ Five-Point Opioid Strategy, which HHS suggests are yielding progress at the national level. Secretary Alex Azar stated, “The more than $1 billion in additional funding that we provided this week will build on progress we have seen in tackling this epidemic through empowering communities and families on the frontlines.”

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Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis For FFY 2019 Final IRF PPS

Staff Contact: Andrew Wheeler

MHA released an analysis that illustrates the financial effect of the federal fiscal year 2019 final Medicare inpatient rehabilitation facility prospective payment system rule. This analysis, which will be available online for authorized users of HIDI Analytic Advantage®, includes a summary for the nation, Missouri, health systems and individual hospitals. For Missouri, the overall effect of the final updates for FFY 2019 is an estimated payment increase of 1.5 percent. Although footnoted, this increase does not take into account the 2 percent Medicare sequestration.

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Quality and Population Health


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

Staff Contact: Shawn Billings

The national opioid misuse and opioid use disorder crisis is being addressed through multifaceted strategies, including research, policy and practice changes. Federal funding is the catalyst for many initiatives, including integrated pharmacological, psychosocial and recovery-oriented approaches to treatment. Medical treatment of OUD is a primary strategy to reduce opioid misuse. Missouri has adopted a medication first model, incorporating naloxone as a rescue medicine and buprenorphine to treat OUD.
Trajectories
There is a strong scientific basis for effectiveness of medication when treating OUD. Buprenorphine, methadone and naltrexone each were found to be more effective in reducing illicit opioid use than no medication in randomized clinical trials. These medications have been found to reduce opioid use and OUD-related symptoms, and reduce the risk of infectious disease transmission, as well as criminal behavior associated with drug use. Buprenorphine and methadone treatment also were associated with reduced risk of opioid overdose death. Read more in the September issue of Trajectories.

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CMS Selects Hospitals For OQR CY 2020 Validation

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services selected hospitals for validation of chart-abstracted measures for the calendar year 2018 annual payment update determination. The list of hospitals is available on QualityNet.

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Noteworthy


North Carolina Hospital Foundation Establishes Disaster Relief Fund

Staff Contact: Mary Becker

The North Carolina Hospital Foundation, the 501(c)(3) affiliate of the N.C. Healthcare Association, established a disaster relief fund to support North Carolina’s health care workers and their communities as they begin the process of rebuilding. Donations will support recovery efforts for hospital and health system employees and their communities affected by Hurricane Florence. One hundred percent of donations received will go to foster and accelerate the collective impact of hospitals, health systems and care providers to help restore the health of communities affected by the storm. The N.C. Hospital Foundation will manage the distribution of funds to NCHA member hospital and health system employees who suffered significant property loss to their homes/residences during the hurricane and flooding. Donations can be contributed online.

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Consider This ...

In 2014, one state — Kentucky — had political ads mentioning opioids. So far this year, ads containing opioid messaging have aired on congressional and gubernatorial races more than 50,000 times across 25 states.

Source: The Wall Street Journal