September 26, 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 Negotiators Develop Compromise Opioid Legislation
Anthem Exits Individual Marketplace Coverage In 14 Counties
HIDI Releases 2017 Annual Survey Trends Report
Trajectories — Integrating Evidence-Based OUD Treatment: A Medication First Model
Tomorrow, CDC Hosts Webinar On Pediatric Influenza Recommendations
state and federal health policy developments
Staff Contact: Daniel Landon or Leslie Porth
Congressional negotiations produced a compromise accord on legislation regarding opioid abuse prevention and treatment. It needs to be ratified by the U.S. Senate and House of Representatives. Negotiators worked to resolve differences between the House and Senate versions of the legislation. The new proposal adds a time-limited authorization for Medicaid to pay for substance abuse treatment for those over age 21 and under age 65 in “institutions for mental disease.” IMDs are facilities with more than 16 beds that primarily are engaged in mental health treatment. The negotiated accord excludes legislative changes to address discrepancies in privacy standards under HIPAA and substance abuse laws. The text of the 660-page bill begins with a brief description of its many components.
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the latest actions of agencies monitoring health care
Staff Contact: Daniel Landon or Andrew Wheeler
In 2019, health insurer Anthem will stop offering individual coverage to those under age 65 in 14 Missouri counties through the federally subsidized Health Insurance Marketplace. As noted in its sample discontinuation notice, Anthem’s current plans of individual coverage in these counties will lapse Dec. 31, 2018. The health insurer will add Boone County to its 2019 service area.
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HIDI Tech Connect
Staff Contact: Shane VanOverschelde
Subscribers of the HIDI Premier Reporting Package now have access to the 2017 Annual Survey Seven-Year Trends report. The report displays tables and graphs depicting seven-year trends of a comprehensive set of financial metrics, as reported on the most recent Annual Licensing Survey. Reports are categorized by various peer groups, such as bed size, geographic region, ownership type, hospital type and congressional district. The report can be found on HIDI Analytic Advantage® in the following location, with the following file name.
Hospitals interested in subscribing to the HIDI Premier Reporting Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.
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Quality and Population Health
Staff Contact: Shawn Billings
According to the Centers for Disease Control and Prevention, 1,000 patients are treated daily in emergency departments for misusing prescription opioids. On average, nearly 190 patients were treated at Missouri hospitals in both inpatient and ED settings for opioid-related symptoms every day during 2017. When combined with the 1,000 annual opioid-related overdose deaths among Missourians, the daily economic burden attributable to the opioid crisis in the state is $33 million.
The ED has emerged as the final safety net for patients without alternative access to care for a myriad of disorders — from low back pain and diabetes to myocardial infarction and opioid use disorder. Eliminating the disparity between patients with OUD and access to pharmacotherapy is a core underpinning to Missouri’s response to the opioid epidemic. Read more in the September issue of Trajectories.
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Staff Contact: Jackie Gatz
A Clinician Outreach and Communication Activity call has been announced by the Centers for Disease Control and Prevention. The webinar will be held at 2 p.m. Eastern Time Thursday, Sept. 27, and will include discussion from subject matter experts from the American Academy of Pediatrics and CDC. Presenters will discuss strategies to improve flu prevention and control in children, and share recommendations about influenza vaccination and antiviral treatment, including updated recommendations for the use of intranasal live attenuated influenza vaccine (LAIV4) in children. Additional information and a registration link can be found online.
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The number of U.S. babies born infected with syphilis has reached the highest level in 20 years with more than 900 cases reported last year. That's more than double the number in 2013.
Source: AP/ABC News