MHA Today | October 29, 2018

October 29, 2018

MHA Today: News for Healthcare Leaders

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October 29, 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
Trump Signs Opioid SUPPORT Act
CMS Proposes Select CY 2020 Medicare Advantage And Part D Changes
Advanced Nursing Education Workforce Program Applications Available
Hospital Inpatient Quality Measures Specifications Manual Addendum Available

What You Need To Know This Week

  • Open enrollment in the federal health insurance marketplace begins Thursday, Nov. 1.
  • The Centers for Medicare & Medicaid Services could release the final 2019 Outpatient PPS and Physician Fee Schedule rules as early as Friday.
  • Wednesday is Halloween. Here are common injuries and ways to help your community keep safe.

 

MHA's 96th Annual Convention & Trade Show

Advocate
state and federal health policy developments


Trump Signs Opioid SUPPORT Act

Staff Contact: Shawn Billings or Sarah Willson

President Trump has signed bipartisan legislation to address the opioid crisis. The SUPPORT for Patients and Communities Act is designed to reduce drug demand through education, awareness and prevention efforts; reduce the number of illicit drugs coming across our borders and within communities; and increase opportunities for evidence-based treatments for opioid addiction. More than $6 billion is designated in the act for additional resources for education, enhanced community programs, and increased access and coverage of care.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Proposes Select CY 2020 Medicare Advantage And Part D Changes

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a proposed rule that would revise certain aspects of the Medicare Advantage and the Prescription Drug Benefit programs. Changes include implementing certain provisions within the Bipartisan Budget Act of 2018, such as additional telehealth benefits, increased integration of Medicare and Medicaid benefits, and a new process to allow Part D plan sponsors to request extracts of Medicare Parts A and B claims data for their enrollees. In addition, the rule would make “critical updates with respect to program integrity and taking steps to help the agency recover improper payments made to Medicare advantage organizations,” which would result in an estimated $4.5 billion in savings. MHA has published an issue brief with additional details.

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Workforce News


Advanced Nursing Education Workforce Program Applications Available

Staff Contact: Jill Williams

The Health Resources and Services Administration is accepting applications for the fiscal year 2019 Advanced Nursing Education Workforce Program. The ANEW program supports innovative academic-practice to educate primary care nurse practitioners, clinical nurse specialists and nurse midwives prepared for the unique challenges of practicing in rural and underserved communities.

HRSA expects to award more than $37 million to fund approximately 53 recipients. Interested organizations may apply for up to $700,000 per year, of which $350,000 may be used for student traineeships. In order to be eligible for an award, applicants must request both traineeships and academic-practice program infrastructure funds.

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Quality and Population Health


Hospital Inpatient Quality Measures Specifications Manual Addendum Available

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission determined that an addendum is required for the Specifications Manual for National Hospital Inpatient Quality Measures effective for implementation with acute inpatient discharges Jan. 1 through June 30, 2019. The addendum, version 5.5a, is available on QualityNet. The following items are of special interest.

  • Section 1 — Data Dictionary
    • Updated data elements specific to ED-1, IMM-2 and VTE-6 to be collected by The Joint Commission only
    • Updated the Crystalloid Fluid Administration Date and Crystalloid Fluid Administration Time data elements
  • Section 2 — Measurement Information
    • Updated ED-1, IMM-2 and VTE-6 to be collected by The Joint Commission only
    • Removed SUB-1 and TOB-1
  • Section 10 — CMS Outcome/Structural Measures
    • Updated Section 10.1 – Outcome Measures
    • Removed the structural measures from Section 10.2
  • Appendix A — ICD-10 Code Tables
    • Updated the “Last Updated” version from v5.4 to v5.4a

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Consider This ...

Each year, there are approximately 4 million cases of chickenpox, which result in about 10,600 hospitalizations and 100 to 150 deaths.

Source: CDC