MHA Today | October 30, 2018

October 30, 2018
MHA Today: News for Healthcare Leaders

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October 30, 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
2019 Federal Health Insurance Exchange Open Enrollment Begins Nov. 1
CMS Releases Additional Details About SNF VBP Program
CMS Develops A Market Saturation And Utilization Data Tool
CMS Releases Facility-Specific Reports For OP-32


UPCOMING SEMINARS
Chargemaster Coding Updates and Implementation for 2019

Wednesday, Dec. 5
Blue Springs, Mo.
Register on or before Wednesday, Nov. 21.

Wednesday, Dec. 6
Jefferson City, Mo.
Register on or before Wednesday, Nov. 21.

 

MHA's 96th Annual Convention & Trade Show

Advocate
state and federal health policy developments


2019 Federal Health Insurance Exchange Open Enrollment Begins Nov. 1

Staff Contact: Andrew Wheeler

The Federal Health Insurance Exchange Open Enrollment for 2019 will be open from November 1 through December 15, 2018. Individuals interested in coverage can view plans by ZIP code. The Centers for Medicare & Medicaid Services also provided a map of carrier options for the entire country. According to the map, all counties in Missouri will continue to have some type of coverage.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Additional Details About SNF VBP Program

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released additional details about the skilled nursing facility value-based purchasing program. The SNF VPB program begins with federal fiscal year 2019 and provides incentive payments based on their hospital readmissions measure after a patient is discharged and has a hospital admission within 30 days. CMS previously provided FAQs about the program.

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CMS Develops A Market Saturation And Utilization Data Tool

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced a Market Saturation and Utilization Data Tool that includes information about national-, state- and county-level provider services and utilization data for selected health service areas. The service areas included in the tool are home health, ambulance, independent diagnostic testing facilities, skilled nursing facilities, hospice, physical and occupational therapy, clinical laboratory, long-term care hospitals, chiropractic services, cardiac rehabilitation programs, psychotherapy, federally qualified health centers, ophthalmology, and preventive health services.

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Quality and Population Health


CMS Releases Facility-Specific Reports For OP-32

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released facility-specific reports for the facility risk-standardized hospital visits within seven days after outpatient colonoscopy measure (OP-32) for hospital outpatient departments. The FSRs contain calendar year 2017 performance period measure results for public reporting in January 2019, which will affect CY 2019 payment determination. The FSRs are available through the QualityNet secure portal. Additional details are available.

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Consider This ...

Eleven of every 100,000 children and teens treated in U.S. emergency rooms have gun-related injuries. That amounts to about 8,300 kids each year. Almost half the gun injuries were from assaults, nearly 40 percent were unintentional and 2 percent were suicides.

Source: AP