MHA Today | November 14, 2018

November 14, 2018
MHA Today: News for Healthcare Leaders

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November 14, 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
Weekly Snapshot: Marketplace Enrollment For Week 2
CMS Proposes Revised Medicaid Managed Care Rule
OIG Finds Missouri, Other States, Complied With Medicaid Provider Tax Limits
TJC Announces eCQM CQL Basics Webinar
CMS Announces Rural Open Door Forum
Rural Patient Finds Care Close To Home

Advocate
state and federal health policy developments


Weekly Snapshot: Marketplace Enrollment For Week 2

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released marketplace enrollment data through Nov. 10. For the first two weeks of the 2019 open enrollment period, 1,176,232 beneficiaries made plan selections in states where the HealthCare.gov platform is being utilized. Through the second week of open enrollment for 2018, 1,478,250 plan selections had been chosen.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Proposes Revised Medicaid Managed Care Rule

Staff Contact: Brian Kinkade

The Centers for Medicare & Medicaid Services filed proposed revisions to its regulations governing Medicaid managed care programs. This is the first revision to the major federal managed care regulations promulgated by CMS at the end of the Obama administration. CMS’ summary of the rule says the revisions are meant to streamline the Medicaid and CHIP managed care regulatory framework to ensure that the regulatory framework is efficient and feasible for states to implement in a cost-effective manner and ensure that states can implement and operate Medicaid and CHIP managed care programs without undue administrative burdens.

MHA will review the proposed rule and expects to file comments. Public comments must be submitted by close of business Monday, Jan. 14, 2019, either electronically by following the ‘‘submit a comment’’ instructions, or by regular mail to Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–2408–P, P.O. Box 8016, Baltimore, MD 21244–8013.

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OIG Finds Missouri, Other States, Complied With Medicaid Provider Tax Limits

Staff Contact: Brian Kinkade

The Health and Human Services Office of Inspector General issued a report today that affirms that the seven states with the largest Medicaid hospital provider tax programs have complied with federal hold harmless requirements in state fiscal years 2011 through 2015. The OIG’s review included Missouri’s Federal Reimbursement Allowance, as well as the hospital tax programs operated by the states of California, Illinois, Indiana, Michigan, Ohio and Pennsylvania. The OIG’s report recommends CMS review the limits that the current law places on Medicaid provider taxes to determine if modifications are warranted.

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Quality and Population Health


TJC Announces eCQM CQL Basics Webinar

Staff Contact: Sherry Buschjost

A webinar to provide an introduction to clinical quality language expression is offered by The Joint Commission’s Pioneers in Quality™ program. The webinar, “Electronic Clinical Quality Measure Clinical Quality Language Basics Webinar for Hospitals,” is offered at 11 a.m. Thursday, Nov. 29. The session is intended to prepare hospitals for the transition from the previous quality data model logic expression language to CQL for the 2019 reporting period. Registration is required.

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Noteworthy


CMS Announces Rural Open Door Forum

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services will hold a Rural Open Door Forum by telephone at 2:30 p.m. Thursday, Nov. 15. The scheduled agenda includes opening remarks from CMS Administrator Seema Verma and updates on the rural health provisions of the Physician Fee Schedule Final Rule and the Outpatient PPS Final Rule. Participants can join the call by dialing 1-800-837-1935 and referencing conference ID: 34889757.

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Spotlight


Rural Patient Finds Care Close To Home

Staff Contact: Jim Mikes

National Rural Health Day Tomorrow is National Rural Health Day, and MHA is “Celebrating the Power of Rural” all week with patient stories from Missouri’s rural hospitals. The following was submitted by a patient of Harrison County Community Hospital.

“The Harrison County Community Hospital is a vital part of our community and was one of the deciding factors in our choosing Bethany, Mo., as our new home five years ago. We have been very pleased with the high quality of care and the services they offer as we have used pulmonary rehab, physical therapy, consulting specialists, the emergency department and the clinic. The hospital system continues to offer new and expanding services, which means we receive quality care right here near home.”

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Consider This ...

Today is World Diabetes Day. More than one in three Americans has prediabetes, and about 30 million Americans currently have diabetes – with the number of adults diagnosed with diabetes more than tripling in the past 20 years. Despite the prevalence of prediabetes, nearly 90 percent of people with the condition do not know they have it.

Source: Centers for Disease Control and Prevention