MHA Today | November 20, 2018

November 20, 2018
MHA Today: News for Healthcare Leaders

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November 20, 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
GAO Calls For Greater Attention To Medicaid Managed Care Data
AHA To Host Webinar Focused On Awareness Of Labor Trafficking
UnitedHealthcare Medicare Advantage Payment For 340B Drugs
CMS Launches Civil Money Penalty Reinvestment Program
HIDI Releases Report On 2017 Average Hospital Charges For Medicare Patients
Notice Of Funding Opportunity For The Geriatrics Workforce Enhancement Program


UPCOMING SEMINARS
2019 Missouri Preceptor Academies

The Missouri Preceptor Academy is a program designed to train registered nurses and allied health clinicians how to guide new employees, recent graduates and students through the onboarding and competence validation process. Preceptor Academies are offered several times a year in central Missouri, southeast Missouri, St. Louis and Kansas City. Below is the first offering in each region.

Central Missouri | Wednesday, April 10 | Sedalia
Kansas City Metro Area | Tuesday, March 12 | North Kansas City
Southeast Missouri | Wednesday, April 24 | Farmington
St. Louis Metro Area | Friday, March 15 | St. Louis

Advocate
state and federal health policy developments


GAO Calls For Greater Attention To Medicaid Managed Care Data

Staff Contact: Daniel Landon or Brian Kinkade

A new U.S. Government Accountability Office report calls for the Centers for Medicare & Medicaid Services to provide more guidance to state Medicaid programs regarding the collection of encounter data from Medicaid managed care plans. The GAO also issued a one-page summary. The study stemmed from questions raised by the U.S. House of Representatives Energy and Commerce Committee.

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AHA To Host Webinar Focused On Awareness Of Labor Trafficking

Staff Contact: Amy Schwartz or Sarah Willson

The AHA’s Hospitals Against Violence initiative will host a webinar, “The Reality of Labor Trafficking,” at 1 p.m. Wednesday, Dec. 5. This webinar will provide hospitals and health systems with the tools to identify and respond to potential victims of labor trafficking. Speakers Susie Baldwin, M.D., MPH, from the Los Angeles County Department of Public Health Department and Bukola Oriola from the U.S. Advisory Council on Human Trafficking will highlight the important role that health care providers and leaders can play in recognizing and responding to human trafficking victims. Additional information and online registration is available.

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Regulatory News
the latest actions of agencies monitoring health care


UnitedHealthcare Medicare Advantage Payment For 340B Drugs

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services implemented in the calendar year 2018 outpatient Medicare PPS payment and policy updates payment reductions for certain drugs purchased under the 340B program. Effective Jan. 1, 2018, UnitedHealthcare Medicare Advantage began paying for these drugs at a rate of average sales price minus 22.5 percent. On Sept. 1, UHC placed a temporary hold on the policy due to provider concerns. Effective Nov. 12, UHC removed the temporary hold and implemented a revised approach for retrospectively pursuing targeted recoupment.

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CMS Launches Civil Money Penalty Reinvestment Program

Staff Contact: Andrew Wheeler

Today, the Centers for Medicare & Medicaid Services announced a three-year initiative, the Civil Money Penalty Reinvestment Program, which offers technical tools and ongoing assistance to nursing home staff. The tools and assistance will include staff competency assessments, instructional guides, and training webinars and seminars. The CMPRP is funded by federal civil money penalties, which are fines nursing homes pay CMS when they are noncompliant with certain regulations.

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HIDI Tech Connect


HIDI Releases Report On 2017 Average Hospital Charges For Medicare Patients

Staff Contact: Shane VanOverschelde

HIDI’s Average Hospital Charges for Medicare Patients Report, based on the 2017 Medicare Provider Analysis and Review file, now is available. The MedPAR file includes 100 percent of Medicare beneficiaries using short-stay hospital inpatient services. The report features fiscal year 2017 hospital-specific detail on Medicare DRG cost components, utilization and ranks. It also includes a comprehensive set of reports and associated data files.

This report is available as an a la carte offering and also was available as part of the 2018 Premier Reporting Package. For current Premier Reporting Package subscribers, the report now can be found on HIDI Analytic Advantage® in the following location, with the following file name.

  • File Location: Finance and Policy/Premier Reports
  • File Name: MO0000_MEDPAR_2017.zip

Hospitals interested in subscribing to the 2019 HIDI Premier Reporting Package should review the package information. Hospitals interested in the a la carte offering of this report should contact HIDI.

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Workforce News


Notice Of Funding Opportunity For The Geriatrics Workforce Enhancement Program

Staff Contact: Jill Williams

The Health Resources and Services Administration released the Notice of Funding Opportunity for the Geriatrics Workforce Enhancement Program. The purpose of this program is to improve health outcomes for older adults by developing a health care workforce that maximizes patient and family engagement, and by integrating geriatrics and primary care.

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Consider This ...

Americans throw away about 25 percent more trash between Thanksgiving and New Year’s Eve. If every American family wrapped just three presents in reused materials, it would save enough paper to cover 45,000 football fields.

Source: Centers for Disease Control and Prevention