MHA Today | December 3, 2018

December 3, 2018

MHA Today: News for Healthcare Leaders

linkedin twitter facebook
December 3, 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
OIG Releases Semiannual Report To Congress
Myers And Stauffer LC Requires Completion Of DSH Surveys
MHA Releases Notes From MHD/Hospital Systems Meeting
CMS Releases FY 2019 Value-Based Purchasing Program Results
Missouri Provider Associations Release Updated Voluntary Opioid Prescribing Guidelines

What You Need To Know This Week

  • The Medicare Payment Advisory Commission meets this week to conduct their annual financial performance review.
  • On Tuesday, the governor is holding a Rural Health Summit at Citizens Memorial Hospital in Bolivar.
  • Recordings of the complimentary three-part webinar series on medical marijuana, offered by the MHA Health Institute, are available on MHA's website.

Advocate
state and federal health policy developments


OIG Releases Semiannual Report To Congress

Staff Contact: Andrew Wheeler

The U.S. Department of Health and Human Services Office of Inspector General released the semiannual report to Congress. The semiannual report is intended to “describe OIG’s work on identifying significant problems, abuses, deficiencies, remedies and investigative outcomes relating to administration of the HHS program.” For fiscal year 2018, the OIG reported expected audit recoveries of $521 million and issued reports with $2 billion in questioned costs. The OIG also reported criminal actions against 764 individuals, the exclusion of 2,712 individuals and entities from the federal health care program, and civil actions against 813 individuals or entities. The OIG also has focused on preventing and treating opioid misuse, protecting the health and safety of children in the HHS programs, and protecting the integrity of the Medicare and Medicaid programs.

Back To Top


Myers And Stauffer LC Requires Completion Of DSH Surveys

Staff Contact: Kim Duggan or Amy Volkart

On Nov. 30, Myers and Stauffer LC, the state’s independent disproportionate share hospital audit contractor, notified hospitals that the Missouri state fiscal year 2016 DSH Examination and the SFY 2020 Interim DSH Payment surveys and paid claims data were uploaded to their web portal. The cover letter includes instructions for completing the surveys and accessing the web portal.

The deadline to submit your hospital's DSH surveys and supporting documentation is Friday, Jan. 18, 2019. Myers and Stauffer is hosting a complimentary DSH training webinar at 9 a.m. Tuesday, Dec. 11. Hospital CEOs, chief financial officers, reimbursement managers and any staff who are expected to be directly responsible for completing the audit surveys are encouraged to participate. To participate, email a registration form to modsh@mslc.com by Monday, Dec. 10.

Back To Top


MHA Releases Notes From MHD/Hospital Systems Meeting

Staff Contact: Brian Kinkade

MHA has prepared a summary of the proceedings from the MO HealthNet Division/hospital system meeting that was held Nov. 16 at CoxHealth South in Springfield. The summary includes links to the recording of the meeting. This was the latest in a series of quarterly meetings MHD is holding with hospital systems to discuss current issues involving Medicaid policy, reimbursement and managed care. The next meeting is scheduled for mid-February in central Missouri. Additional information will be distributed as it becomes available.

Back To Top

 

Regulatory News
the latest actions of agencies monitoring health care


CMS Releases FY 2019 Value-Based Purchasing Program Results

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released results of the fiscal year 2019 Medicare inpatient prospective payment system value-based purchasing program. CMS estimates that the total amount available to be distributed in 2019 will amount to $1.9 billion. It is estimated that more than 55 percent of hospitals will receive a bonus, while 45 percent will receive payment reductions. Nearly 60 percent of hospitals will realize small changes in payments between -0.5 and 0.5 percent adjustments. The largest payment increase under the VBP program will be 3.67 percent, while the largest payment reduction will be -1.59 percent.

Back To Top

 

Quality and Population Health


Missouri Provider Associations Release Updated Voluntary Opioid Prescribing Guidelines

Staff Contact: Leslie Porth

Today, new opioid prescribing recommendations designed to guide hospital-based physicians’ use have been adopted and released by a coalition of health care policy and advocacy organizations. The revised guidance reflects evolving best practices in the use of opioids for pain management and changes in the law designed to reduce the opioid addiction crisis.

In November 2015, the Missouri Academy of Family Physicians, Missouri Association of Osteopathic Physicians & Surgeons, Missouri College of Emergency Physicians, Missouri Dental Association, Missouri Hospital Association, and Missouri State Medical Association jointly recommended a set of hospital emergency department guidelines to reduce variation in opioid prescribing practices. The new recommended guidelines expand the recommendations and reflect developments in best practices.

Back To Top

 


Consider This ...

This week is National Influenza Vaccination Week. During the 2017-2018 flu season, CDC estimates flu caused 49 million flu illnesses — more than the combined populations of Texas and Florida — and 960,000 flu hospitalizations — more than the number of staffed hospital beds in the U.S.

Source: Centers for Disease Control and Prevention