MHA Today | January 15, 2019

January 15, 2019

 



MHA Today: News for Healthcare Leaders

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January 15, 2019

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


In This Issue
MHA Distributes Analysis For Final Updates To CY 2019 Medicare Home Health PPS
CMS Hosts Open Door Forum On Lab Private Payer Rates Data Collection
CMS Announces OQR Education Session
Opioid Overdoses Overtake Motor Vehicle Accidents In Missouri Deaths
SSM Health Mid-Missouri Names New President


UPCOMING SEMINARS
CMS' Hospital CoP and State Licensure Regulations

Acute Care Hospitals
Wednesday, March 20, and Thursday, March 21
Register on or before Wednesday, March 6.

Critical Access Hospitals
Thursday, March 21, and Friday, March 22
Register on or before Wednesday, March 6.

Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis For Final Updates To CY 2019 Medicare Home Health PPS

Staff Contact: Andrew Wheeler

MHA published a comprehensive analysis of the calendar year 2019 final payment and policy updates for the Medicare home health prospective payment system. The analysis, which will be available online for authorized users of HIDI Analytic Advantage®, includes a summary of the final rule, a description of the methods underlying the analysis and assessments of the financial implications. The financial implications include effects of the CY 2019 updates to the marketbasket, the productivity reduction mandated by the Affordable Care Act, home health resource group case-mix, budget-neutrality increase and changes to the wage index. The estimated effect of the final home health rule will increase payments in Missouri by 3.0 percent, or $1,322,300. The analysis also includes an estimated change in Medicare payments for hospital-based home health providers due to patient-driven grouping models that will begin in 2020.

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CMS Hosts Open Door Forum On Lab Private Payer Rates Data Collection

Staff Contact: Andrew Wheeler

Laboratories that bill using a 14X type of bill are required to report laboratory test HCPCS codes, volume and associated private payer rates if they have more than $12,500 in Medicare lab service revenues paid on the clinical lab fee schedule and receive more than 50 percent of their Medicare revenues from the CLFS and physician fee schedules. Physician offices and hospital outreach labs are included in this requirement. The Centers for Medicare & Medicaid Services is hosting an open door forum at 1 p.m. Tuesday, Jan. 22, and registration is required. CMS encourages participants to email questions in advance to CLFS_Inquiries@cms.hhs.gov.

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Quality and Population Health


CMS Announces OQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Outpatient Quality Reporting Program has been scheduled on Wednesday, Jan. 23. The webinar, “Touring the Hall of Specifications: Hospital Outpatient Quality Reporting Program,” is offered at 9 a.m. and 1 p.m. Registration is required.

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Noteworthy


Opioid Overdoses Overtake Motor Vehicle Accidents In Missouri Deaths

Staff Contact: Mat Reidhead or Shawn Billings

Medical MarijuanaNew research from the National Safety Council finds opioid overdoses have outpaced motor vehicle accidents as a cause of death nationally. Researchers found that Americans have a one in 96 chance of dying from an opioid overdose, compared with a one in 103 chance of dying in a motor vehicle accident. In January 2018, MHA released research on drug-overdose deaths in Missouri finding that overdoses had exceeded MVAs as a cause of death for the first time that year. The earlier data included all drug-related overdose deaths. However, the new research finds that opioid overdose deaths alone now exceed vehicle fatalities. The Centers for Disease Control and Prevention credit the increase in overdose deaths to the proliferation of Fentanyl use, which has outstripped heroin as the leading cause of overdose death. The growth in opioid overdose deaths has been a leading factor in the decrease in U.S. average life expectancy.

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CEO Announcements


SSM Health Mid-Missouri Names New President

Staff Contact: Carol Boessen

Mike Baumgartner has been named regional president of SSM Health Mid-Missouri and president of SSM Health St. Mary’s Hospital – Jefferson City, effective Jan. 14. Baumgartner will replace Phil Gustafson who came out of retirement to serve as interim president since February 2018. Baumgartner will partner with Gustafson to ensure a smooth transition until Gustafson departs on March 13. Baumgartner served as president of SSM Health St. Francis Hospital – Maryville since March 2015. It is anticipated that Mosaic Life Care in St. Joseph will assume ownership of SSM Health St. Francis Hospital – Maryville by April 1 and will appoint a new president. A list of CEO changes is available online.

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Consider This ...

New data show that both men and women gained a whopping 24 pounds on average from 1960 to 2002; through 2016, men gained an additional eight pounds, and women another seven pounds.

Source: The New York Times