MHA Today | January 17, 2019

January 17, 2019
MHA Today: News for Healthcare Leaders

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January 17, 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
MA Enrollment Increases Are Lower Than Expected
Analysis Of S-10 Data And Medicare DSH Implications
MLN Connects Provider eNews Available
CDC COCA Hosts Call To Provide Update On Current Influenza Season
CMS And TJC Release Guidance For Reporting Results Data

Advocate
state and federal health policy developments


MA Enrollment Increases Are Lower Than Expected

Staff Contact: Andrew Wheeler

Medicare Advantage enrollment increased 1.4 million for 2019 for an increase of 6.8 percent since January 2018. With this increase, MA enrollment increased to 22.4 million. Some industry experts expected greater increases. UnitedHealth continues to be the largest MA insurer with 5.7 million beneficiaries.


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Regulatory News
the latest actions of agencies monitoring health care


Analysis Of S-10 Data And Medicare DSH Implications

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services finalized a second year of the transition of distributing Medicare Disproportionate Share Uncompensated Care Pool payments from Medicaid and SSI data to S-10 data. MHA is providing an analysis of the effect of this change. Along with the fiscal impact study, a separate analysis is included, which will provide comparative data to determine if reporting improvements are needed. All inpatient prospective payment hospitals will receive a report regardless of DSH eligibility. Medicare DSH hospitals in Missouri are expected to receive an estimated $24 million in additional DSH payments as a result of the transition and an estimated $31 million as a result of the increase to the national DSH pool in FFY 2019. Policy and analytic studies are available for download to authorized users of HIDI Analytic Advantage®.


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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • Qualified Medicare Beneficiary billing requirements
  • Medicare Diabetes Prevention Program: Become a Medicare-enrolled supplier
  • Medicare Shared Savings Program: Submit notice of intent to apply by
    Friday, Jan. 18
  • Home health Patient-Driven Groupings Model call – Tuesday, Feb. 12
  • Clinical lab fee schedule: Medicare travel allowance fees MLN Matters article

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Quality and Population Health


CDC COCA Hosts Call To Provide Update On Current Influenza Season

Staff Contact: Jackie Gatz or Carissa Van Hunnik

The Centers for Disease Control and Prevention Clinician Outreach and Communication Activity will host a call at 1 p.m. Tuesday, Jan. 29, to discuss the current 2018-2019 influenza season, addressing clinical issues and pertinent updates.

MHA continues to conduct weekly baseline flu queries in EMResource® to monitor influenza impacts and inform coordination at the regional and state levels.

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CMS And TJC Release Guidance For Reporting Results Data

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission released guidance for reporting diagnostic test data in the Diagnostic Study Performed (V3) template of Quality Reporting Document Architecture Category I files. This only affects the electronic clinical quality measure CMS31v6 — Hearing Screening Prior To Hospital Discharge. Details are available.

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Consider This ...

Between 2015 and 2017, total spending at U.S. community hospitals for each admitted patient climbed 18.5 percent, from $468 to $555, resulting in $1.8 million in added spending for the average hospital.

Source: STAT