MHA Today | February 18, 2019

February 18, 2019

MHA Today: News for Healthcare Leaders

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February 18, 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
CMS Issues Emergency Preparedness Updates
DHSS Files Controlled Substance Rules
Research Finds Underinsured Numbers Increase

What You Need To Know This Week

  • MHA’s annual community investment report will be released to the public on Tuesday. Hospital-specific data can be found on the Focus on Hospitals website.
  • On Thursday, the Senate Appropriations Committee will hold a hearing on legislation to reauthorize the Federal Reimbursement Allowance program for two years.

Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Emergency Preparedness Updates

Staff Contact: Sarah Willson or Jackie Gatz

The Centers for Medicare & Medicaid Services released a Quality, Safety & Oversight Memo (QSO-19-06-ALL) outlining updates, which will eventually be reflected in Appendix Z in the Standard Operations Manual. The revisions include adding emerging infectious diseases to the definition of all-hazards approach, new Home Health Agency citations, and clarifications under alternate source power and emergency standby systems. The new guidelines are effective immediately.

The Department of Health and Senior Services Bureau of Home Care developed a checklist of the emergency preparedness changes affecting home care, as well as a checklist outlining the final changes to the interpretive guidelines affecting home health under Appendix B.

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DHSS Files Controlled Substance Rules

Staff Contact: Sarah Willson or Jane Drummond

The Department of Health and Senior Services Division of Regulation and Licensure amended multiple rules related to controlled substances in an Order of Rulemaking published in the Feb. 15 Missouri Register, referenced on pages 713-716. Addressed in the amended regulations are the following.

  • 19 CSR 30-1.023 — Allows authorized retail pharmacies and hospitals/clinics with an on-site pharmacy to maintain collection receptacles in long-term care facilities.
  • 19 CSR 30-1.064 — Amended to allow partial fills for long-term care and terminally ill patients without a request from the patient or prescriber.
  • 19 CSR 30-1.078 — Amended in several areas, two of which are the retention of records and the utilization of a reverse distributor for destruction of unwanted controlled substances.
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Noteworthy


Research Finds Underinsured Numbers Increase

Staff Contact: Dave Dillon

Although the Affordable Care Act reduced the number of uninsured adults, a significant number remain underinsured, according to research from the Commonwealth Fund. The organization’s Biennial Health Insurance Survey found that among adults who were insured all year, 29 percent were underinsured in 2018, up from 23 percent in 2014. According to the survey, “Twenty-eight percent of U.S. adults who have health insurance through their employer were underinsured in 2018, up from 20 percent just four years earlier. At the same time, people who bought plans on their own through the individual market or the marketplaces were the most likely to be underinsured, with 42 percent reporting a lack of adequate coverage in 2018.”

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Consider This ...

Next week is National Eating Disorders Awareness Week. Two-thirds of people with anorexia also showed signs of an anxiety disorder several years before the start of their eating disorder.

Source: National Eating Disorders Association