MHA Today | March 7, 2019

March 7, 2019
MHA Today: News for Healthcare Leaders

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March 7, 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
House Committee Begins FY 2020 State Budget Mark-up
MHA Releases Map To Evaluate Proposed Access Standards For Veterans
CMS Seeks Recommendations About Purchasing Insurance Across State Lines
MLN Connects Provider eNews Available
Hospital Quality Reporting Center Winter 2019 Newsletter Available
CMS Announces Education Session
Nevada Regional Medical Center Names New CEO

Advocate
state and federal health policy developments


House Committee Begins FY 2020 State Budget Mark-up

Staff Contact: Daniel Landon, Rob Monsees or Brian Kinkade

House Budget Committee Chairman Cody Smith released Wednesday a summary of recommended changes to Gov. Parson’s fiscal year 2020 state budget. Among the proposed changes are three items of interest to hospitals.

First, it is proposed that the House modify the governor’s approach to addressing a $500,000 shortfall in Poison Control Center funding by recommending increased funding from general revenue instead of FRA. MHA advocated for this change in House and Senate budget hearings in January. Second, the proposal recommends establishing a new and identifiable line-item appropriation for Time Critical Diagnosis certification costs. Finally, the proposal includes a $10 million appropriation requested by MHA that would authorize 90 percent federal matching funds to reimburse hospitals for technology that promotes electronic medical record information utilization and interoperability. These three changes are highlighted in the summary on pages 18 and 19.

The House Budget Committee will consider these changes and others when it meets next week to mark up the 13 appropriations bills that comprise the state budget. The committee is expected to adopt a final budget before the General Assembly’s spring break begins on Friday, March 15.

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MHA Releases Map To Evaluate Proposed Access Standards For Veterans

Staff Contact: Josh Grotzinger or Mat Reidhead

The U.S. Veterans Administration issued a proposed regulation creating new standards governing access to non-VA providers through the Veterans Community Care Program. The access criteria include drive time to, and waiting times for, treatment by VA providers. They are one of several options for qualifying for VA coverage of community providers’ services.

PFAC Vlog: Part One To assist MHA members in understanding the implications of the proposed rule, HIDI created an interactive map showing areas within 30- and 60-minute drive times of VA clinics and hospitals. Comments regarding the proposed regulation can be submitted to the Veterans Administration on or before Monday, March 25.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Seeks Recommendations About Purchasing Insurance Across State Lines

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a request for information to solicit recommendations on how to eliminate barriers and allow issuers’ ability to sell health insurance across state lines. CMS Administrator Seema Verma stated, “Americans are in desperate need of more affordable health insurance options. Eliminating the barriers to sell health insurance coverage across state lines could help provide access to a more competitive and affordable health insurance market.” Comments must be received by 4 p.m., 60 days after the date of publication in the Federal Register.

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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.

  • Reducing opioid misuse letter
  • Medicare beneficiaries at a glance infographic
  • Skilled Nursing Facility Provider Threshold Report
  • Interoperability
    • Promoting Interoperability Programs: Attestation deadline extended to Thursday, March 14
    • Interoperability and patient access to health data: Comments on new proposals due Friday, May 3

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Quality and Population Health


Hospital Quality Reporting Center Winter 2019 Newsletter Available

Staff Contact: Sherry Buschjost

Now available on the Quality Reporting Center is the Hospital Quality Reporting Center Winter 2019 newsletter. The issue includes information for acute care hospitals, critical access hospitals, inpatient psychiatric facilities and PPS-exempt cancer hospitals. Topics include the following.

  • tools and resources for the eCQM reporting deadline
  • 2019 OPPS/ASC final rule
  • important National Healthcare Safety Network deadline
  • tips for reporting health care personnel influenza vaccination data
  • quality reporting tools and resources
  • National Institutes of Health Stroke Scale reporting information
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CMS Announces Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Hospital Value-Based Purchasing, Hospital-Acquired Condition Reduction and Hospital Readmissions Reduction programs is scheduled at 1 p.m. Tuesday, March 12. The presentation will provide an overview of the publicly reported data and information available for the CMS inpatient hospital pay-for-performance programs. Registration is required.

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CEO Announcements


Nevada Regional Medical Center Names New CEO

Staff Contact: Carol Boessen

Nevada Regional Medical Center named Steve Branstetter as CEO, effective March 1. He has more than 40 years of health care experience and most recently served as the Long-Term Care Chief Administrative Officer of Moore-Few Care Center/Barone Care Center in Nevada, a skilled nursing and Alzheimer’s disease treatment facility owned by the city of Nevada. He replaces Wes Braman who served as Interim CEO since November 2017. Braman returns to his role as Vice President of Business Development at Freeman Health System in Joplin. A list of CEO changes is available online.

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Consider This ...

National Women and Girls HIV/AIDS Awareness Day is Sunday, March 10. Between 2010 and 2016, there was a 21 percent decrease in HIV diagnoses among all women within the U.S., and in 2017, women made up 19 percent of diagnoses.

Source: Centers for Disease Control and Prevention