MHA Today | April 2, 2019

April 2, 2019

 

MHA Today: News for Healthcare Leaders

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April 2, 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
Infection Control Legislation Advances
Senate Committee Considers CNA Training Changes
Legislators Review Medicaid Restrictions On Anti-Psychotic Drugs
MHA Releases Enacted And Possible Additional Medicare Cuts Analysis
Medicare Advantage And Part D Rate Announcement, Final Call Letter Available
CMS Releases 4Q2018 Submission Checklists


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Register on or before Tuesday, June 11.

Advocate
state and federal health policy developments


Infection Control Legislation Advances

Staff Contact: Sarah Willson or Daniel Landon

A state House of Representatives committee unanimously approved House Bill 1057. The legislation exempts hospitals from state infection control reporting obligations if the Centers for Medicare & Medicaid Services requires reporting of hospital infection data. The Missouri Department of Health and Senior Services will include a link on its website to CMS infection data. Also, a state antimicrobial stewardship data reporting requirement will become effective when CMS Conditions of Participation require electronic reporting of antibiotic use or resistance. Current state law ties the effective date to federal “Meaningful Use” regulations. MHA developed and is promoting the legislation.

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Senate Committee Considers CNA Training Changes

Staff Contact: Sarah Willson or Rob Monsees

A state Senate committee held a hearing on Senate Bill 490, which would allow hospitals to be training sites for certified nursing assistants. Current law requires CNAs to be trained in nursing homes and other long-term care facilities. Also, those who have completed the competency evaluation and training for designation as “unlicensed assistive personnel” in hospitals may sit for the CNA examination. Upon passage, they will be a CNA.

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Legislators Review Medicaid Restrictions On Anti-Psychotic Drugs

Staff Contact: Bill Anderson or Daniel Landon

A state House committee reviewed House Bill 876. The legislation changes statutory standards governing access to anti-psychotic medications in the Medicaid program. The bill’s sponsor said his intent is to ensure that patients have access to the full spectrum of anti-psychotic medications. The Missouri Psychiatric Association, the Missouri Pharmacy Association, the state chapter of the National Alliance on Mental Illness and the Missouri Department of Mental Health testified in support, with no opposition testimony.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Releases Enacted And Possible Additional Medicare Cuts Analysis

Staff Contact: Andrew Wheeler

Congress enacted various federal Medicare payment cuts through the Affordable Care Act, sequestration mandated by the Budget Control Act, the Middle Class Tax Relief and Job Creation Act, the American Taxpayer Relief Act, and other legislation. In addition, discussions are being held regarding possible further payment reductions to outpatient payments, graduate medical education, post-acute care programs, 340B payments and additional bad debt cuts. MHA is providing a hospital-specific analysis of both the enacted cuts and possible cuts discussed by, or recommended to, Congress. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are available for download to authorized users of HIDI Analytic Advantage®.

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Medicare Advantage And Part D Rate Announcement, Final Call Letter Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the final payment and policy updates for the Medicare Advantage and Part D programs for 2020. The final payment update for 2020 is 2.53 percent, almost 1 percent more than what was published in the advance notice. The theme behind the changes for 2020 is centered on increasing competition among the MA plans, increasing plan choices, providing better benefits and including actions to address the opioid crisis. CMS Administrator Seema Verma stated, “Today’s changes give plans the ability to be innovative, and offer benefits and services that address social determinants of health for people with chronic disease. With Medicare Advantage enrollment at an all-time high, plans need greater flexibility in offering benefits that focus on preventing disease and keeping people healthy.”

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Quality and Population Health


CMS Releases 4Q2018 Submission Checklists

Staff Contact: Sherry Buschjost

Available on the Quality Reporting Center are the fourth quarter 2018 submission checklists for the Inpatient and Outpatient Quality Reporting programs. The Centers for Medicare & Medicaid Services also has posted the healthcare-associated infection checklist. Upcoming deadlines include the following.

  • Wednesday, April 3 — hospital consumer assessment of health care providers and systems survey
  • Wednesday, May 1 — population and sampling for both inpatient and outpatient clinical chart-abstracted measures
  • Wednesday, May 1 — outpatient clinical chart-abstracted measures
  • Wednesday, May 15:
    • inpatient clinical chart-abstracted measures
    • healthcare-associated infection
    • perinatal care elective delivery
    • influenza vaccination among health care personnel for October 2018 – March 2019
    • inpatient data accuracy and completeness acknowledge for CY 2018 data
    • outpatient web-based measures for the Jan. 1 – Dec. 31, 2018, reporting period
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Consider This ...

Americans borrowed an estimated $88 billion to pay for health care last year, and one in four people skipped care because of costs.

Source: USA Today