MHA Today | April 23, 2019

April 23, 2019

 



MHA Today: News for Healthcare Leaders

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April 23, 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
Legislative Committee Votes To Block Medicaid Contracting Amendment
CMS Releases Proposed FY 2020 Payment And Policy Updates To The Inpatient And LTCH PPS
Missouri DHSS Releases Draft Medical Marijuana Rule For Physicians
MHA Receives HIIN Extension
2019 Aim For Excellence Award Call For Applications Reminder
Bothwell Regional Health Center Names New CEO


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Advocate
state and federal health policy developments


Legislative Committee Votes To Block Medicaid Contracting Amendment

Staff Contact: Rob Monsees or Bill Anderson

A state House of Representatives committee approved House Bill 1235. The bill invalidates the Medicaid managed care plan contract amendment the MO HealthNet Division adopted last summer. It capped Medicaid managed care payment rates at 90 percent of the fee-for-service rate for a hospital that does not contract with a Medicaid managed care plan. HB 1235 directs that noncontracting hospitals would be paid at least the Medicaid fee-for-service payment rate for services delivered after July 1, 2019. In approving the bill, the committee amended it to include a bill on billing and payment for treatment by out-of-network practitioners in in-network hospitals. The bill has an emergency clause, allowing the enacted law to become effective upon approval by the governor.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Proposed FY 2020 Payment And Policy Updates To The Inpatient And LTCH PPS

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released proposed payment and policy updates to FY 2020 Medicare inpatient and long-term acute care hospital prospective payment systems. The proposed rule includes wage index safeguards for low-wage index areas, revisions to the urban to rural reclassifications, utilizing a single year of S-10 information to distribute Medicare DSH funds and changes to the Medicare pay-for-performance programs. CMS is estimating payments under IPPS will increase $4.7 billion, or 3.7 percent, for 2020. MHA will release an issue brief with additional information.

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Missouri DHSS Releases Draft Medical Marijuana Rule For Physicians

Staff Contact: Jane Drummond

The Missouri Department of Health and Senior Services continues to release medical marijuana rules in draft form for public input before filing formal, proposed rules with the secretary of state. Recently, it issued a rule providing for the process by which a physician may certify a qualifying patient. The rule anticipates that certifications will be submitted electronically and must include the physician’s recommendation for the amount of marijuana the patient may purchase in a 30-day period.

The department previously released a draft rule describing the process for patients and primary caregivers to obtain identification cards to purchase and possess medical marijuana. Additional rules address the planned approach to cultivation, manufacturing and dispensing. The department invites public comment on its draft rules before finalizing them for publication in the Missouri Register.

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Quality and Population Health


MHA Receives HIIN Extension

Staff Contact: Jessica Stultz

The Centers for Medicare & Medicaid Services provided a commitment to continue the current HIIN work through at least Thursday, June 27, while finalizing a longer extension in preparation for a new contract in 2020. Throughout this time, MHA will ensure uninterrupted data collection and reporting, as well as technical support, to continue advancing improvement and to satisfy CMS compliance for hospitals of 50 beds or more to actively engage in quality and safety initiatives.

Concurrently, MHA is actively designing a new, comprehensive hospital quality and safety improvement program for its 87 HIIN hospital members and partners to be deployed under the new CMS 12th Scope of Work. This plan will focus on data-driven improvement techniques, cohort-based improvement sprints, innovative partnerships and increasing reliable performance. Opportunities to increase organizational capacity and capability will continue, as well.

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2019 Aim For Excellence Award Call For Applications Reminder

Staff Contact: Leslie Porth
Aim for Excellence Award
Applications for MHA’s Aim for Excellence Award must be received by 5 p.m. Monday, May 6. This annual, prestigious award recognizes Missouri hospitals' innovation and outcomes that address the Triple Aim principles of better health, better care and lower costs. Winners of the award receive the following.

  • recognition at the Celebration of Achievement Awards Dinner at MHA's Annual Convention & Trade Show
  • a professional video highlighting the hospital's work that is used at convention, and on MHA's website and social channels
  • media recognition
  • a press kit from MHA that includes a variety of marketing materials
  • inclusion in the Aim for Excellence Compendium
  • recognition during National Hospital Week

Visit MHA’s website for more information and to apply online.

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CEO Announcements


Bothwell Regional Health Center Names New CEO

Staff Contact: Carol Boessen

Bothwell Regional Health Center in Sedalia named Lori Wightman as CEO, effective Monday, June 17. Wightman most recently served as president of Mercy Hospital Ada in Oklahoma. She will replace Rose McMullin who has been serving as interim CEO since Oct. 31, 2018, when Jimmy Robertson resigned. McMullin will return to her role as chief nursing officer. A list of CEO changes is available online.

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Consider This ...

In 2017, a record number of cases of tickborne diseases were reported to the Centers for Disease Control and Prevention, and the number of reported cases of Lyme disease in the U.S. has tripled since the late 1990s.

Source: Centers for Disease Control and Prevention