MHA Today | May 23, 2019

May 23, 2019
MHA Today: News for Healthcare Leaders

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May 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
MHA Distributes Analysis Of Proposed Medicare Inpatient PPS Payment And Policy Updates
MLN Connects Provider eNews Available
Trajectories — Neonatal Abstinence Syndrome: A Conversation That Could Save Two Lives
Medication First Model Receives Publication Distinction
Severe Weather And Tornadoes Damage Several Missouri Communities

Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis Of Proposed Medicare Inpatient PPS Payment And Policy Updates

Staff Contact: Andrew Wheeler

MHA released a summary and analysis of the federal fiscal year 2020 Medicare inpatient PPS proposed payment and policy updates. Hospitals have until Monday, June 24, to review their hospital-specific data and submit comments to the Centers for Medicare & Medicaid Services. The analysis includes the financial effects of marketbasket updates, reductions mandated by the Affordable Care Act, coding adjustments and changes to the wage index. The analysis also includes results from the proposed third year and full transition to S-10 for Medicare disproportionate share hospital uncompensated care payments. On average, hospitals in Missouri should expect an estimated 5.1 percent increase in IPPS payments. Results are illustrated in national, Missouri, health system and individual hospital groupings. 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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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.

  • CMS takes action to lower prescription drug prices and increase transparency
  • Draft 2020 Quality Reporting Document Architecture Category III Implementation Guide: Submit comments by Wednesday, June 5
  • April – June Quarterly Provider Update
  • Promoting Interoperability Program: 2015 Edition Certified Electronic Health Record Technology required
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Quality and Population Health


Trajectories — Neonatal Abstinence Syndrome: A Conversation That Could Save Two Lives

Staff Contact: Shawn Billings
Trajectories: Neonatal Abstinence Syndrome
The May 2019 issue of Trajectories explores results from an MHA survey that was sent to member hospitals, including Missouri birthing hospitals, children’s hospitals, emergency departments, and directors of obstetrics and neonatology, on the prevalence of opioid misuse and neonatal abstinence syndrome. Key findings from survey respondents are listed below.

  • seventy-five percent of birthing centers reported the practice of screenings for opioids or other substance use
  • twelve percent conduct opioid use disorder screenings at every visits, and 56 percent conduct OUD screening with varying frequency
  • fifty-six percent are not offering pregnant women medication-assisted treatment options
  • seventy-eight percent of respondents reported no mechanism for follow-up on community-based resources provided to mothers
  • thirty-three percent of hospitals are not screening infants for NAS
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Medication First Model Receives Publication Distinction

Staff Contact: Shawn Billings or Tiffany Bowman

Dr. Rachel Winograd of the Missouri Institute for Mental Health, along with colleagues from the Missouri Department of Mental Health and Clayton Behavioral Health, published an article outlining the medication first model. This model is predicated on the housing first model and addresses providing medication-based treatment to individuals struggling with opioid use disorder. Underscored in the article is the need for access to this form of treatment. The full article, published in the American Journal for Drug and Alcohol Abuse, is available. Missouri is fortunate to have dedicated research experts elevating this innovative treatment approach.

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Noteworthy


Severe Weather And Tornadoes Damage Several Missouri Communities

Staff Contact: Jackie Gatz

A strong storm system moving from southwest to northeast Missouri cost at least three Missourians their lives, injured approximately 20 residents of Jefferson City and caused significant property damage in mid-Missouri. The National Weather Service identified the tornado that touched down in Jefferson City as an EF-3 in power. Capital Region Medical Center in Jefferson City sustained damage, but remained open during and after the event. SSM Health St. Mary’s Hospital – Jefferson City was not damaged. MHA is monitoring the situation and working with affected hospitals to ensure resources are coordinated and available if needed.

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Consider This ...

A new report finds that Missouri has among the highest uninsured rates for women of child-bearing age. The uninsured rate for Missouri women ages 18-44 is 13.9 percent, compared to an average 9 percent in Medicaid expansion states.

Source: The Missouri Times