July 15, 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
Governor Vetoes Legislation From 2019 Session
CRS Releases Report On Medicare Financial Status And Insolvency Projections
MHD Increases Reimbursement For Behavioral Health, Ambulance, Home Health Services
May MUR Available On HIDI Analytic Advantage®
CMS Announces HAC And HRRP Education Session
state and federal health policy developments
Staff Contact: Daniel Landon
Gov. Parson vetoed bills that would have:
Allowed those age 18 and older to operate motorcycles without wearing helmets if they have insurance coverage for treatment of injuries caused by an accident. MHA participated in a coalition that urged the governor to veto the legislation. The veto message cites concern with other parts of the bill.
Eliminated required investigations by coroners and medical examiners of physician-certified natural deaths of hospice patients and extended notification deadlines of those deaths. The veto message objects to the bill’s authorization of outdoor cremation, which also caused the veto of another bill that revised standards for processing death certificates and clarified rights to determine the disposition of a corpse.
Created a task force to assess the implications and opportunities of Missouri state government applying for a federal Section 1332 waiver, which would permit alternative regulatory standards for commercial insurers, so long as they are comparable in effect to what is required by federal law. The veto message objects to the bill’s compressed timeline.
Revised the educational qualifications of the director of the Department of Health and Senior Services. The veto message indicates the new standards were too restrictive.
Staff Contact: Andrew Wheeler
The Congressional Research Service released a report on Medicare financial status and insolvency. During calendar year 2018, Medicare expenditures totaled $740.6 billion, of which $203.6 billion included hospital Part A and Part B spending. The hospital insurance trust fund, which helps fund Medicare Part A services, decreased to $200.4 billion due to expenditures exceeding revenues by $1.6 billion in 2018. CRS also projects Medicare spending to increase from $741 billion in 2018 to nearly $1.6 trillion in 2028. At this rate, it is expected the Medicare program to be insolvent by 2026.
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the latest actions of agencies monitoring health care
Staff Contact: Brian Kinkade
The MO HealthNet Division increased reimbursement for behavioral health services, ambulance services, home health services, and home- and community-based services by 1.5 percent for dates of service on and after July 1 in accordance with the 2020 state budget. The rate increases are to services delivered under the fee-for-service program. MHD will automatically adjust claims paid after July 1 before the rate tables are updated for the rate increase. Similar rate increases for other noninstitutional services will be announced in the coming weeks.
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HIDI Tech Connect
Staff Contact: Cerise Seifert
Data for the May 2019 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. Contacts from participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure network location or PC. The data are encrypted on the site and also during the transmission from HIDI. Once the data have been transferred, it must be secured according to the hospital’s security procedures. June 2019 data are being collected now and are scheduled to be available Monday, August 5.
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Quality and Population Health
Staff Contact: Sherry Buschjost
An outreach and education session for hospitals participating in the Hospital-Acquired Condition Reduction and Hospital Readmissions Reduction programs has been scheduled at 1 p.m. Tuesday, July 23. Registration is required for the webinar, “Overview of the FY 2020 HAC Reduction Program and HRRP.”
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A new study of toddlers exposed to the Zika virus during their mothers’ pregnancies found that nearly a third suffered developmental delays and other problems — even if they were born without the abnormally small heads and underdeveloped brains often associated with the virus.
Source: The Washington Post