MHA Today | July 17, 2019

 

MHA Today: News for Healthcare Leaders

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July 17, 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
U.S House Committee Approves New Version Of Surprise Billing, Medicaid DSH Legislation
Congressional Committee Creates Rural And Underserved Communities Health Task Force
Legionella Now Reportable Within One Day
MHA Releases Issue Brief On Proposed CY 2020 Home Health Updates
Long-Term Care Facility Rules Put Patients Over Paperwork And Update Arbitration Requirement
MHA Releases Analysis Of FFY 2019 Post-Acute Care Transfer Policy
MHA PFAC Releases Part Two In Vlog Series


UPCOMING SEMINARS
Orientation for New Quality Improvement Directors

Wednesday, July 31, and Thursday, Aug. 1
Missouri Hospital Association
Jefferson City, Mo.

Register on or before Sunday, July 21.


MHA Seeks Member Feedback by July 31


MHA Today now is only published on Mondays, Wednesdays and Fridays. As we work to redesign the publication, MHA seeks feedback to better meet the needs of our membership. Please complete the short survey by Wednesday, July 31.



Advocate
state and federal health policy developments


U.S House Committee Approves New Version Of Surprise Billing, Medicaid DSH Legislation

Staff Contact: Daniel Landon

The U.S. House of Representatives Energy and Commerce Committee approved a new version of legislation that merges a number of health proposals. It includes a high-profile proposal on “surprise billing” ― billing and payment standards for treatment by providers who are not in the provider network of the patient’s insurance coverage. The committee added authorization for an arbitration process to resolve payment disputes for services costing more than $1,250, as well as a directive for regulators to take into account the needs of rural providers, sicker patients and underserved areas in setting payment benchmarks. The legislation also would delay for two years the significant reductions in states’ allotments of federal funding Medicaid Disproportionate Share Hospital payments. It also reauthorizes various expiring funding streams for community health centers and the National Health Service Corps.

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Congressional Committee Creates Rural And Underserved Communities Health Task Force

Staff Contact: Daniel Landon

The Committee on Ways and Means of the U.S. House of Representatives announced the creation of a Rural and Underserved Communities Health Task Force. It will be co-chaired by a bipartisan group of four members of the committee.

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Regulatory News
the latest actions of agencies monitoring health care


Legionella Now Reportable Within One Day

Staff Contact: Sarah Willson or Jackie Gatz

The Missouri Department of Health and Senior Services issued new emergency rules regarding communicable disease investigation and reporting. Specifically, the department changed 19 CSR 20-20.040 and 19 CSR 20-20.020 regarding Legionella. Some of the language was added to specify the department’s role in disease investigation. The main change for hospitals and other reporters to be aware of is the reporting timeframe for Legionella changing from within three days of first knowledge or suspicion to one day. The emergency rules have not yet been published in the Missouri Register; however, MHA learned they were effective July 8.

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MHA Releases Issue Brief On Proposed CY 2020 Home Health Updates

Staff Contact: Andrew Wheeler

Last week, the Centers for Medicare & Medicaid Services released the proposed CY 2020 Home Health Prospective Payment System payment and policy updates. MHA published an issue brief with additional information.

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Long-Term Care Facility Rules Put Patients Over Paperwork And Update Arbitration Requirement

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a proposed and a final rule that will “emphasize the agency’s commitment to ensuring safety and quality in nursing homes.” Both rules are part of the agency’s five-part approach to ensuring a high-quality long-term care facility system. The proposed rule would remove unnecessary, obsolete or excessively burdensome long-term care requirements for participation. The rule is intended to increase facilities’ ability to devote their resources to improving resident care. If finalized, CMS expects to achieve $616 million in annual savings for nursing home facilities. Comments will be due 60 days after the date of publication within the Federal Register.

CMS also released a final rule that revises the requirements for arbitration agreements used by long-term care facilities to resolve disputes with their residents. The rule calls for transparency within the arbitration process and establishes “substantial protections for residents.”

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MHA Releases Analysis Of FFY 2019 Post-Acute Care Transfer Policy

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services will reduce payments when certain Medicare beneficiaries transfer from an inpatient PPS hospital to a post-acute care setting. CMS includes transfers to a skilled nursing facility, inpatient rehabilitation facility, long-term care hospital, inpatient psychiatric facility, children’s and cancer hospitals, or home, with a home health plan of care that begins within three days. Beginning Oct. 1, CMS also is including transfers to hospice care. MHA is providing a summary and comprehensive analysis of the effect of the PACT adjustment policy in FFY 2019. 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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Quality and Population Health


MHA PFAC Releases Part Two In Vlog Series

Staff Contact: Toi Wilde or Alison Williams

Medical Marijuana Guidance The MHA Patient Family Advisory Council released the second in its five-part vlog series, Patient Family Engagement: Telling Our Stories. Tina Jones, MHA, CPXP, director of quality, risk and patient experience at Golden Valley Memorial Healthcare, discusses what patients really want from their caregivers — to feel seen for the unique individual they are. Simply being present, kind and open to listening can have a great impact on our patients.

The vlog series highlights the importance of patient and family engagement through shared learning, promotion of best practices, and sharing patient experience and family engagement stories while supporting a culture of patient-centered care.

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Consider This ...

The number of cases of children entering the foster care system due to parental drug use has more than doubled since 2000, rising from 15 percent to 36 percent in 2017.

Source: NPR