MHA Today | September 4, 2019

September 4, 2019

MHA Today: News for Healthcare Leaders

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September 4, 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
Medicaid Expansion Ballot Initiative Campaign Launches
AHA Releases Report On Hospital And Health System Mergers
MHA Distributes Analysis For Proposed CY 2020 Medicare Outpatient PPS
CMS Updates Market Saturation And Utilization Data Tool
CMS Revises RHC Emergency Medicine Availability Guidelines
DCI Eliminates Initial Examination Fee For Nurses
New Study Finds Legislated PDMPs Reduce Opioid-Related ED, Hospital Visits
NACHC Releases National Diabetes Prevention And Management Change Package

What You Need To Know This Week

  • The campaign to expand Medicaid via a November 2020 ballot initiative launched today. See story below.

Advocate
state and federal health policy developments


Medicaid Expansion Ballot Initiative Campaign Launches

Staff Contact: Mary Becker

Healthcare for Missouri Today, Healthcare for Missouri – a coalition of voters and patients, medical professionals, business leaders, and organizations committed to expanding access to health care to more than 200,000 hardworking Missourians – launched a November 2020 ballot initiative to expand Medicaid in Missouri. MHA is a strong supporter of, and participant in, the coalition’s efforts.

The coalition’s website, HealthcareforMissouri.org, launched in coordination with the campaign. It features a video reflecting stories from patients who are uninsured, caregivers, hospital executives and others about the importance of Medicaid expansion. The website provides additional information about the campaign including ways for individuals and organizations to be involved.

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AHA Releases Report On Hospital And Health System Mergers

Staff Contact: Andrew Wheeler

The American Hospital Association released a report and analysis titled, “Hospital Merger Benefits: Views from Hospital Leaders and Econometric Analysis.” The analysis was prepared by Charles River Associates and is an update of the firm’s 2016 report. Highlights of the study include the following.

  • Mergers decrease costs due to increase in scaling.
  • Mergers often facilitate quality improvement.
  • Revenues per admission at acquired hospitals decline by 3.5 percent relative to nonmerging hospitals.
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MHA Distributes Analysis For Proposed CY 2020 Medicare Outpatient PPS

Staff Contact: Andrew Wheeler

MHA prepared an analysis illustrating the financial effect of the proposed calendar year 2020 Medicare Outpatient Prospective Payment System rule. The analysis, which is available online for authorized users of HIDI Analytic Advantage,® includes a summary for the nation, state and individual hospitals. Hospitals in Missouri are projected to receive a payment increase of 2.81 percent for services provided under the OPPS. Although footnoted, the analysis does not reflect the effects of the 2 percent sequestration. Hospitals have until Friday, Sept. 27, to review their hospital-specific data and submit comments regarding the proposed rule.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Updates Market Saturation And Utilization Data Tool

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services updated the Market Saturation and Utilization Data Tool, which is used to monitor market saturation as a means to prevent potential fraud, waste and abuse. Release 9 introduces two additional service areas as well as additional geographic divisions of core-based statistical areas. Although the data is used for FWA purposes, CMS is making the data public to assist providers in making informed decisions about their service locations and the beneficiary population they serve.

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CMS Revises RHC Emergency Medicine Availability Guidelines

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services issued revised guidance for rural health clinics on emergency medicine services as it pertains to the availability of drugs and biologicals used in life-saving procedures. CMS clarifies that RHC and federally qualified health centers must consider each category of drugs and biologicals listed in regulation and maintain those that are necessary to provide care for common life-threatening injuries and acute illnesses they may encounter. The RHC must have written policies and procedures in place that outline what drugs/biologicals are to be stored, the process used for drug selection and quantities to store, and who is responsible for making the decision. A list, including quantity, should be readily available. Questions on the guidance may be addressed to RHC-FQHCSCG@cms.hhs.gov.

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DCI Eliminates Initial Examination Fee For Nurses

Staff Contact: Sarah Willson or Jill Williams

The Missouri State Board of Nursing filed a rule, which was published in the March 1 Missouri Register, to eliminate the examination fee for registered nurse and licensed practical nurse candidates applying to take the exam for the first time. The rule has been finalized and was communicated in a recent news release. The rule was effective August 30. Please contact the Missouri State Board of Nursing with questions or concerns.

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Quality and Population Health


New Study Finds Legislated PDMPs Reduce Opioid-Related ED, Hospital Visits

Staff Contact: Leslie Porth or Daniel Landon

Studies on the effectiveness of mandatory Prescription Drug Monitoring Programs have demonstrated they cause doctors to prescribe fewer opioids. However, a new study in Health Affairs suggests PDMPs also lower opioid-related hospital and emergency department visits.

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NACHC Releases National Diabetes Prevention And Management Change Package

Staff Contact: Stephen Njenga

The National Association of Community Health Centers released a new National Diabetes Prevention and Management Change Package for use in primary care practices that was approved and endorsed by the Health Resources and Services Administration Bureau of Primary Health Care. The Diabetes Change Package is designed to support primary care practices in delivering team-based diabetes care.

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Consider This ...

September is Sepsis Awareness Month. Sepsis is the leading cause of death in hospitals and hospital readmissions, and it is the single biggest cost to hospitals, reaching $24 billion each year.

Source: Sepsis Alliance