MHA Today | September 18, 2019

September 18, 2019

 

MHA Today: News for Healthcare Leaders

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September 18, 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
Judge Rules Against HHS HOPD Clinic Payment Reductions
MHA Distributes CAH Databook
MHA Distributes Analysis For FFY 2020 Final IRF PPS
AHRQ Releases National Healthcare Quality And Disparities Report
CMS Releases OQR Specifications Manual
CMS Selects Hospitals For OQR CY 2021 Validation
CenterPointe Hospital Of Columbia Names New CEO


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Advocate
state and federal health policy developments


Judge Rules Against HHS HOPD Clinic Payment Reductions

Staff Contact: Jane Drummond or Andrew Wheeler

For calendar year 2019, the Centers for Medicare & Medicaid Services began a two-year phase-in of reducing off-campus hospital outpatient department clinic visit service payments. CMS has proposed to complete the phase-in under the proposed CY 2020 Outpatient Prospective Payment System payment and policy updates. The Association of American Medical Colleges, American Hospital Association and nearly 40 hospitals challenged this payment reduction and argued that CMS did not have the authority to make these cuts. A U.S. District Court for the District of Columbia now has ruled and said that CMS “exceeded its authority when it cut the payment rate for clinic services at off-campus provider-based clinics. The Court will grant plaintiffs’ motion, deny CMS’ cross-motion, vacate the rule and remand.”

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Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes CAH Databook

Staff Contact: Andrew Wheeler

MHA and the Hospital Industry Data Institute released the 2019 Critical Access Hospital Databook, which includes quality performance, financial indicators, and Medicare inpatient and outpatient utilization. In addition, assorted Missouri and national indicators are listed to serve as benchmarks. The analysis will be available online for authorized users of HIDI Analytic Advantage.®

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MHA Distributes Analysis For FFY 2020 Final IRF PPS

Staff Contact: Andrew Wheeler

MHA prepared an analysis that illustrates the financial effect of the federal fiscal year 2020 final Medicare Inpatient Rehabilitation Facility Prospective Payment System rule. This analysis, which will be available online for authorized users of HIDI Analytic Advantage,® includes a summary for the nation, Missouri, health systems and individual hospitals. For Missouri, the overall effect of the final updates for FFY 2019 is an estimated payment increase of 3.4 percent. Although footnoted, this increase does not take into account the 2 percent Medicare sequestration.

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Quality and Population Health


AHRQ Releases National Healthcare Quality And Disparities Report

Staff Contact: Stephen Njenga

The Agency for Healthcare Research and Quality released the annual National Healthcare Quality and Disparities Report that assesses the performance of health care systems, and identifies areas of strengths, weaknesses and disparities, for access to health care and quality of health care. It is based on more than 250 measures of quality and disparities covering a broad array of health care services and settings.

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CMS Releases OQR Specifications Manual

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released Hospital Outpatient Quality Reporting Specifications Manual version 12.0b, effective with encounters dated Oct. 1 through Dec. 31, 2019. Included in the manual are updates to ICD-10 codes in Appendix A. The manual and associated release notes are available on QualityNet.

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CMS Selects Hospitals For OQR CY 2021 Validation

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services selected hospitals for validation of chart-abstracted measures for the calendar year 2021 annual payment update determination. The list of hospitals is available on QualityNet.

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CEO Announcements


CenterPointe Hospital Of Columbia Names New CEO

Staff Contact: Carol Boessen

James (Jim) Gallagher was named CEO of CenterPointe Hospital of Columbia, effective Sept. 4. He has served more than 30 years in corporate and senior executive positions in several behavioral health companies, including Haven Behavioral Health, Acadia Healthcare, Universal Health Services and Psychiatric Solutions, Inc. He replaces Phil Sheridan. A list of CEO changes is available online.

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Consider This ...

Researchers are forecasting a 23 percent reduction in the rural physician workforce by 2030, mainly due to retirements.

Source: HealthLeaders