MHA Today | September 25, 2019

September 25, 2019
MHA Today: News for Healthcare Leaders

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September 25, 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
HRSA Releases HPSA Scores
DHSS Seeks Public Comment On STEMI Rule
MHA Distributes Analysis Of Final Updates To 2020 Medicare SNF PPS
CORH Opens Rural Hospital Assistance Program
CMS Issues Final Rule On State Medicaid DSH Allotment Reductions
CMS Offers Complimentary Webinars To Preview Redesigned Medicare Plan Finder
OIG Releases Data Brief Outlining Opioid Use Among Missouri Medicare Patients
NASEM Releases Report On Social Care In The Health Care Setting

2019 MHA Leadership Forum

Register online by noon Monday, Nov. 4. Hotel reservations must be booked by Monday, Oct. 7. The group access code is “MHAR.”


Advocate
state and federal health policy developments


HRSA Releases HPSA Scores

Staff Contact: Sarah Willson

The Health Resources and Services Administration released hospital Health Professional Shortage Area scores in August. At a recent Centers for Medicare & Medicaid Services Region 7 meeting, HRSA encouraged providers to review their scores and make any necessary appeals before Saturday, Nov. 30. Aside from Auto-HPSAs and HPSAs for federal correctional facilities, state primary care offices must submit applications to designate all HPSAs. To review scores, hospitals can use HPSA Find, which displays data on the geographic, population and facility HPSA designations throughout the U.S. Hospitals may contact HRSA or call 800/221-9393 to determine National Health Service Corps site eligibility.

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DHSS Seeks Public Comment On STEMI Rule

Staff Contact: Sarah Willson

The Missouri Department of Health and Senior Services is seeking public comment on proposed revisions to 19 CSR 30-40.750 ST-Segment Elevation Myocardial Infarction (STEMI) Center Designation Application and Review, which was published in the Oct. 1 Missouri Register. This follows notification of hospitals on the emergency rule, which went into effect on Sept. 12, also published in the Oct. 1 edition. The emergency rule and proposed amendment recognizes certain national certifications, which would satisfy the state STEMI certification requirements for certain levels. MHA encourages hospitals to provide comment on the proposed amendment.

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MHA Distributes Analysis Of Final Updates To 2020 Medicare SNF PPS

Staff Contact: Andrew Wheeler

MHA prepared an analysis illustrating the financial effect of the federal fiscal year 2020 final updates to the Medicare Skilled Nursing Facility Prospective Payment System. The analysis does not include effects caused by high-cost outliers or payment for managed care patients. Although footnoted, the 2 percent Medicare sequestration also is excluded from the study. Facility-specific results will vary based on resource utilization groups. This analysis is posted online for authorized users of HIDI Analytic Advantage.® Current subscribers with questions about downloading files should contact HIDI.

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CORH Opens Rural Hospital Assistance Program

Staff Contact: Sarah Willson or Dana Dahl

The Center for Optimizing Rural Health, supported by the Health Resources and Services Administration, has provided information on the Vulnerable Rural Hospital Assistance Program. The VRHAP provides targeted assistance to rural hospitals who may be at risk to maintain health care services. The application portal for year two of the program is open through Thursday, Oct. 31. Hospitals can contact CORH at 855/234-0712 or info@optimizingruralhealth.org.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Final Rule On State Medicaid DSH Allotment Reductions

Staff Contact: Daniel Landon or Kim Duggan

The Centers for Medicare & Medicaid Services published its final rule on the state Disproportionate Share Hospital allotment reductions. This rule outlines the methodology that will be used to implement the annual allotment reductions. However, the state-specific reduction amounts have not been provided in the final rule. The final rule is effective 60 days after publication. MHA released an issue brief with further details on the pending change.

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CMS Offers Complimentary Webinars To Preview Redesigned Medicare Plan Finder

Staff Contact: Andrew Wheeler

The Medicare Plan Finder, the most-used tool on Medicare.gov, has been redesigned to make it easier for beneficiaries to show and compare Medicare Advantage and Part D plans. Partners who help with Medicare Open Enrollment should join the Centers for Medicare & Medicaid Services Kansas City Regional Office at one of two complimentary walk-through webinars to preview the changes. Both webinars will be held from noon to 1:30 p.m. with the first taking place Monday, Sept. 30, and the other on Wednesday, Oct. 2. Access information for both webinars follows.

  • call 877/267-1577 and follow the instructions
  • enter meeting number: 999 693 113#
  • join online and view the demonstration
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Quality and Population Health


OIG Releases Data Brief Outlining Opioid Use Among Missouri Medicare Patients

Staff Contact: Shawn Billings or Tiffany Bowman

Opioid misuse, overdose and death remains a public health concern claiming the lives of nearly 48,000 Americans. The Office of Inspector General is evaluating the issue by delving into specific regions with high rates of opioid prescribing, thereby creating risk for misuse. The following are key findings specific to Missouri.

  • Missouri Medicare utilizers have an above national average rate of opioid prescriptions.
  • Individuals enrolled in Missouri Medicare Part D also have a higher opioid utilization rate.
  • Rates of opioid prescribing to Missouri Medicare Part D decreased in 2018 from 2016.
  • There remains a large number of Missouri Medicare users identified as at-risk of opioid misuse.

The full data brief with added details and a break-down of counties with high prescribing rates is available.

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NASEM Releases Report On Social Care In The Health Care Setting

Staff Contact: Stephen Njenga

The National Academies of Sciences, Engineering and Medicine released a new report, “Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health.” The report identifies and assesses current and emerging approaches, and recommends ways to expand and optimize social care in the health care setting. These upstream social conditions help shape people’s health because they affect both the delivery and the outcomes of health care. It is therefore critical to take them into account to improve both primary prevention and the treatment of acute and chronic illness.

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Consider This ...

One out of three Missouri participants in Medicare’s prescription drug program were prescribed opioids last year, more than the national rate of 29 percent.

Source: KCUR.org