MHA Today | November 1, 2019

November 1, 2019

MHA Today: News for Healthcare Leaders

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November 1, 2019

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


Herb Kuhn, MHA President & CEONext week is MHA’s 97th Annual Convention & Trade Show. Each year, the MHA convention provides an opportunity to reflect, find inspiration, see what’s new and visit with colleagues from throughout the state. This year promises all of these things and more.

Tan-Tar-A is now fully transformed to Margaritaville Lake Resort — resulting in some very nice upgrades to the facility. With these changes in mind, keep your convention book handy.

The convention theme is tied directly to the ideas our speakers will address — facing obstacles and embracing opportunities. This year’s speakers will explain how adversity can inspire, reimagination can reward and disruption can foster innovation.

2019 Convention Book We’ve listened to your input and reshaped convention to pack more value into the event. The first two speakers — on Wednesday afternoon and then Thursday morning — address issues specific to health care. On Wednesday, Ryan Donohue will address the growth of consumerism in health care with thoughts on how to see hospital services through the marketplace. Thursday, Tom Thibodeau will share ideas about community engagement and servant leadership.

Thursday afternoon, we’ll hear from Luanne Freer, M.D., Medical Director of Yellowstone National Park, and Founder and Director of Mount Everest Base Camp Clinic. She’ll offer insights into how following your passion can — literally — take you to new heights. Later, Mitch Albom, bestselling author of “Tuesdays With Morrie” and “The Five People You Meet in Heaven,” will tell us about how a hurricane and a little girl transformed his life.

Friday, physician Ronan Tynan — who happens also to be one of the Irish Tenors and a Paralympic champion in track and field — will address overcoming life’s obstacles. And, our final featured presentation speaker, Ron Galloway, a finance researcher, film director and author, will talk about how disruptive forces, including companies like Amazon and Google, will change the face of health care.

Throughout the convention, many of MHA’s affiliated personal membership groups will hold their annual meetings. In addition, MHA’s board will meet and the MHA Annual Business Meeting will be held. However, it won’t be all meetings and business. There will be ample time to visit with other hospital leaders — at receptions on the main floor, in the trade show space, as well as in the hallways and lounges. And speaking of the trade show, be sure to leave plenty of time to meet and visit with the many vendors at the trade show for opportunities to connect your organization with new opportunities.

Finally, we’ll be celebrating leaders and a year of great achievements. At several points during the three-day convention, MHA will present this year’s awards for service, leadership and quality improvement.

It’s going to be a great event. I look forward to seeing you there.

As always, feel free to send me a note with your thoughts.

P.S. — Open enrollment in the marketplace began today. Last year, 220,461 Missourians selected a plan through

For 2020, every county has at least one insurance carrier participating. Several metro areas have as many as four carriers with plan options.

Hospitals have a stake in a strong enrollment season. MHA has resources to help hospitals understand this year’s enrollment season, and remains the state’s premier consumer-information resource for information and support.

Consider adding enrollment information to your hospital and health system websites and sharing open enrollment details on social media.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
DCI Releases Report On Health Insurance Markets
CMS Finalizes CY 2020 ESRD Payment And Policy Updates
CMS Releases Final Medicare OPPS And Physician Rules
MLN Connects Provider eNews Available
TJC Releases Maternal Death Quick Safety
CDC Releases 2018 National And State HAI Progress Report
October 2019 Hospital Compare Data Updates Now Available
CMS Releases OQR CY 2020 Payment Determination Lists

2019 MHA Convention & Trade Show

state and federal health policy developments

DCI Releases Report On Health Insurance Markets

Staff Contact: Andrew Wheeler

The Missouri Department of Commerce & Insurance released a report about the health insurance markets in Missouri. According to DCI, in 2018 the largest four insurers in the small and large group markets have a cumulative market share in excess of 90% while accounting for 95% of the individual market. The report also highlighted the following.

  • The uninsured rate for those who did not have coverage for the entire year decreased to a record low of 6%. Individuals who were uninsured during part of the year increased to 9.4%.
  • Insurance rates per person decreased from $7,651 to $7,582.
  • Seventy-eight of Missouri’s 115 counties had a single insurer participating in the health insurance exchange.
  • In Missouri, 2.1 million people are covered under a self-insured employer plan, 1.2 million are Medicare beneficiaries, 1.1 million are insured through large employer plans and 912,000 are insured through Medicaid.
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Regulatory News
the latest actions of agencies monitoring health care

CMS Finalizes CY 2020 ESRD Payment And Policy Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services published the final calendar year 2020 payment and policy updates for the End-Stage Renal Disease Prospective Payment System. CMS projects that Medicare payments to ESRD facilities will realize increases of 1.6%. MHA published an issue brief with additional details.

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CMS Releases Final Medicare OPPS And Physician Rules

Staff Contact: Daniel Landon or Andrew Wheeler

The Centers for Medicare & Medicaid Services published its final regulations for the Medicare Outpatient Prospective Payment System and the Physician Fee Schedule for calendar year 2020. The agency released a fact sheet on the OPPS rule, as well as a fact sheet and press release on the physician rule. It also issued a press release regarding changes to the treatment of opioid use disorder. MHA will publish issue briefs summarizing and assessing these new Medicare regulations.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • Nursing Home Compare refresh
  • Hospital Value-Based Purchasing Program results for FY 2020
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies: bill correctly for items provided during inpatient stays
  • Protect your patients’ identities: use the Medicare Beneficiary Identifier now

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Quality and Population Health

TJC Releases Maternal Death Quick Safety

Staff Contact: Sarah Willson or Alison Williams

The Joint Commission released a Quick Safety publication on proactively reducing maternal mortality due to hemorrhage. The publication offers background data on the problem of maternal hemorrhage, as well as guidelines health care providers should employ to reduce the risk of maternal death due to hemorrhage. MHA is leading initiatives to reduce maternal mortality in Missouri. Please contact Alison Williams, Vice President of Clinical Quality Improvement, to learn ways your organization can become more proactive.

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CDC Releases 2018 National And State HAI Progress Report

Staff Contact: Toi Wilde or Alison Williams

The Centers for Disease Control and Prevention published the 2018 National and State Healthcare-Associated Infection Progress Report. This report shows that the U.S. has made significant reductions in several types of HAIs and highlights areas where more improvements are needed. The national progress in reducing HAIs shows that prevention is possible.

The report includes data across four health care settings: acute care hospitals, critical access hospitals, inpatient rehabilitation facilities and long-term acute care hospitals. Nationally, among acute care hospitals between 2017 and 2018, highlights in the report include the following.

  • approximately 9% decrease in central line-associated bloodstream infections
  • approximately 8% decrease in catheter-associated urinary tract infections
  • no significant changes in ventilator-associated events
  • no significant changes in surgical site infections related to the 10 procedures tracked in the report
  • no significant changes in hospital-onset methicillin-resistant Staphylococcus aureus bacteremia
  • approximately 12% decrease in hospital-onset Clostridioides difficile infections

HAI Progress Report data are available in CDC’s new Antibiotic Resistance & Patient Safety Portal, an interactive web-based application that was created to innovatively display data collected through CDC’s NHSN and other sources. Visit the AR&PSP to view enhanced data visualizations on antibiotic resistance, use and stewardship datasets, as well as HAI data for the nation and states.

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October 2019 Hospital Compare Data Updates Now Available

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated data on the Hospital Compare website and with new quality information for the following measure groups.

  • patient experience of care
  • timely and effective care
  • complications and deaths, including infections

CMS also updated data for the following quality reporting programs.

  • Ambulatory Surgical Center Quality Reporting Program (including removal of the Influenza Vaccination Coverage among Healthcare Personnel measure)
  • American College of Surgeons National Surgical Quality Improvement Program
  • Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program (including new infection and preventive care measures)

Additional details are available.

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CMS Releases OQR CY 2020 Payment Determination Lists

Staff Contact: Sherry Buschjost

The Hospital Outpatient Quality Reporting Program calendar year 2020 payment determination lists are available on QualityNet. A hospital may submit a request for reconsideration to the Centers for Medicare & Medicaid Services by completing the Hospital OQR Reconsideration Request form by March 17, 2020.

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Did You Miss An Issue Of MHA Today?

October 28, 2019
CMS Announces Primary Care First Request For Applications And Webinar
HRSA Announces Notice Of Funding Opportunity For Residency Training
TJC Announces Pioneers In Quality eCQM Expert To Expert Webinar
Barnes-Jewish West County Hospital Names New President

October 30, 2019
U.S. House Of Representatives Passes Health Workforce Legislation
Georgetown University Study Reveals Increase In Uninsured Children Nationwide
HIDI Releases Second Quarter 2019 VBP Payments Model
Subscriptions Available For HIDI 2020 Premier Package
Bootheel Health Alliance Announces Diabetes Workshop
CMS Announces IPFQR Education Session

Consider This ...

Circadian biologists believe ill health effects from daylight saving time result from a mismatch among the sun “clock,” our social clock and the body’s internal 24-hour body clock. Disruptions to the body clock have been linked with obesity, depression, diabetes, heart problems and other conditions.

Source: AP