MHA Today | November 6, 2019

November 6, 2019

 

MHA Today: News for Healthcare Leaders

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November 6, 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
CMS Releases Medicare Outpatient PPS FY 2020 Payment And Policy Updates
HIDI Releases Annual Licensing Survey Raw Data File And User-Defined Report Generator
September MUR Available On HIDI Analytic Advantage®
HRSA Requests Rural Grant Feedback
November Is National Diabetes Month


UPCOMING SEMINARS
Medical Marijuana in Missouri: What Hospitals Need to Know

Wednesday, Nov. 13
Columbia Courtyard by Marriott
Columbia, Mo.

Register on or before Sunday, Nov. 10.


Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Medicare Outpatient PPS FY 2020 Payment And Policy Updates

Staff Contact: Andrew Wheeler

Last week, the Centers for Medicare & Medicaid Services released the final payment and policy updates for the Medicare Outpatient Prospective Payment System. Highlights to the rule include the following.

  • The Inpatient PPS post-reclassified wage index will be used to adjust the labor component of the outpatient PPS payment rate. This includes adjustments intended to close the wage index disparities between low and high wage index hospitals.
  • The final rule did not finalize the proposal for hospitals to publish third-party negotiated rates. CMS states, “We received over 1,400 comments on our proposed requirements for hospitals to make public their standard charges. We intend to summarize and respond to public comments on the proposed policies in a forthcoming final rule.”
  • Completed the phase-in of the reduction in payment for G0463 when provided in an excepted off-campus provider-based department. The payment rate will be a physician fee schedule equivalent rate, which is set at 40% of the OPPS rate.
  • Continuation of paying ASP -22.5% on certain drugs when provided in nonexcepted off-campus provider-based departments.

MHA published an issue brief with additional details.

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HIDI Tech Connect


HIDI Releases Annual Licensing Survey Raw Data File And User-Defined Report Generator

Staff Contact: Shane VanOverschelde

The raw data file for the 2018 Annual Licensing Survey now is available for download by Premier Data Package subscribers on HIDI Analytic Advantage.® The file and Excel-based report generator include all hospital-level public data elements contained on the 2018 Annual Licensing Survey.

  • File location: Finance and Policy/Premier Data
  • File name: MO0000_ASF18-DATA.zip

Hospitals interested in subscribing to the HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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September MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the September 2019 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. The contacts from the participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once the data have been transferred, it must be secured according to the hospital’s security procedures. October 2019 data now are being collected and are scheduled to be available Thursday, Dec. 5.

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Noteworthy


HRSA Requests Rural Grant Feedback

Staff Contact: Dana Dahl

The Health Resources and Services Administration published a Request for Information soliciting public comment as part of an ongoing effort by the Federal Office for Rural Health Policy to assess the extent to which their grant programs align with the needs of rural communities. RFI responses must be provided via email to RFIComments@hrsa.gov and must reference “Rural Health Grants Eligibility RFI” in the subject line. The comment period has been extended to Saturday, Nov. 23. HRSA will not accept hard-copy responses or other formats.

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Quality and Population Health


November Is National Diabetes Month

Staff Contact: Stephen Njenga

Studies have shown that adults diagnosed with diabetes are nearly twice as likely to die from heart disease or stroke compared to those without diabetes. This year, the focus for National Diabetes Month is the link between diabetes and cardiovascular disease. The National Institute of Diabetes and Digestive and Kidney Diseases produced a video to educate individuals on the steps they can take to manage their diabetes while lowering their chances of developing heart disease or a stroke. Visit the NIDDK website for resources to help raise awareness of diabetes.

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Consider This ...

Adverse Childhood Experiences are linked to chronic health problems, mental health, substance misuse, and reduced educational and occupational achievement. Preventing ACEs could have reduced the number of adults with depression by as much as 44% — up to 21 million avoided cases of depression, using 2017 national estimates.

Source: Centers for Disease Control and Prevention