MHA Today | November 15, 2019

November 15, 2019
MHA Today: News for Healthcare Leaders

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November 15, 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 & CEOI recently was talking to a friend who voiced frustration that his attempts to contact his niece by phone and email had failed to generate a response. I suggested that perhaps he could send her a text. He did. She responded immediately.

Members of the “silent, greatest and baby boomer” generations communicate very differently than the “Gen X, millennial and Gen Y” cohorts. Each generation takes in information differently, and embraces new tools and systems to interact. The most recent generations have access to digital tools and platforms that wouldn’t have been contemplated a decade ago.

Understanding these differences can have a significant influence on how we will attract, train and retain the next generation of health care workers. With 41,435 total job postings in 2018, hospitals are creating more jobs than any other industry in the state. To meet the current and anticipated demand, we need to reconceptualize how we introduce and attract young people to health careers.

In October, two career expo events — sponsored by local hospitals, MHA, and other health care and workforce stakeholders — were held in southwest Missouri. The events were designed for high school students, and exhibitors set up booths engaging the students in demonstrations of practical skills health care providers perform. The events were a huge success. And despite having the capacity for hundreds of students, more wanted to participate than the space could hold.

Part of the reason the events were so successful was that they provided authentic interaction and demonstration. They were hands-on. As we look to build a workforce in a hypercompetitive market for talent, we’ll need to embrace new forms of recruitment, including focusing on experiential learning for younger kids.

MHA’s public-facing workforce program, Missouri Health Careers, approaches students and career-influencers in a similar way. The website offers a “find your path” questionnaire — including what we call the blood-o-meter — that allows a participant to gauge their potential squeamishness, among other preferences. All of the accompanying materials — we distribute thousands of career guides, posters and other assets annually — have the same direct, engaging approach to the audience.
Workforce Posters
Recently, we released a series of posters inspired by the look and feel of current online video games. They capture the “character” of an individual in a health profession, emulating the look and feel of characters in games like Fortnite that are so popular with youth. The intent was to meet the future workforce where they are. The posters inform our target audience about selected careers, as well as indicate the type of person who might thrive in the occupation. By sharing these “characters,” we’re connecting potential workers with health career options in a familiar way.

Communications systems and preferences are generational. We need to be ready to change with them.

Our new and ongoing efforts — the Missouri Health Careers web portal, on-the-ground programs in communities throughout the state and the game-inspired posters — use technology and personal contact in new ways. These tools help us reach more students, differently.

My friend and his niece had a literal disconnect. However, his story is instructive. If you really want to make a connection, focus on how the other person communicates, not how you do.

Let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Finalizes And Proposes Price Transparency Requirements
MLN Connects Provider eNews Available
AHA Offers Health Plan Contracting Best Practices Webinar
March Of Dimes Releases 2019 Report Card

Regulatory News
the latest actions of agencies monitoring health care

CMS Finalizes And Proposes Price Transparency Requirements

Staff Contact: Andrew Wheeler

President Trump previously issued an executive order to improve price and quality transparency. As a result of the order, the Centers for Medicare & Medicaid Services issued a final and a proposed rule that would require insurers and hospitals to provide additional price transparency.

CMS issued a final rule that builds upon previous price transparency requirements. The following are major provisions of the rule.

  • The effective date is Jan. 1, 2021.
  • All hospitals are required to post in a machine-readable format Healthcare Common Procedure Coding System-level standard charges.
  • The information must be available on a public website using a CMS-specified naming convention.
  • Standard charges include gross charges, discounted cash price for individuals, payer-specific negotiated rates, and the minimum and maximum negotiated charge.
  • Make information about 300 stoppable items (70 prescribed by CMS and 230 determined by the hospital) available in a consumer-friendly format.
  • CMS will enforce the rule by issuing warnings, requiring corrective action plans if necessary, and if hospital remains out of compliance, fine the hospital an amount to not exceed $300 per day.

The Internal Revenue Service, Employee Benefits Security Administration and CMS also released a proposed rule that requires most nongrandfathered group health plans, including self-insured plans, to disclose price and cost-sharing information to participants, beneficiaries and enrollees. Major provisions of the proposed rule include the following.

  • It would require nongrandfathered group health plans or health insurance issuers to make available to participants, beneficiaries and enrollees personalized out-of-pocket cost information for all covered health care items and services through an internet-based self-service tool.
  • Make available to the public, including consumers, researchers, employers and third-party developers, the in-network negotiated rates and historical allowed amounts of out-of-network providers in a machine-readable file.
  • Allow issuers to include provisions that encourage consumers to shop for lower-cost services.

Comments about the proposed rule will be due 60 days after publication in the Federal Register. MHA soon will publish issue briefs about the rules.

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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.

  • new Medicare card: if a Medicare Beneficiary Identifier changes
  • emergency preparedness resources
  • person-centered planning: Comment on performance measures by Monday, Dec. 2
  • skilled nursing facility three-day rule billing
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state and federal health policy developments

AHA Offers Health Plan Contracting Best Practices Webinar

Staff Contact: Andrew Wheeler

The American Hospital Association is hosting a members-only webinar to discuss best practices in contracting terms and appeals strategies to ensure hospitals and health systems are able to avoid private health plan tactics that negatively impact reimbursement. The speakers will be from the law firm Whatley Kallas. The webinar is scheduled for 1 p.m. Monday, Nov. 25, and registration is required.

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Quality and Population Health

March Of Dimes Releases 2019 Report Card

Staff Contact: Alison Williams

The March of Dimes released its 2019 Report Card on U.S. Maternal and Infant Health. In this report, Missouri received a D+ grade, and St. Louis was listed as one of 10 U.S. cities with the highest rate of preterm births. This "new expanded report examines the state of maternal and infant health in states and cities across the country" and "outlines actions needed to improve health outcomes for moms and babies."

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Did You Miss An Issue Of MHA Today?

November 11, 2019
MHA Publishes Issue Brief On Medicare Cost-Sharing
CDC Updates Vaping Injury Numbers And Links To Vitamin E Acetate
Missouri State Board Of Nursing Reaches Milestone
Rural Health Network Development Grant Applications Due Nov. 25

November 13, 2019
Weekly Snapshot: Marketplace Enrollment For Week 2
CMS Issues Proposed Rule On Medicaid Taxes And Payments
Statewide Programs Address Diabetes Prevalence In Missouri

Consider This ...

Cigarette smoking among U.S. adults has reached an all-time low of 13.7% in 2018 — a decline of approximately two-thirds in the more than 50 years since the first Surgeon General’s report warned of the health consequences of smoking.

Source: Centers for Disease Control and Prevention