MHA Today | November 20, 2019

November 20, 2019

MHA Today: News for Healthcare Leaders

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November 20, 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
Medicaid Child Enrollment Continues Its Slow Growth In October
MBI Required For Medicare Claims Beginning Jan. 1
Weekly Snapshot: Marketplace Enrollment For Week 3
UHF Examines The Impact Of Opioids On Children And Families
MHA Supports Rural Health Through Small Rural Hospital Improvement Program
Commonwealth Fund Fellowship At Harvard Medical School Accepting Applications


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Medicaid Child Enrollment Continues Its Slow Growth In October

Staff Contact: Brian Kinkade

The number of children covered by Missouri Medicaid grew by 1,538 during October. This marks the third month of modest growth after nearly 18 months of substantial and steady decline. Although the children’s Medicaid caseload has grown by 3,800 throughout the past three months, it fell by nearly 100,000 between January 2018 and July 2019. At the end of October, there were 524,706 kids enrolled in the program.

The dramatic decline in the caseload corresponds to the Missouri Department of Social Services’ systemic reverification of Medicaid participants’ eligibility, which began in the spring of 2018. Social welfare advocates criticized the reverification process as being cumbersome and inefficient, and incorrectly removing parents and children from the rolls. DSS explained the declining caseload as a “clean-up” after several years of automated systems development and as evidence of Missouri’s improving economy.

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MBI Required For Medicare Claims Beginning Jan. 1

Staff Contact: Andrew Wheeler or Brian Kinkade

Beginning Jan. 1, 2020, Medicare claims must be submitted with the new Medicare Beneficiary Identifier. Claims filed with patients’ old Health Insurance Claim Numbers will be denied.

In the same manner, the MO HealthNet Division will require crossover claims for Missouri Medicaid-eligible Medicare beneficiaries to be filed with patients’ MBI beginning Jan. 1. After this date, MHD also will deny claims filed with HICNs.

The Centers for Medicare & Medicaid Services produced a pamphlet for providers that explains this change and instructions for how to obtain patients’ MBIs they do not have.

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Weekly Snapshot: Marketplace Enrollment For Week 3

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released marketplace enrollment data through Nov. 16. For the first three weeks of the 2020 open enrollment period, 737,352 beneficiaries made plan selections using the HealthCare.gov platform, totaling 1,669,401 since Nov. 1. Through the third week of open enrollment for 2019, 1,924,476 plan selections had been chosen. In Missouri 38,802 beneficiaries have made plan selections for 2020, approximately 18% less than the 47,121 plan selections made through the third week last year.

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Quality and Population Health


UHF Examines The Impact Of Opioids On Children And Families

Staff Contact: Shawn Billings or Tiffany Bowman

The immense toll of opioids has been well-documented, but one aspect that has received little attention or study is the long-lasting impact on children of people suffering from opioid use disorder, as well as the children’s caregivers. In March 2019, the United Hospital Fund examined this critical issue in a report titled “The Ripple Effect: The Impact of the Opioid Epidemic on Children and Families.” More recently, UHF partnered with the Boston Consulting Group to quantify the number of children affected by the opioid epidemic on national and state-specific levels, and published “The Ripple Effect: National and State Estimates of the U.S. Opioid Epidemic’s Impact on Children.” Key findings include the following.

  • In 2017, an estimated 2.2 million children and adolescents had a parent with OUD or had OUD themselves.
  • If current trends continue, an estimated 4.3 million children will have had OUD or a parent with OUD by 2030.
  • By 2030, the cumulative lifetime cost of the “ripple effect” will be $400 billion. This includes additional spending in health care, special education, child welfare and criminal justice stemming from the multiple impacts of parental OUD on a child’s physical, mental and social-emotional health; it does not include productivity losses or missed opportunities.
  • The rate of children affected by the opioid epidemic in 2017 varied significantly from state to state.
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MHA Supports Rural Health Through Small Rural Hospital Improvement Program

Staff Contact: Stephen Njenga or Sherry Buschjost

The Missouri Hospital Association is the subcontractor of the Small Rural Hospital Improvement Program, which helps small rural hospitals of 49 beds or less in meeting value-based payment and care goals for their respective organizations through purchases of hardware, software and training. It also enables eligible hospitals to become or join accountable care organizations; participate in shared savings programs; and purchase health information technology, equipment and/or training to comply with quality improvement activities, such as advancing patient care information, promoting interoperability and payment bundling.

SHIP-participating hospitals are required to submit their invoices and associated documentation by the designated deadline of May 31 of any given year to receive their reimbursement check from MHA. All eligible nonparticipating hospitals are recommended to consider participating to enjoy the benefits of this program, which include financial incentives, adaptive support, networking, sharing best practices, education, on-site visits and data analytics.

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Noteworthy


Commonwealth Fund Fellowship At Harvard Medical School Accepting Applications

Staff Contact: Mat Reidhead

The Commonwealth Fund Fellowship in Minority Health Policy at Harvard University announced the call for applications for the 2020-2021 year. Hosted at the Harvard Medical School in Boston, applications now are being accepted for a one-year, degree-granting, full-time fellowship beginning July 2020. All application materials must be submitted in the online application system by 4 p.m. Monday, Dec. 2.

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Consider This ...

Tomorrow is National Rural Health Day. Some 46 million Americans — 15% of the U.S. population — currently live in rural areas. Rural county residents are at greater risk of death from five leading causes — cancer, heart disease, unintentional injury, chronic lower respiratory disease and stroke — than urban county residents.

Source: Centers for Disease Control and Prevention