MHA Today | November 27, 2019

November 27, 2019

 

MHA Today: News for Healthcare Leaders

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November 27, 2019

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

Editor's Note: MHA Today will not be published Thursday, Nov. 28, or Friday, Nov. 29, in observance of Thanksgiving. Publication will resume Monday, Dec. 2. Happy Thanksgiving!

In This Issue
CMMI Announces Direct Contracting Innovation Model
Reminder: CAH Promoting Interoperability Hardship Exception Deadline
MLN Connects Provider eNews Available
MU Prevails In Challenge To Gun Policy
Sullivan County Memorial Hospital Names New CEO


UPCOMING SEMINARS
Hospital Case Management Practice: What You Want to Know About the CMSA White Paper

Tuesday, Dec. 10
Columbia Courtyard by Marriott
Columbia, Mo.
Register on or before Thursday, Dec. 5.


Regulatory News
the latest actions of agencies monitoring health care


CMMI Announces Direct Contracting Innovation Model

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services’ Center for Medicare and Medicaid Innovation released a direct contracting model to “test an array of financial risk-sharing arrangements to reduce Medicare expenditures while preserving or enhancing the quality of care furnished to beneficiaries.” In exchange for taking on financial risk, providers and suppliers will receive reduced burden and greater flexibility. CMS is splitting the direct contracting model into two tracks.

  • Professional lower-risk option 50% shared savings/shared losses and primary care capitation equal to 7% of the total cost of care benchmark for enhanced primary care service
  • Global full-risk option 100% shared savings/shared losses and either primary care capitation or total care capitation

The request for applications includes additional information. There are two application deadlines — one for participation in the implementation period and a second one for applicants who would like to begin in the first performance year.

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Reminder: CAH Promoting Interoperability Hardship Exception Deadline

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services required that all critical access hospitals use the 2014 or 2015 edition certified electronic health record technology to meet reporting requirements of the Medicare Promoting Interoperability Program. CAHs that do not meet this requirement will receive a downward payment adjustment. If a CAH experiences significant hardship and cannot meet the requirements to avoid the payment reduction, it can submit a hardship exception application.

Applications are due at 10:59 p.m. Monday, Dec. 2. CAHs may submit hardship exceptions electronically or verbally submit the application by calling 866-288-8912.

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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.

  • Patients Over Paperwork newsletter
  • Celebration of National Rural Health Day
  • FY 2019 Medicare Fee-For-Service improper payment rate lowest since 2010
  • Hospital price transparency final rule call Tuesday, Dec. 3
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Noteworthy


MU Prevails In Challenge To Gun Policy

Staff Contact: Jane Drummond

The Boone County Circuit Court upheld a University of Missouri rule prohibiting gun possession on university property. The Attorney General challenged the rule, arguing it violated the constitutional right to bear arms to the extent it prevented university employees from securely possessing firearms in their vehicles or subject to a valid concealed carry permit, as otherwise allowed by Missouri law. The court held that the rule was valid in light of the University’s compelling interest in the safety and welfare of students, staff and visitors. The court largely based its decision on testimony from two police officers asserting that the presence of weapons leads to a rise in crime, suicide and accidental injuries.

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CEO Announcements


Sullivan County Memorial Hospital Names New CEO

Staff Contact: Carol Boessen

Jerry Dover, CEO of Sullivan County Memorial Hospital in Milan, is retiring, effective Monday, Dec. 2. He has served as CEO since February 2013, and prior to that was CEO at Carroll County Memorial Hospital in Carrollton.

Tony Keene will succeed Dover as CEO of Sullivan County Memorial Hospital, effective Dec. 2. Keene has served as assistant CEO at Northeast Regional Medical Center in Kirksville since March 2014, and has extensive health care, marketing, management and leadership experience. A list of CEO changes is available online.

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Consider This ...

The number of fires started by home cooking on Thanksgiving are about triple the average for a typical day.

Source: WQAD.com