MHA Today | December 4, 2019

December 4, 2019

 

MHA Today: News for Healthcare Leaders

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December 4, 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
Weekly Snapshot: Marketplace Enrollment For Week 5
OIG Posts Semiannual Report To Congress
CMS Requires Electronic Reporting Of Restraint Death
Hospital Groups Sue Over Price Transparency Rule
CMS Reminds Hospitals Of HCAHPS Submission Deadline
CMS Announces IQR Education Session


UPCOMING SEMINAR
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.


Advocate
state and federal health policy developments


Weekly Snapshot: Marketplace Enrollment For Week 5

Staff Contact: Andrew Wheeler

After the fifth week of the 2020 Open Enrollment, 2,876,998 people selected plans using the Healthcare.gov platform, a 10% decrease from the year before. Plan selections in Missouri have reached 66,442, which is 14% less than last year.

The open enrollment period ends Sunday, Dec. 15. Visit MHA’s website or CoverMissouri.org for additional details.

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Regulatory News
the latest actions of agencies monitoring health care


OIG Posts Semiannual Report To Congress

Staff Contact: Jane Drummond or Andrew Wheeler

The U.S. Department of Health and Human Services Office of Inspector General released a report summarizing its 2019 activities. According to the OIG press release, nearly $5.9 billion dollars may be returned to the government for misspent Medicare, Medicaid, and other health and human services programs.

Of the billions of dollars in savings and recoveries in fiscal year 2019, more than $819 million is expected to be recovered from audits, and approximately $5.04 billion is expected from investigative recoveries. Investigative receivables include expected recoveries from criminal actions, civil and administrative settlements, civil judgments, and administrative actions by OIG.

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CMS Requires Electronic Reporting Of Restraint Death

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services announced it has replaced the CMS-10455 paper form with an electronic version. CMS-10455 is used to report a death associated with restraint or seclusion. Beginning Jan. 1, 2020, CMS no longer will accept paper versions of the form. An instructional video on how to complete the electronic form is available.

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Health Law Insight


Hospital Groups Sue Over Price Transparency Rule

Staff Contact: Jane Drummond

Bothwell Regional Health Center in Sedalia is serving as a named plaintiff in a suit attempting to overturn the recently finalized rule requiring hospitals to disclose by Jan. 1, 2021, their negotiated rates with commercial health insurers. The lawsuit claims the rule exceeds the agency’s statutory authority in expanding the definition of standard charges and violates the First Amendment to the United States Constitution in requiring the disclosure of trade secrets.

The American Hospital Association organized the litigation and also is a plaintiff, along with three other national health care organizations and two additional hospitals or health systems.

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Quality and Population Health


CMS Reminds Hospitals Of HCAHPS Submission Deadline

Staff Contact: Sherry Buschjost

The submission deadline for the Hospital Consumer Assessment of Healthcare Providers and Systems patient perspectives on care survey data for third quarter 2019 discharges (July 1 – Sept. 30) is Thursday, Jan. 2. The Centers for Medicare & Medicaid Services strongly encourages all hospitals whether they self-administer the HCAHPS survey or use a survey vendor to submit data well before the deadline to allow time to address any submission issues.

Inpatient Prospective Payment System hospitals participating in the Hospital Inpatient Quality Reporting Program must collect and submit HCAHPS data to qualify to receive their full Annual Payment Update. Non-IPPS hospitals must meet the same submission deadline for their data to be published on Hospital Compare. The IQR program checklist provides additional information.

The review and correction period is Friday, Jan. 3, through Thursday, Jan. 9, during which time participating hospitals and survey vendors have an opportunity to access and review the HCAHPS data review and correction report. The report includes a summary of the data accepted into the HCAHPS data warehouse for the quarter. Errors in data accepted into the warehouse by the Jan. 2 deadline can be corrected. New data are not accepted into the warehouse during the review and correction period.

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CMS Announces IQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Inpatient Quality Reporting Program has been scheduled at 12:30 p.m. Tuesday, Dec. 17. Registration is required for the webinar, “Severe Sepsis and Septic Shock: Management Bundle (Composite Measure) v5.7 Measure Updates and FAQs.”

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Consider This ...

According to a recent poll, 37% of American adults don't plan to get flu shots this season.

Source: The Hill