MHA Today | December 11, 2019

December 11, 2019

 

MHA Today: News for Healthcare Leaders

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December 11, 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 Caseload Falls In November
Weekly Snapshot: Marketplace Enrollment For Week 6
Analysis Of S-10 Data And Medicare DSH Implications Available
Missouri Supreme Court Hears Arguments On Reproductive Health Funding Ban
CMS Updates eCQM Known Issues Document
Hospital Quality Reporting Center Fall Newsletter Available
HRSA Launches Hospital Organ Donation Campaign


UPCOMING SEMINARS
Rural Health Clinic Operations, Billing, Accreditations and Compliance

Thursday, Feb. 13, 2020
Columbia Courtyard by Marriott
Columbia, Mo.
Register on or before Wednesday, Jan. 29.

Thursday, Aug. 27, 2020
Courtyard by Marriott
Blue Springs, Mo.
Register on or before Wednesday, Aug. 12.


Advocate
state and federal health policy developments


Medicaid Caseload Falls In November

Staff Contact: Brian Kinkade

Missouri’s Medicaid caseload fell slightly in November to 852,000. The reduction of 1,800 is modest compared to the sharp monthly decreases observed throughout the past two years, but marks a reversal from the growth in the caseload in September and October. The number of children covered by Medicaid decreased by 500 to 524,000. The number of kids covered by MO HealthNet had grown by more than 3,800 throughout the previous three months.

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Weekly Snapshot: Marketplace Enrollment For Week 6

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released marketplace enrollment data through Dec. 8. For the first six weeks of the 2020 open enrollment period, 3,882,671 beneficiaries made plan selections in states where the HealthCare.gov platform is being utilized. Through the sixth week of open enrollment for 2019, 4,132,432 plan selections had been chosen. In Missouri, 91,162 beneficiaries made plan selections for 2020, approximately 11% less than the 101,274 plan selections through the sixth week last year.

Open enrollment ends this 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


Analysis Of S-10 Data And Medicare DSH Implications Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services completed a three-year transition to distribute Medicare disproportionate share uncompensated care pool payments based on S-10 data. MHA prepared an analysis of the effect of this change. Along with the fiscal impact study, a separate analysis is included, which provides comparative data to determine if changes to the S-10 data are needed. All inpatient prospective payment hospitals will receive a report regardless of DSH eligibility. During the three-year transition from fiscal year 2018 to 2020, the formula revision increased Medicare DSH payments to Missouri hospitals by an estimated $66 million. Policy and analytic studies are available for download to authorized users of HIDI Analytic Advantage®.

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Health Law Insight


Missouri Supreme Court Hears Arguments On Reproductive Health Funding Ban

Staff Contact: Meghan Henderson

Yesterday, the Missouri Supreme Court heard oral arguments regarding the appropriation powers of the legislature. In its fiscal year 2019 appropriation to the Department of Social Services, the Missouri legislature prohibited expenditures to any abortion facility or such facility’s affiliates or associates.

Planned Parenthood of the St. Louis Region and Reproductive Health Services of Planned Parenthood of the St. Louis Region sued the department, arguing the appropriation bill violated the Constitution of the State of Missouri. During arguments, the court’s questioning largely focused on whether the appropriation unconstitutionally changed Medicaid statutes through an appropriation bill. The court’s decision in this case is expected in the next few months.

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Quality and Population Health


CMS Updates eCQM Known Issues Document

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the known issues document associated with the electronic clinical quality measures program. The update includes issue resolutions and newly identified issues, which includes all applications and reports that support the quality reporting programs for provider, vendor and quality improvement organization users.

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Hospital Quality Reporting Center Fall Newsletter Available

Staff Contact: Sherry Buschjost

Now available on the Quality Reporting Center is the Hospital Quality Reporting Center Fall 2019 newsletter. Topics of discussion include fiscal year 2020 Hospital Value-Based Purchasing Program payment adjustment factors and Hospital Inpatient Quality Reporting Program requirements for calendar year 2020.

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Noteworthy


HRSA Launches Hospital Organ Donation Campaign

Staff Contact: Bryant McNally

The Health Resources and Services Administration’s Division of Transplantation launched a hospital organ donation campaign, a life-saving initiative that creates donation-friendly hospital cultures throughout the U.S. Using a campaign scorecard, hospitals and health care systems track activities and each new donor registration to earn bronze, silver, gold or platinum recognition from HRSA. The campaign runs through April 30, 2020, and organizations must enroll to participate.

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Consider This ...

Ninety-five percent of U.S. adults support organ donation, but only 58% actually are signed up as donors.

Source: organdonor.gov