MHA Today | December 18, 2019

December 18, 2019

 

MHA Today: News for Healthcare Leaders

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December 18, 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
U.S. House Advances Compromise Spending Accord
Medicare And MHD To Deny All Claims With HICNs Beginning Jan. 1
MACPAC Releases MACStats 2019 Edition
Proposed Rule Allows For Importation Of Certain Prescription Drugs
CMS And HRSA Issue Proposals To Increase Organ Supply Accountability And Availability
CDC COCA Provides Update On Ebola Diagnostics In The U.S.
CMS To Streamline QualityNet Account Management
Mercy Hospital Lebanon Names Interim Administrator


UPCOMING SEMINARS
2020 Missouri Preceptor Academies

The Missouri Preceptor Academy is a program designed to train registered nurses and allied health clinicians how to guide new employees, recent graduates and students through the onboarding and competence validation process.

Preceptor Academies are offered several times a year throughout the state. Below is the first offering in each region.

Kansas City Metro Area | Wednesday, Feb. 5 | Clinton, Mo.
St. Louis Metro Area | Wednesday, March 18 | St. Louis
Northeast Missouri | Thursday, May 7 | Hannibal, Mo.
Southeast Missouri | Tuesday, Oct. 20 | Cape Girardeau, Mo.


Advocate
state and federal health policy developments


U.S. House Advances Compromise Spending Accord

Staff Contact: Daniel Landon

The U.S. House of Representatives approved two bills representing an omnibus spending accord to avert a federal budget shutdown on Saturday, Dec. 21, and enact a federal budget for the balance of the current federal fiscal year. Later this week, the Senate is expected to ratify and President Trump to sign the compromise legislation. The legislation increases spending for a variety of health and workforce programs in the Department of Health and Human Services. The spending accord includes a six-month delay of pending reductions in federal funding of Medicaid Disproportionate Share Hospital payments. The legislative package does not include proposals on “surprise billing” and Medicare prescription drug pricing, lowering its savings and controversy.

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Medicare And MHD To Deny All Claims With HICNs Beginning Jan. 1

Staff Contact: Andrew Wheeler or Brian Kinkade

Beginning Wednesday, Jan. 1, 2020, Medicare claims must be submitted with the new Medicare Beneficiary Identifier. After this date, 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’ MBIs 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 how providers can obtain patients’ MBIs they do not have.

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MACPAC Releases MACStats 2019 Edition

Staff Contact: Brian Kinkade

The Medicaid and CHIP Payment and Access Commission released its 2019 edition of MACStats: Medicaid and CHIP Data Book, which includes updated data on national and state Medicaid and CHIP enrollment, spending and benefits, as well as beneficiaries’ health, service use and access to care.

MACPAC’s release highlights falling Medicaid enrollment. Missouri stands out as the state with the largest reduction in total Medicaid enrollment between July 2018 and July 2019. During this time, Missouri Medicaid enrollment fell 10.9% while the national total fell 1.4%. Missouri also is only one of four states that had lower Medicaid enrollment in July 2019 than in July-September 2013. These details are reported in MACStats Exhibit 11.

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Regulatory News
the latest actions of agencies monitoring health care


Proposed Rule Allows For Importation Of Certain Prescription Drugs

Staff Contact: Andrew Wheeler

The Food and Drug Administration released a proposed rule that would allow for the importation of certain prescription drugs from Canada. In addition to the rule, the FDA announced new draft guidance that describes procedures drug manufacturers can use to facilitate importation of prescription drugs, including biological products.

U.S. Department of Health and Human Services Secretary Alex Azar stated that the president “has been clear: for too long American patients have been paying exorbitantly high prices for prescription drugs that are made available to other countries at lower prices. When we released the president’s drug pricing blueprint for putting American patients first, we said we are open to all potential solutions to combat high drug prices that protect patient safety; are effective at delivering lower prices; and respect choice, innovation and access. Today’s announcement outlines the pathways the administration intends to explore to allow safe importation of certain prescription drugs to lower prices and reduce out of pocket costs for American patients.”

Comments will be accepted for 75 days after the publication of the proposed rule in the Federal Register.

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CMS And HRSA Issue Proposals To Increase Organ Supply Accountability And Availability

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services and the Health Resources and Service Administration issued two rules that would increase organ supply accountability and availability. The CMS proposed rule changes the way organ procurement organizations are held accountable for their performance, and the HRSA proposed rule removes the financial barriers to living organ donation. Comments are due 60 days after the rules are published in the Federal Register.

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Quality and Population Health


CDC COCA Provides Update On Ebola Diagnostics In The U.S.

Staff Contact: Keri Barclay

The Centers for Disease Control and Prevention Clinician Outreach and Communication Activity will host a call at 1 p.m. Thursday, Dec. 19, to discuss the current Ebola virus disease outbreak in the Democratic Republic of Congo and the current status of diagnostic testing available in the U.S. During this call, participants will learn about options for testing for suspected Ebola virus infection and considerations around using OraQuick® Ebola Rapid Antigen Test.

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CMS To Streamline QualityNet Account Management

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services will update the QualityNet secure portal account management to the Health Care Quality Information Systems Access Roles and Profile system in the coming weeks. HARP is a secure identity management portal that provides access to multiple applications. Additional information is available.

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CEO Announcements


Mercy Hospital Lebanon Names Interim Administrator

Staff Contact: Carol Boessen

Jenine Vincent has been named interim administrator of Mercy Hospital Lebanon, effective Dec. 13. Vincent serves as vice president of regional operations at Mercy Health Springfield Communities. She succeeds Scott Childers who served as administrator since July 2017. Vincent will serve in dual roles until a permanent administrator is named at Mercy Hospital Lebanon. A list of CEO changes is available online.

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Consider This ...

A recent survey of eighth, 10th and 12th graders found that 7%, 19.4% and 20.8%, respectively, had vaped marijuana once or more throughout the last year.

Source: The New York Times