MHA Today | February 10, 2020

February 10, 2020
MHA Today: News for Healthcare Leaders

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February 10, 2020

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


In This Issue
President Releases 2021 Budget Request
Medicaid Managed Care Plans Explain Transition Care Planning Program In MHA Webinar
State Legislators Consider Higher Standard For Constitutional Changes
Kaiser Family Foundation Summarizes Congressional Maternal Health Legislation
AHA Issues Guidance On USP Guidelines
HRSA Announces Rural Communities Opioid Response Funding Opportunity
CMS Announces Preview Period For April 2020 Hospital Compare Data

What You Need To Know This Week

  • Tomorrow, MO HealthNet Director Todd Richardson presents the details of his proposed Medicaid budget — which includes cuts to outpatient payments — to members of the legislature.
  • Watch for information that will be sent to members this week about the MO HealthNet Division proposed outpatient rule.



Advocate
state and federal health policy developments


President Releases 2021 Budget Request

Staff Contact: Andrew Wheeler

President Trump released his fiscal year 2021 budget request to Congress. The net increase to the proposed Centers for Medicare & Medicaid Services budget increased by $47.6 billion to $1.23 trillion. Of the increase, 96% is allocated to Medicare and Medicaid. MHA will publish an issue brief with additional details soon.

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Medicaid Managed Care Plans Explain Transition Care Planning Program In MHA Webinar

Staff Contact: Brian Kinkade

The MHA Health Institute hosted a webinar on Monday for health care professionals to hear directly from Missouri Medicaid’s three managed care plans about their transition care coordination programs for inpatients nearing discharge. The stated goals of the plans’ programs are to alleviate discharge barriers, identify and address social determinants that may interfere with successful and healthy discharge, facilitate follow-up appointments, and provide medical equipment or necessary home-based care.

MHA is working with the MO HealthNet Division to garner 90% federal matching funds for the development of alerting technology using predictive analytics driven by Admission Discharge Transfer messaging generated by hospitals. MHA is hopeful this platform will provide opportunities to improve managed care plan transitional care coordination in the future.

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State Legislators Consider Higher Standard For Constitutional Changes

Staff Contact: Daniel Landon or Rob Monsees

A state House committee reviewed House Joint Resolution 92, which would add a statement to the state constitution rejecting socialized medicine. It also would require a two-thirds majority to pass future constitutional changes concerning health care. If enacted by the General Assembly, the legislation would go before the state’s voters for ratification.

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Kaiser Family Foundation Summarizes Congressional Maternal Health Legislation

Staff Contact: Daniel Landon or Sarah Willson

The Kaiser Family Foundation published a comparison of pending congressional proposals regarding maternal health.

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Regulatory News
the latest actions of agencies monitoring health care


AHA Issues Guidance On USP Guidelines

Staff Contact: Sarah Willson

The American Hospital Association issued guidance on new standards published by the United States Pharmacopeia. Specifically, USP <797> Pharmaceutical Compounding of Sterile Products and USP <800> Hazardous Drugs — Handling in Healthcare Settings have been published in their final version but are pending final release due to appeals.

The implementation of the standards will be complex and potentially costly. The Centers for Medicare & Medicaid Services has begun to prepare for the new standards by revising the Conditions of Participation for Hospitals and Critical Access Hospitals. In a December guidance document, CMS announced the removal of specific USP <797> references, replacing it with broader language to reflect the incorporation of nationally accepted standards.

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Quality and Population Health


HRSA Announces Rural Communities Opioid Response Funding Opportunity

Staff Contact: Shawn Billings

The Health Resources and Services Administration is accepting applications for the fiscal year 2020 Rural Communities Opioid Response Program-Implementation. HRSA plans to award approximately 89 grants to rural communities as part of this funding opportunity. Recipients will receive $1 million for a three-year period of performance to enhance and expand substance use disorder — including opioid use disorder — service delivery in high-risk rural communities. Award recipients will implement a set of core SUD/OUD prevention, treatment and recovery activities that align with the U.S. Department of Health and Human Services’ Five-Point Strategy to Combat the Opioid Crisis.

Throughout 2018 and 2019, Missouri was awarded $10.6 million through RCORP grants. To continue efforts in securing these funds to improve the quality and quantity of OUD care, MHA, the Missouri Department of Mental Health, the Missouri Primary Care Association and the Missouri Rural Health Association will support applications from any partnerships interested in collaborating to address the opioid issue in their communities.

The application deadline is Friday, April 24. Those interested in applying should contact Melissa VanDyne, Executive Director of the Missouri Rural Health Association.

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CMS Announces Preview Period For April 2020 Hospital Compare Data

Staff Contact: Sherry Buschjost

The preview period for hospitals to review April 2020 Hospital Compare data ends Tuesday, March 10. The preview period is applicable for hospitals and facilities participating in the following programs.

  • Hospital Inpatient Quality Reporting
  • Hospital Outpatient Quality Reporting
  • Prospective Payment System Exempt Cancer Hospitals Quality Reporting

Additional details are available on QualityNet.

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Consider This ...

Medical scientists have projected that by 2030, nearly one in two adults will be obese, and nearly one in four will be severely obese.

Source: The New York Times