MHA Today | March 13, 2020

March 13, 2020
MHA Today: News for Healthcare Leaders

linkedin twitter facebook
March 13, 2020

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

COVID-19 Updates


For the latest updates and most current information on coronavirus disease 2019, visit MHA's website.


Herb Kuhn, MHA President & CEOWednesday, MHA released the 2020 Community Investment Report. The report is a powerful demonstration of the value of hospitals individually and as a community.

The results are impressive. In 2018, Missouri hospitals provided $1.5 billion in uncompensated care and more than $3.1 billion in total community benefit. These are the tangible benefits, viewed from a statewide perspective. Each hospital’s community benefit and economic benefit data are available on MHA’s consumer transparency website,

These data are important. However, they in no way reflect the full value of having a hospital in a community.

On Saturday, Gov. Parson, members of his public health team and St. Louis County leaders announced the state’s first confirmed positive case of COVID-19. Thursday, another presumed case was announced in Springfield.

Missouri’s hospitals plan for and respond to infectious diseases every day. However, the challenges of addressing COVID-19 are manifold. Hospitals are working around the clock to meet these challenges, and MHA is committed to providing the best information and support possible to remove roadblocks and manage resources.

Today, President Trump declared a national emergency, and Parson declared a state emergency. These are important developments. Earlier this week, MHA had encouraged members of our congressional delegation to contact the president regarding an emergency declaration.

I also met today with Missouri Department of Health and Senior Service Director Randall Williams. Hospitals are doing incredible work to serve their communities, and are working with state and local public health authorities to effectively manage the crisis.

I was reminded this week of a quote from former UCLA head basketball coach John Wooden: “Failing to prepare is preparing to fail.” One of the most important and overlooked community benefits hospitals provide is emergency planning and response leadership.

I want to share one more thought gleaned from a newsletter I received this morning. It was an appropriate reflection on who we are, where we are and what we’re doing as a community during COVID-19. This is particularly important as we discuss — and even practice — “social distancing” as a tool to prevent the spread of this virus.

According to Rabbi Yosef Kanefsky, "Every hand that we don't shake must become a phone call that we place. Every embrace that we avoid must become a verbal expression of warmth and concern. Every inch and every foot that we physically place between ourselves and another, must become a thought as to how we might be of help to that other, should the need arise."

Keep doing what you’re doing. And, let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
Senate Approves PDMP Legislation
HHS Finalizes Rules Giving Patients Unprecedented Access To Health Records
Board Of Pharmacy Proposes Technician Supervision Regulation
CMS Announces Part D Senior Savings Model
MLN Connects Provider eNews Available
CMS Announces Education Sessions

state and federal health policy developments

Senate Approves PDMP Legislation

Staff Contact: Daniel Landon or Rob Monsees

The Missouri Senate approved legislation authorizing a statewide prescription drug monitoring program. During an all-night filibuster, senators forged a compromise accord, breaking an impasse that has for some years kept Missouri as the only state without a state-sanctioned PDMP. The legislation returns to the House of Representatives for consideration of the Senate changes. The House and the governor are expected to approve the Senate proposal.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care

HHS Finalizes Rules Giving Patients Unprecedented Access To Health Records

Staff Contact: Andrew Wheeler

The U.S. Department of Health and Human Services finalized two rules — one that implements interoperability and patient access provisions of the bipartisan 21st Century Cures Act, and another that supports President Trump’s MyHealthEData initiative — that “will give patients unprecedented safe, secure access to their health data.” Both rules implement interoperability and patient access provisions of the bipartisan 21st Century Cures Act. The rule includes key dates that will move health care systems toward greater interoperability. MHA will publish an issue brief in the coming days.

Back To Top

Board Of Pharmacy Proposes Technician Supervision Regulation

Staff Contact: Sarah Willson

The Missouri Board of Pharmacy has proposed two new regulations, which have been posted in the Monday, March 16, Missouri Register. 20 CSR 2220-2.710 Pharmacy Technician and Intern Pharmacists Supervision proposes to define direct supervision as the pharmacist is “readily and immediately available at all times.” 20 CSR 2220-2.725 Remote Data Entry authorizes and establishes requirements for remote data entry sites. Comments on both rules are due no later than Wednesday, April 15, and should be addressed and mailed to the Missouri Board of Pharmacy, PO Box 625, 3605 Missouri Boulevard, Jefferson City, MO 65102. Comments also can be faxed to 573-526-3464 or emailed to

Back To Top

CMS Announces Part D Senior Savings Model

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced a new Part D model aimed to offer beneficiaries an increased choice of enhanced alternative Part D plan options that offer lower out-of-pocket costs for insulin. The Part D Senior Savings Model enables participating Part D enhanced plans to lower Medicare beneficiaries’ out-of-pocket costs for insulin to a maximum $35 copay per 30-day supply. CMS also released two requests for applications — one for Part D sponsors and one for pharmaceutical manufacturers. Both are invited to apply to participate beginning Jan. 1, 2021.

Back To Top

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.

  • CMS sends more detailed guidance to providers about COVID-19
  • Clean Hands Count: Prevent and control infections
  • Quality Payment Program: Merit-based Incentive Payment System 2019 data submission deadline is Tuesday, March 31
  • Inclusion of lower limb prosthetics in Durable Medical Equipment, Prosthetics, Orthotics and Supplies prior authorization

Back To Top


Quality and Population Health

CMS Announces Education Sessions

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services announced the following upcoming webinars

  • 9 a.m. and 1 p.m. Wednesday, March 18 — Outpatient Quality Reporting Program, “Information, Tips and Updates”
  • 1 p.m. Tuesday, March 24 — Inpatient Psychiatric Facility Quality Reporting Program, “Navigating the Hospital Compare Website”
  • 1 p.m. Wednesday, March 25 — Inpatient Quality Reporting and Promoting Interoperability Programs, “CMS QRDA Category I Implementation Guide Changes for CY 2020 Hospital Quality Reporting”

Registration is required and available at the noted links.

Back To Top


Did You Miss An Issue Of MHA Today?

March 9, 2020
DHSS Releases COVID-19 Testing Criteria, PPE Update
CMS Releases FAQs About COVID-19 Treatment
MHA Releases Report On Integrating SDOH In Care Delivery
CMS Announces IQR Education Session

March 11, 2020
MHA Engages In Federal And State Advocacy On COVID-19
DHSS Establishes Public COVID-19 Hotline
CDC Updates Guidance On PPE And Isolation Rooms
MHA Provides COVID-19 Signage For Public Information And Alternative Testing Location Information
WHO Declares COVID-19 A Pandemic
Updated Guidance From Regulatory And Accreditation Agencies Available
COCA Holds COVID-19 Update On Clinicians Caring For Children and Pregnant Women
Senate Committee Reviews, Approves Bills
State Senate Passes Legislation Relating To Victims Of Sexual Offenses
MHA Releases Community Investment Report

Consider This ...

March is Colorectal Cancer Awareness Month. The risk for colorectal cancer increases with age, with more than 90% occurring in people who are 50 years old or older.

Source: Centers for Disease Control and Prevention