MHA Today | May 11, 2020

May 11, 2020

 

MHA Today: News for Healthcare Leaders

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May 11, 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
House Committee Advances Constitutional Change For Medicaid
State House Rejects PDMP Legislation
CMS Releases Medicare IPPS And LTCH Proposed Rules
March MUR Available On HIDI Analytic Advantage
CMS Releases Updated eCQM Specifications And eCQM Materials For 2021 Reporting
District Court Hears Arguments In AHA Challenge To Transparency Rule


What You Need To Know This Week

  • The 2020 session of the Missouri General Assembly will end at 6 p.m. Friday, May 15.


COVID-19 Updates


COVID-19

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





Advocate
state and federal health policy developments


House Committee Advances Constitutional Change For Medicaid

Staff Contact: Rob Monsees or Bill Anderson

The state House Budget Committee voted to approve House Joint Resolution 106. Before doing so, the committee removed a section prohibiting Medicaid payments on behalf of those who are not Missouri residents. The measure is a proposed constitutional amendment that, if approved, would go before the state’s voters in November 2020. The revised version would do the following.

  • mimic federal law in guaranteeing health insurance coverage of preexisting conditions and coverage of dependent children until the age of 26;
  • equire able-bodied adult Medicaid recipients to participate in work and/or community engagement; and
  • make all Medicaid spending contingent on legislative appropriations, with no rights or entitlements to Medicaid coverage without appropriations authority.

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State House Rejects PDMP Legislation

Staff Contact: Daniel Landon or Rob Monsees

The state House of Representatives defeated legislation to authorize a statewide prescription drug monitoring program. The Missouri Senate previously forged and passed a compromise to resolve years of stalemate over this issue. By a vote of 58 to 87, the House rejected it. The House then voted to allow a conference committee to work on developing another compromise to be brought before the two chambers for ratification.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Medicare IPPS And LTCH Proposed Rules

Staff Contact: Andrew Wheeler or Daniel Landon

The Centers for Medicare & Medicaid Services released proposed rules and a fact sheet for the Medicare Inpatient Prospective Payment System and the Long Term Care Hospital payment system. MHA will assess the proposal and publish an issue brief.

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HIDI Tech Connect


March MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the March 2020 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage PLUS has been updated to include this data. Contacts from participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure network location or PC. The data are encrypted on the site and also during the transmission from HIDI. Once the data have been transferred, it must be secured according to the hospital’s security procedures. April 2020 data are being collected now and are scheduled to be available Friday, June 5.

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Quality and Population Health


CMS Releases Updated eCQM Specifications And eCQM Materials For 2021 Reporting

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services posted the electronic clinical quality measure specifications for the 2021 reporting period for eligible hospitals and critical access hospitals, and the 2021 performance period for eligible professionals and clinicians. Additional information is available.

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Health Law Insight


District Court Hears Arguments In AHA Challenge To Transparency Rule

Staff Contact: Jane Drummond

The United States District Court for the District of Columbia heard oral arguments May 7 in the American Hospital Association’s challenge to the Centers for Medicare & Medicaid Services’ price transparency rule forcing hospitals to disclose rates negotiated with commercial insurers. Arguments by the parties focused on the agency’s authority to define “standard charges” to include such rates. Bothwell Regional Health Center in Sedalia is serving as a named plaintiff in the suit, and MHA joined numerous other hospital associations in filing an amicus brief in support of AHA’s claims.

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Consider This ...

Data from the Epic Health Research Center indicates a drop of 86%–94% in the number of screenings for cervical cancer, colon cancer and breast cancer — all of which typically demonstrate better rates of survival when caught early.

Source: Axios.com