MHA Today | May 27, 2020

May 27, 2020
MHA Today: News for Healthcare Leaders

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


In This Issue
Governor Parson Schedules Medicaid Expansion Ballot Initiative For August
CMS Issues 2021 Medicare Advantage And Part D Final Rule
CMS Announces Lower Out-Of-Pocket Insulin Costs For Medicare Beneficiaries
Enriched Limited Data Set – Standard Indicators Available From HIDI
MHA Releases 2020 Annual Workforce Report
HRSA Announces Telehealth Grant Application Window Closing


UPCOMING WEBINAR — COMPLIMENTARY
Care of the Psychiatric Patient on Medical-Surgical Units
Tuesday, June 23
Noon to 1 p.m.
Register on or before Monday, June 22.


 

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


Governor Parson Schedules Medicaid Expansion Ballot Initiative For August

Staff Contact: Mary Becker

Late Tuesday, Gov. Mike Parson announced that the initiative to expand Medicaid in Missouri is now scheduled for the Aug. 4 statewide primary election. The Healthcare for Missouri campaign was already in full swing with the April 30 delivery of 350,000 signatures to the Secretary of State’s office. Last week, state officials announced that the Medicaid expansion initiative had qualified for the November general election ballot. With the timetable moved up by three months, campaign plans are accelerating and individuals throughout the state are enthusiastically showing their support.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues 2021 Medicare Advantage And Part D Final Rule

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released the contract year 2021 Medicare Advantage and Part D final rule. The rule implements certain Cures Act provisions, revisions to the medical loss ratio, strengthens network adequacy rules and codifies several special election period exceptional conditions. MHA published an issue brief with additional details.

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CMS Announces Lower Out-Of-Pocket Insulin Costs For Medicare Beneficiaries

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced over 1,750 Medicare Part D and Medicare Advantage plans with prescription drug coverage have applied to offer lower insulin costs through the Part D Senior Savings Model for the 2021 plan year. Participating enhanced Part D prescription drug plans will provide Medicare beneficiaries access to insulins at a maximum $35 copay for a month’s supply. CMS Administrator Seema Verma stated, “This market-based solution, in which insulin manufacturers and Part D sponsors compete to provide lower costs and higher quality for patients, will allow seniors to choose a Part D plan that covers their insulin at an average 66% lower out-of-pocket cost throughout the year.”

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HIDI Tech Connect


Enriched Limited Data Set – Standard Indicators Available From HIDI

Staff Contact: Shane VanOverschelde

The Hospital Industry Data Institute is releasing a new product, Enriched Limited Data Set – Standard Indicator files, which includes enhanced data elements that seamlessly integrate with HIDI’s traditional Limited Data Set files for the purpose of identifying drivers of health outcomes. HIDI staff worked with multiple MHA members to guide the product's development.

The new Standard Indicator files include patient-level indicators that pinpoint patient-level chronic conditions, behavior-related conditions, social determinants of health, risk-adjusted mortality, severity-adjusted length-of-stay and patient geographic detail, including House, Senate and congressional district of residence.

Users will be able to endlessly examine segments of inpatient and outpatient administrative claims across any combination of variables.

Versions of the Enriched Standard Indicator files will be available in conjunction with each quarterly Limited Data Set release. Hospitals have the option of receiving Limited Data Sets as standalone offerings or enhancing them with the Enriched Standard Indicators. Both are delivered as text files and ready-to-query Microsoft Access database files.

Hospitals interested in ordering the Limited Data Sets and/or the Enriched Standard Indicators can contact HIDI for more information.

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Workforce News


MHA Releases 2020 Annual Workforce Report

Staff Contact: Jill Williams

MHA released the 2020 workforce report along with 10 region-specific reports, which finds that, at the close of 2019, turnover among all surveyed hospital professions was at 19.8% — the highest rate since reporting began in 2001. The data represented in this year’s report reflects the status of the hospital workforce in 2019. As a result, the report reflects a pre-COVID-19 workforce. The statewide report includes data from 138 Missouri hospitals and identifies trends among 28 hospital-based positions, and four clinic and physician practice positions. This year’s workforce report offers strategies hospitals can use to address the complex and interconnected problems presented for hospitals during COVID-19.

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Noteworthy


HRSA Announces Telehealth Grant Application Window Closing

Staff Contact: Sarah Willson

The Health Resources and Services Administration is providing funding to promote rural tele-emergency services with an emphasis on tele-stroke, tele-behavioral health and tele-emergency medical services. HRSA plans to provide up to $300,000 annually for four years for as many as 29 grantees, subject to funding availability. The application deadline is Monday, June 15.

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Consider This ...

A Kaiser Family Foundation poll found that 48% of Americans said they or a family member skipped or delayed medical care because of the pandemic, with 11% saying the individual’s condition worsened as a result of the delayed care.

Source: Kaiser Health News