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March 7, 2014
MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.
If I said there were a billion reasons to support Medicaid reform this year, some would accuse me of hyperbole. They would be wrong. In fact, there are more like 2 billion.
On Wednesday, MHA released a new analysis of the federal funds Missouri has lost by not adopting a Medicaid reform plan last year. In 2014, Missouri will forego approximately $2 billion in federal funding that could have been used to improve the state’s health system and the health of nearly 300,000 citizens. The intent was to put the loss in perspective. For example, consider the following.
A statewide radio campaign educating Missourians about the loss to the state and the importance of Medicaid reform in 2014 was launched this week. And, our work with the Missouri Chamber, provider coalition and former Sen. Kit Bond is making progress in the Capitol.
We’re nearing the half-way point in session. We’ve made important progress, but we can’t let up.
This week was National Patient Safety Week. Missouri hospitals have made significant progress on quality improvement and patient safety throughout the last decade. In fact, we’ve provided national leadership in many areas. We can and will do more.
As hospitals move toward producing value — and embrace the Triple Aim of better care, better health and lower costs — patient safety efforts will expand. And, with the efforts of Missouri’s Center for Patient Safety and Hospital Engagement Network, we are well-positioned to continue to lead.
The Center for Patient Safety will hold its annual meeting later this month. Details are available on its website.
Finally, MHA sent a letter this week to the Missouri Department of Social Services thanking them for its hard work in implementing the Medicaid Eligibility Determination and Enrollment System and outlining concerns that must still be addressed. When MEDES is fully implemented — and the initial bugs are worked out — the system will be significantly more efficient than the current paper system. Working together with DSS, we can identify problems as they arise and determine the best way to address them.
Thank you for all that you are doing. Send me a note to let me know what you are thinking.
In This Issue
|Advocate state and federal health policy developments|
House Committee Passes APRN Measure
The House Professional Registration and Licensure Committee voted yesterday to move a version of House Bill 1491 forward for debate in the Missouri House. Before doing so, the committee added language changes requested by the Missouri State Medical Association to modify provisions on the scope of practice for advanced practice registered nurses. If passed, the bill would allow licensed APRNs to perform patient assessments, tests and procedures, in addition to prescribing medications. The latest version of the bill’s language is not yet available. The companion measure in the Senate, Senate Bill 700, has been heard by a Senate Committee but has not yet received any further action. Memos outlining reasons for supporting the measures were distributed by MHA to committee members when they were first heard in committee.
Committee Approves Bill On Patient Restraints In Psychiatric Care
A House committee has approved legislation expanding the authority of advanced practice registered nurses to order the use of patient restraints in psychiatric care. House Bill 1779 would apply to Missouri Department of Mental Health facilities, freestanding psychiatric hospitals and dedicated psychiatric units within acute care hospitals.
House Panel Hears Proposal To Replace State Income Tax With Sales Tax
The House Ways and Means Committee heard a proposed amendment to the state’s constitution on state income taxes. If lawmakers pass House Joint Resolution 80 and it is approved by voters, the state income tax — the state’s largest single revenue source — would be replaced with a system of broader, but capped, state and local sales and use taxes. This issue is commonly referred to as the “fair tax.” Beyond the fiscal uncertainties of such a sweeping change, the administrative challenges of implementing the proposal as it relates to health services would be enormous. MHA, the Missouri Realtors Association, Associated Industries of Missouri, the Kansas City Civic Council and other groups testified in opposition to the proposal. Further information on this issue is in MHA’s 2014 Legislative Guide.
House Committee Holds Hearing On Perinatal Bill
The House Children, Families and Disabilities Committee heard a measure requiring the state to develop standards for all levels of hospital perinatal care, including regional perinatal centers. The language in House Bill 1898 is based on the recommendation of The Perinatal Advisory Committee established by the legislature in the 2013 legislative session. While citing their support for the general intent of the bill, several organizations have raised issues about the language of the bill as filed, citing concerns of a vague and overly broad grant of authority for the Missouri Department of Health and Senior Services to regulate perinatal services. DHSS, the bill’s sponsor and supporters have agreed to work with the organizations expressing concerns toward a satisfactory resolution for all.
Legislation Sets Up Guidelines For Medicare’s ‘Two-Midnight’ Rule
Bipartisan legislation introduced by Sens. Robert Menendez, D-N.J., and Deb Fischer, R-Neb., addresses the “two-midnight” rule for hospital inpatient stays that was established in the fiscal year 2015 inpatient PPS regulations. The legislation would require the U.S. Department of Health and Human Services secretary to consult with interested stakeholders to determine the criteria for short inpatient stays. The bill also calls for developing a payment methodology for shorter inpatient stays after the criteria are established. The bill is touted to be gaining support quickly.
CMS Announces More Time for Noncompliant Health Insurance Plans
The Centers for Medicare & Medicaid Services issued a letter to the state insurance commissioners announcing that consumers can keep their health plans that do not comply with the Affordable Care Act for two more years. The department is extending its “transitional policy for two years” to policy years beginning on or before Oct. 1, 2016. CMS also is stating that this extension is subject to the approval of state authorities. The U.S. Department of Health and Human Services said, “This gives consumers in the individual and small group markets the choice of staying in their plan or joining a new marketplace plan as the new system is fully implemented.”
|Regulatory News the latest actions of agencies monitoring health care|
MLN Connects Provider eNews Available
The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. 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.
Hailstone Announces Retirement From SSM Cardinal Glennon Children’s Medical Center
Sherlyn Hailstone, president of SSM Cardinal Glennon Children’s Medical Center in St. Louis, announced she will retire July 1. She has served in her current role since 2008 and began her career with SSM in 2005 as president of SSM St. Joseph Health Center in St. Charles. Kate Becker, president of SSM St. Mary’s Health Center in Richmond Heights, will serve as interim president of SSM Cardinal Glennon following Hailstone’s retirement. A list of CEO changes is available online.
|Did You Miss An Issue Of MHA Today?|
The following articles were published in this week’s issues of MHA Today and are available online.
March 6, 2014
March 5, 2014
March 4, 2014
March 3, 2014
|Did You Miss MHA News?|
The following were published recently by MHA and are available online.
|Consider This ...|
A recent survey finds 51 percent of respondents would rather have a health plan that costs more money but allows them to see a broader range of doctors and hospitals while 37 percent prefer a plan that is less expensive but allows them to visit a more limited range of providers.
Source: Kaiser Family Foundation