IHA Daily Briefing: Jan. 13

Monday, January 13, 2020
Reminder: IHA Seeks Price Transparency Feedback
Medicaid Releases Psychiatric Rate Add-Ons
Jan. 22 CMS 2020 MIPS Performance Period Webinar
Flu Activity Strengthens Nationwide
Participate in the 2020 IHA Quality Advocacy Showcase

Reminder: IHA Seeks Price Transparency Feedback
IHA asks all members to complete a short, 10 question survey by Jan. 17 on the estimated operational and financial cost to comply with sweeping new federal price transparency requirements. The results of this survey will support a legal challenge filed by several national hospital organizations, including the American Hospital Association (AHA), as well hospital plaintiffs, challenging the Centers for Medicare & Medicaid Services' (CMS) authority to compel hospitals to disclose their negotiated rates. Under the Nov. 17, 2019 CMS price transparency final rule, hospitals will be required to disclose payer-specific negotiated rates for all items and services, among other requirements, beginning January 2021. See IHA's summary of the final rule.

Results of this survey will be used to support AHA's lawsuit and IHA's amicus brief by providing data on the true cost and administrative burden of complying with the final rule. Responses are confidential and data will only be used in the aggregate. CMS estimates the administrative burden to be a total of 150 hours at a cost of $11,899 per hospital, which IHA believes woefully underestimates the cost and administrative burden to hospitals.  

Access the survey here. You have the option to revisit the survey several times before submitting it.

Medicaid Releases Psychiatric Rate Add-Ons
On January 7, the Illinois Department of Healthcare and Family Services (HFS) issued a Provider Notice that informs physicians of psychiatric service add-on payments, effective with dates of service beginning July 1, 2019, to participating board-certified psychiatrists billing the procedure code. An IHA memo on the reimbursement increase can be found here.

Jan. 22 CMS 2020 MIPS Performance Period Webinar
The Centers for Medicare & Medicaid Services (CMS) will host a webinar on Wednesday, Jan. 22 from 1:30-3 p.m. CST. The webinar will provide basic information on the Merit-based Incentive Payment System (MIPS) for the 2020 performance period. CMS subject matter experts will provide information on provider eligibility, reporting options, and MIPS performance category requirements. For more information, including registration information, click here.

Flu Activity Strengthens Nationwide
The Centers for Disease Control and Prevention (CDC) says that 33 states, including Illinois, and the District of Columbia, are experiencing high levels of influenza-like illnesses (flu). For the flu surveillance reporting week 1 ending Jan. 4, the CDC noted one pediatric death. The prior week, ending Dec. 28, five influenza-associated pediatric deaths occurred. In Illinois, one pediatric death has occurred in Illinois thus far in the 2019-2020 flu season. The Illinois Dept. of Public Health says 56 people were admitted to the ICU due to the flu during week 1. The majority of Illinois flu cases this week were typed as influenza B, which has been the trend this flu season. The CDC says the flu virus has not peaked yet and people who have not received the flu shot are still urged to get one.

Participate in the 2020 IHA Quality Advocacy Showcase
Member participation helps make our 2020 IHA Quality Advocacy Showcase a success. We encourage all IHA-member hospitals and health systems to attend this high-energy event that ties together quality improvement and advocacy.

Our fifth annual showcase will be on April 30 in the State Capitol. For the event, IHA will produce a professionally designed poster of each project—at no cost to members.

Project categories are:

  • Behavioral healthcare;
  • Care coordination;
  • Infection prevention;
  • Opioid stewardship;
  • Patient safety;
  • Community health — new for 2020; and
  • Emergency preparedness — new for 2020.

Each hospital may submit one project. Health systems may submit a system project implemented across system hospitals, in addition to the submissions of individual system hospitals.

Last year's showcase, with 90 member organizations represented, created opportunities for dialogue with state legislators and among quality improvement professionals. The showcase's primary goal is to share with legislators the positive impact Illinois hospitals are having on:

  • Patient outcomes;
  • Community health; and
  • Healthcare costs.

It's also a chance for quality improvement staff to learn about and potentially replicate the work of other organizations. We ask that quality improvement and government relations staffs discuss your organization's participation.

Submit your project by the March 13 deadline.