IHA Daily Briefing: Nov. 6

Wednesday, November 6, 2019
IHA Summary: Stark and Anti-Kickback Proposals
Abused and Neglected Child Reporting Act Summary
Hospital Compare Preview Period Ends Dec. 3
Healthcare Collaborative Pledges $700M

IHA Summary: Stark and Anti-Kickback Proposals
On Oct. 9, the U.S. Dept. of Health and Human Services (HHS) proposed significant amendments to the Stark, the Anti-Kickback and the Civil Monetary Penalty laws. These proposed amendments are intended to modernize and clarify these laws, encourage value-based arrangements and care coordination and reduce some of the regulatory burdens on healthcare providers.  The proposed amendments reflect efforts of the U.S. Centers for Medicare & Medicaid Services and the HHS Office of Inspector General to address the transition to value-based healthcare systems.

IHA has developed a summary memo covering the highlights of the proposed regulations. Members are also encouraged to review the proposed regulations, as issued, thoroughly.

HHS is accepting comments until Dec. 31.  IHA, in conjunction with AHA will submit comments to improve these important revisions.


Abused and Neglected Child Reporting Act Summary
Three new state laws, effective Jan. 1, 2020, amend the Abused and Neglected Child Reporting Act (ANCRA), impacting hospitals and their staff. An IHA memo released today provides an in-depth summary and review of the hospital and healthcare professional requirements under ANCRA, with links to training resources.


Hospital Compare Preview Period Ends Dec. 3
On Monday, the Centers for Medicare & Medicaid Services (CMS) announced its 30-day preview period for hospitals to see their data that will be made public on Hospital Compare in January 2020. The preview period covers hospitals and facilities participating in the following programs:

  • Inpatient Psychiatric Facility Quality Reporting;
  • Hospital Inpatient Quality Reporting;
  • Hospital Outpatient Quality Reporting; and
  • Prospective Payment System-Exempt Cancer Hospitals Quality Reporting.

In addition, overall hospital quality star ratings will be updated and available as part of this preview period.

Yesterday, CMS announced that there was an error on the Hospital Compare website affecting the star rating reports that were reviewed on Nov. 4-5. CMS has corrected that error and encourages hospitals that downloaded their results during that timeframe to download their results again for accuracy.

Hospitals can preview their data through the Quality Net secure portal through Dec.3.


Healthcare Collaborative Pledges $700M
Fourteen national and regional hospitals and health systems, including Advocate Aurora Health, Rush University Medical Center and Trinity Health, announced a commitment of over $700 million for place-based investing to create strong and healthy communities. Known collectively as the Healthcare Anchor Network (HAN), these hospitals and health systems together employ more than 1.5 million people, purchase over $50 billion annually, and have over $100 billion in investment assets.

In addition to providing quality healthcare, these hospitals and health systems are investing in safe and affordable housing, equitable economic development, small/diverse business development, and other strategies for addressing the social determinants of health. They are also rethinking how to very intentionally align, leverage, and deploy their human resources and procurement power to create a local economic eco-system to support economic and health wellness.

A press release notes that despite record low unemployment and an overall strong economy, the U.S. is experiencing systematically deepening disparities in its economic, health and well-being outcomes. Studies have shown that where you live (zip code) can significantly shorten or extend your life expectancy. Also, factors outside hospital walls—social, economic, environmental, and behavior-related—account for up to 80% of the health outcomes a community experiences.