In This Issue:
- Featured Articles
- MNsure Enrollment Exceeds Expectations
- Implications of ICD-10 Delay Not Yet Clear
- Impact of ICD-10 Delay on health care "e-billing" under evaluation
- Don’t Miss Day with the Payers, May 22
- MNCM to Share Patient-Level Data with MDH
- MMGMA Summer 2014 Conference
- 2014 Tax Deduction Notice
- Committee Updates
- Payer Relations Committee
- Government Affairs Committee
- ACMPE Committee
- Education Committee
- Exhibitor & Sponsorship Committee
- Golf Committee
- Communications Committee
Open enrollment at MNsure closed March 31. Nearly 170,000 Minnesotans signed up for insurance coverage, according to preliminary figures, exceeding the 135,000 target the agency set last October. MNsure reported that about 47,000 enrollees purchased private insurance on the exchange; no numbers yet on how many of the 445,000 uninsured Minnesotans acquired coverage under the new law. Some 88,000 people enrolled through MNsure in Medical Assistance and about 34,000 enrolled in MinnesotaCare. This is five times more people than projected enrolled in Medical Assistance, the state’s version of Medicaid.
Human Services Commissioner Lucinda Jesson attributed the enrollment numbers to the work of navigators and other outreach workers and to the state’s decision to expand the program to include single adults without children. Consumers who failed to buy insurance by the March 31 deadline must wait until Nov. 15 for coverage that begins in January 2015, unless they qualify for special enrollment in 2014 due to a qualifying event.
On April 1, President Obama signed into law H.R. 4302, the Protecting Access to Medicare Act of 2014. This legislation delays transition to ICD-10 for at least one year. Details on implications to providers, health plans and technology companies in the health care industry are unclear because CMS hasn't said how it will translate the law into regulatory policy. The law says that ICD-10 implementation cannot be mandated prior to that date, leaving some room for doubt; likely CMS will set a new deadline of Oct. 1, 2015.
The American Health Information Management Association estimated that a 1-year delay would cost the healthcare industry up to $6.6 billion. Others claim that the postponement will cost hospitals anywhere from $500,000 to $3 million each, depending on their size. The financial effects of the delay on physician practices are likely to be more positive. While some physician groups have invested significant amounts in preparing for ICD-10, a recent survey by Medical Group Management Association (MGMA) found that less than 10% of its members had made substantial progress on that front.
The Minnesota ICD-10 Collaborative meeting will discuss the ICD-10 delay in mid-April and provide updated information for MMGMA members. Meantime, to participate in MMGMA’s LinkedIn discussion on the ICD-10 delay or take the MGMA survey, please click on the following link.
The Minnesota Department of Health (MDH) posted a notice regarding Minnesota’s e-billing requirements and the federal ICD-10 delay. MDH stated that in view of the recent enactment of Federal HR 4302 into law, additional guidance is needed from the federal Centers for Medicare & Medicaid Services (CMS) regarding a new ICD-10 implementation date and other guidance for implementing ICD-10. MDH will continue to closely monitor the situation, and to coordinate with CMS for future updates. To view the full notice, please see Health Care Administrative Simplification on the Minnesota Department of Health website.
MMGMA is excited to host our fourth annual Day with the Payers on Thursday, May 22 at the Earle Brown Heritage Center, Brooklyn Center. Clinical, administrative and business/operations team members have the opportunity to learn from major Minnesota payers, to include updates on programs and products, medical and payment policies, claims and coding, issue resolution, and healthcare reform changes affecting internal processes. Presenters include Minnesota Medicaid, Blue Cross Blue Shield of Minnesota, UCare, Medica, Preferred One, America’s TPA (Health EZ) and Health Partners. The fee is $125 per attendee and $100.00 for multiple attendees from one organization.
Questions, please contact Sandy Rutherford, firstname.lastname@example.org.
In 2014, physician clinics around the state will have the option, through the data portal, to allow Minnesota Community Measurement (MNCM) to share patient-level data with Minnesota Department of Health (MDH), in addition to clinic-level results. According to MDH, the agency will use this information to:
MDH assures physician clinics that they will not use this data for regulatory activities or investigations, and will not sell data or provide patient-level data to outside entities for other purposes. In this work, MDH is guided by what the law authorizes them to do.
For practices certified as Health Care Homes (HCHs), along with other Minnesota clinics, these organizations already are required to participate in SQRMS. HCHs also are required to submit patient-level data to MDH for evaluation and benchmarking, as part of their participation in the program. MDH will receive patient-level data for HCHs from MNCM, and we will continue to use that data for evaluation and benchmarking of HCHs.
It’s not too early to mark your calendar for MMGMA’s Summer Conference, Wednesday- Friday, July 23 - 25, at the Duluth Convention Center. Watch for exciting presentations on current topics to support your business and professional success.
Ten percent of your 2014 annual membership dues are tax deductible. This is a change from the 2014 membership invoice stating 24 percent. Please keep this notice in your 2014 tax records for future reference.
MMGMA Committee Updates
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