- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- CMS: Request for Information; Health Technology Ecosystem
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- State: 60-Day Notice of Proposed Information Collection: J-1 Visa Waiver Recommendation Application
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
- Public Inspection: CMS: Request for Information: Health Technology Ecosystem
Pennsylvania Suicide Prevention Task Force Wraps up Findings in Report
The Pennsylvania Department of Human Services’ (DHS) Suicide Prevention Task Force completed the statewide listening sessions held throughout fall 2019 and compiled their finding into an initial report. The work of the task force is a complement to the goals and strategies surrounding the governor’s Reach Out PA: Your Mental Health Matters initiative announced earlier this month and his executive order to protect vulnerable populations signed last year. Informed by the testimonies and suggestions of people affected by suicide, mental health professionals, and other stakeholders from across the commonwealth, the report will be used to develop a comprehensive, long-term strategy for significantly reducing the number of suicides in Pennsylvania.
Feedback from Listening Sessions
In August, the task force announced a series of 10 public listening sessions to be hosted throughout Pennsylvania. Over the next several months, Pennsylvanians gathered to talk about how suicide has affected their lives to help inform the task force’s draft prevention plan and work to reduce stigma around discussing topics such as mental health and suicide. More than 800 people — community members, state and local officials, representatives from county suicide prevention organizations, and stakeholders from other sectors of government — attended the sessions.
As a direct result of these listening sessions, the Suicide Prevention Task Force has identified the following key themes to inform the commonwealth’s four-year suicide prevention strategy:
- The stigma associated with mental health, suicide, and suicide attempts can affect the likelihood of individuals seeking help or continuing treatment, and how policymakers make decisions that affect mental health systems.
- Resources needed to elevate mental health as a public health issue, incentivize the integration of physical and behavioral health, and improve suicide prevention resources at the local level.
- Barriers to treatment, such as cost and insurance gaps.
- Access to more detailed suicide and suicide attempt data to help policymakers make effective, meaningful decisions.
- Issues within the mental health workforce, such as pay and barriers to entry, to improve quality of care.
- With proper resources, Pennsylvania’s schools and educators are uniquely positioned to save lives with suicide prevention strategies and resources.
The Legislature could take direct action to prevent suicides through the passage of a Red Flag Law (to provide a means to remove firearms from someone at risk for suicide) or safe storage requirements for firearms.
Suicide Prevention Plan
The task force anticipates releasing a comprehensive four-year statewide suicide prevention plan in the first quarter of 2020 that will be available for a public comment period. Following updates based on public comment, the task force will publish the final 2020-2024 Pennsylvania statewide suicide prevention plan, which will include:
- The landscape and gap analysis of detailed suicide statistics nationwide and in Pennsylvania.
- Guiding principles for suicide prevention in Pennsylvania.
- Goals and objectives to reduce suicide and suicide attempts in Pennsylvania, including reducing the stigma associated with suicide, suicide attempts, and mental health challenges.
- Recommendations for local and state policymakers, including public and elected officials, as well as cross-sector partners.
- A structure for the implementation and evaluation of Pennsylvania’s statewide suicide prevention plan.
You can read the task force’s initial report online. For more information on the task force visit the Suicide Prevention Task Force DHS web page.
New Toolkit on Farmer Mental Health and Suicide Prevention Released
The National Rural Health Information Hub has released a new toolkit, Rural Response to Farmer Mental Health and Suicide Prevention, which discusses the rising mental health crisis in farming communities and provides information on organizations and model programs that are addressing the challenges and mental health needs of this population.
Pennsylvania Announces New State Cancer Control Plan
The Pennsylvania Department of Health has released the 2019-2023 Pennsylvania Cancer Control Plan, recently adopted by Secretary of Health Rachel Levine. The plan contains 15 cancer control goals Pennsylvania is working to achieve over the next five-year period. The new website, pacancercoalition.org also includes a Cancer Plan Report Card which will be used to monitor progress toward meeting the goals.
Ensuring a More Accurate Rural Count for the 2020 Census
As the effort to count every resident in the United States begins, the Urban Institute provides data on rural populations living in hard-to-count areas and steps for achieving a more accurate count. Population counts from the U.S. Census are used to allocate federal funding, provide data for research and policy-making, and plan economic development, among countless other needs for quality of life. In addition to traditional challenges to counting in rural areas – remote homes, migrant workers, literacy – the 2020 Census will add a digital response option and many rural areas have low rates of internet access at home. More information is available by clicking here.
New Resource Focuses on Children’s Dental Health
Tiny Smiles, an American Dental Association “Give Kids A Smile Program”, is offering free resources along with Scholastic ahead of Children’s Dental Health Month. There are resources for educators, dental professionals, and medical professionals. Resources include kids’ activities and family topics for use in classrooms and office waiting rooms. All materials are available in English and Spanish and aim to promote the importance of oral health for young children.
75th Anniversary of Community Water Fluoridation
January 25, 2020 is the 75th anniversary of community water fluoridation, a practice that helps significantly improve oral health. Join Pennsylvania Coalition for Oral Health and other organizations in celebrating this important public health achievement by spreading the word on Facebook and Twitter. The American Fluoridation Society created free graphics to use to promote the anniversary on social media. There will be a “Twitter Storm” on Friday, January 24 from 10 a.m. to 10:30 a.m. to celebrate the anniversary. During this time, fill Twitter with community water fluoridation anniversary posts. Be sure to use #fluoride4health75 in all posts!
Exploring Alternative Payment Models for Oral Health Care
An examination of the cost and utilization of alternative payment models for oral health care over a patient’s lifetime.
By Sean G. Boynes, DMD, MS, Carolyn Brown, DDS, MEd and Eric P. Tranby, MA, PhD
According to a report by the Commonwealth Fund, the United States pays the most for health care and achieves the lowest performance among comparable countries.1,2 In fact, dissatisfaction with U.S. health care continues to shape political talking points. It also encourages disruptive business models and drives demand for greater transparency, accountability and consumerism.3–6 This changing health ecosystem also affects dentistry. Agencies, organizations and care teams are shifting operational and financial constructs to better align with the changing health care landscape. Currently, the transition includes a switch from a silo-based construct driven by tertiary care to a person-centered format based on inclusive, holistic health care and enhanced quality of life.7–11
Continue reading “Exploring Alternative Payment Models for Oral Health Care”
Oral health assessment of children in rural Pa. demonstrates disparities
UNIVERSITY PARK, Pa. — While the overall supply of dentists in Pennsylvania is sufficient to meet the current demand when assuming equal access for all residents, geographic access to oral health services is not equal across rural and urban areas. In a report, researchers in the Pennsylvania Office of Rural Health (PORH) at Penn State found that urban rates of dentist supply are nearly twice that of rural rates, and that inequalities exist between areas of higher socioeconomic status and those of lower socioeconomic status.
Continue reading “Oral health assessment of children in rural Pa. demonstrates disparities”
Nonprofits, Medical Profession Tackle Human Trafficking as a Health-care Crisis
Washington Post, Jan. 4, 2020 at 7:30 a.m. EST
Because of a lack of data, it’s difficult to estimate how many victims live in the United States. In 2018, the National Human Trafficking Hotline, which is operated by an anti-trafficking nonprofit group called Polaris, helped identify more than 23,000 survivors. That’s thought to be just a tiny fraction of the real number.
Trafficking doesn’t just jeopardize human freedom — it threatens public health. Victims experience injuries, sexually transmitted diseases and problems with everything from cardiovascular health to teeth. Post-traumatic stress disorder, depression, anxiety and other mental health conditions are also common.
Trafficking happens under the table, but its survivors come into contact with health-care workers more than you might think. One study found that nearly 88 percent of victims interacted with a health-care worker while being trafficked.
There’s a growing push among doctors, paramedics and other health-care professionals to help end trafficking. Organizations such as HEAL Trafficking, a group of survivors and professionals in 35 countries, are teaching health-care systems to identify potential victims and respond to their needs.
In 2018, Congress passed legislation that created a federally sponsored trafficking-related continuing education program for health-care workers. The SOAR protocol trains health-care workers to Stop, Observe, Ask and Respond to potential trafficking and teaches them how to connect victims to needed care and relevant services. Data collection also is improving because of recently implemented diagnostic codes that allow health-care providers to identify cases of suspected and confirmed trafficking.
It will take more work to end trafficking, but change could well start in the doctor’s office.
If you are being trafficked or suspect someone else is, contact the National Human Trafficking Hotline at 888-373-7888, or text “HELP” or “INFO” to 233733.