- In a Rural California Region, a Plan Takes Shape to Provide Shade from Dangerous Heat
- New Native American Health Alliance to Address Physician Shortages in Tribal Communities
- How NRHA, USDA Are Helping Rural Hospitals
- Hundreds of Thousands of US Infants Every Year Pay the Consequences of Prenatal Exposure to Drugs, a Growing Crisis Particularly in Rural America
- Rural Maternal Health Series Webinars
- Federally Qualified Health Centers Can Make the Switch to Value-Based Payment, But Need Assistance
- New Program Aims to Boost Tribal Access to Care, but Advocates Says More Can Be Done
- Tribal Schools to Get 24/7 Behavioral Health Crisis Line
- As More Rural Hospitals Stop Delivering Babies, Some Are Determined to Make It Work
- PCORI Advisory Panels: Panel Openings
- Tribes in Washington Are Battling a Devastating Opioid Crisis. Will a Multimillion-Dollar Bill Help?
- HHS Launches Postpartum Maternal Health Collaborative
- FACT SHEET: Biden-Harris Administration Releases Annual Agency Equity Action Plans to Further Advance Racial Equity and Support for Underserved Communities Through the Federal Government
- Rural Emergency Medical Team Touts Using Whole Blood to Help Save Lives
- New Black-Owned Freight Farm in Rural Minnesota to Tackle Food Insecurity, Health Inequities
At the suggestion of one of the assistant deans at the medical school, the incoming students at the University of Pittsburgh School of Medicine decided to update their oath for the first time in the 137-year history of the school. As they rewrote it, it became more explicitly inclusive of all people, including those historically overlooked by the medical community. It was embraced full-heartedly by the administration. The oath, which was taken by the entire 149-member class last month, acknowledges the lives lost to COVID-19, the killings of Breonna Taylor, George Floyd and Ahmaud Arbery, and the history of the “fundamental failings of our health care and political systems in serving vulnerable communities.” Read more.
The Centers for Disease Control and Prevention (CDC) released an MMWR on the Changing Age Distribution of the COVID-19 Pandemic in the U.S. between May and August, 2020. A key finding is that during June-August 2020, COVID-19 incidence was highest in persons aged 20-29 years, who accounted for >20% of all confirmed cases. Strict adherence to community mitigation strategies and personal preventive behaviors by younger adults is needed to help reduce infection and subsequent transmission to persons at higher risk for severe illness.
HHS announced on Oct. 1 that it is making an additional $20 billion in Provider Relief Fund (PRF) funding available to “frontline” providers — including those who have already received the full amount they were eligible for under the General Distribution. For FQHCs, this amount was two percent of 2018 net patient revenues. It is unclear how much any provider will be eligible for; it will likely depend on total requests received. HHS recommends that providers apply early, starting the week of October 4. NACHC and PACHC are working to learn more and will share more information as we can. Click here for a copy of the HHS press release.
As reported earlier, the Department of Human Services (DHS) has issued a Medical Assistance Bulletin establishing a separate vision PPS rate, effective Oct. 1, 2020, as well as adding vision to allow for up to four FQHC encounters per day (now medical, dental, behavioral and vision). Here are some points on the new vision PPS:
- Health centers already offering vision services are to individually work with DHS on calculation of a vision PPS rate from the prior cost report.
- PACHC has shared the updated cost report template as an attachment to the weekly All PA FQHC CEO Call summary, as well as with health center finance leaders.
- The medical and dental provider productivity benchmarks have not changed in the new cost report template and Opthalmology is 3,599 and Optometry is 2,530.
PACHC is awaiting DHS’ decision on how payments will be made from Oct.1, 2020 until the vision PPS rate is established for health centers currently offering vision. For example, retroactive reconciliation back to Oct.1, 2020 or just start the new rate when it is calculated.
Each year, FQHC/RHC prospective payment system (PPS) rates are updated on Oct. 1 by the Medicare Economic Index (MEI). The Department of Human Services (DHS) has notified PACHC that the state is having a system issue with letter download to email and therefore email notifications to health centers might be delayed. That does not mean that managed care organizations (MCOs) should delay implementation of the MEI adjustments. Per DHS:
- The MCOs and Promise received the data extract last week, which is available now to the MCOs and is set up to be easily imported into the MCOs’ systems.
- For these mass MEI rate increases, DHS expects MCOs to implement the MEI increase using the data extract provided and not wait for the rate confirmation letter DHS sends to each FQHC/RHC.
- It is important to note that this is different than the process for interim to final FQHC rate changes for individual health centers. While these are also communicated to MCOs through a (quarterly) data extract update from DHS, DHS directs MCOs to use the official rate letter DHS provides to the health center as validation of the rate change.
Questions? Contact Julie Korick, PACHC COO/CFO.
In June 2019, the Departments of Treasury, Labor and Health and Human Services jointly published a final rule to expand the flexibility and use of health reimbursement arrangements (HRAs). An HRA is a group health plan funded solely by employer contributions that reimburses an employee’s medical care expenses up to a maximum dollar amount for a coverage period. HRA reimbursements are excludable from the employee’s income and wages for federal income tax and employment tax purposes. In addition to the employee, an HRA may also reimburse expenses incurred by the employee’s spouse, dependents, and children who as of the end of the taxable year, have not attained age 27.
The White House physician confirmed on October 1 that President Donald Trump and First Lady Melania Trump have both tested positive for COVID-19. The President and First Lady are well currently and plan to quarantine. Click here to read the memorandum from the President’s physician.
This week, House leadership released a trimmed-down version of the HEROES Act, their original fourth COVID-19 relief package, which was first passed by the chamber last May. The ‘skinny’ HEROES Act is a $2.2 trillion bill that offers a compromise between the House’s original three trillion-dollar bill and the Senate’s one trillion dollar HEALS Act. The package contains $7.6 billion in emergency funding for Community Health Centers , as well as $1 billion for health workforce programs, including the National Health Service Corps and the Nurse Corps. For more information on the bill, see the bill’s section-by-section breakdown available on the House Appropriations Committee website.
The Senate voted to limit debate on short-term agency spending, and passed the Continuing Resolution (CR) previously passed by the House of Representatives last Tuesday, Sept. 22. The CR provides a stopgap for government funding to avoid a shutdown and extend government-funded programs until Dec. 11, 2020. The bill also includes an extension of mandatory funding for the Health Center Fund, the National Health Service Corps, and the Teaching Health Centers Graduate Medical Education Program until Dec. 11.
The Wolf Administration in collaboration with the General Assembly and other agencies released Pennsylvania’s Statewide Suicide Prevention Plan which can be found here. According to the Centers for Disease Control and Prevention (CDC), suicide is the tenth leading cause of death in the country, claiming more than twice as many lives each year as homicide. Approximately 1.4 million adults attempt suicide annually in the U.S., with more than 85 percent reporting having made a suicide plan prior to their attempt. In Pennsylvania alone there were tragically 2,017 people who completed suicide in 2018. The plan, developed by the state’s Suicide Prevention Task Force, is a four-year strategy to reduce suicide in Pennsylvania by fighting stigma, increasing training and education on suicide and mental health, improving data collection for suicide, and supporting clinical practices and treatment to prevent suicide and help those who are struggling or in crisis. Moving forward, the task force will continue working with stakeholders at the local, regional, and state levels to support and monitor the implementation of the plan. Click
here to learn more.