- Telehealth Study Recruiting Veterans Now
- USDA Delivers Immediate Relief to Farmers, Ranchers and Rural Communities Impacted by Recent Disasters
- Submit Nominations for Partnership for Quality Measurement (PQM) Committees
- Unleashing Prosperity Through Deregulation of the Medicare Program (Executive Order 14192) - Request for Information
- Dr. Mehmet Oz Shares Vision for CMS
- CMS Refocuses on its Core Mission and Preserving the State-Federal Medicaid Partnership
- Social Factors Help Explain Worse Cardiovascular Health among Adults in Rural Vs. Urban Communities
- Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation: Request for Input
- Secretary Kennedy Renews Public Health Emergency Declaration to Address National Opioid Crisis
- Secretary Kennedy Renews Public Health Emergency Declaration to Address National Opioid Crisis
- 2025 Marketplace Integrity and Affordability Proposed Rule
- Rural America Faces Growing Shortage of Eye Surgeons
- NRHA Continues Partnership to Advance Rural Oral Health
- Comments Requested on Mobile Crisis Team Services: An Implementation Toolkit Draft
- Q&A: What Are the Challenges and Opportunities of Small-Town Philanthropy?
Price of Prescription Drugs Rises
The Congressional Budget Office (CBO) reported on January 25, 2022, that the average net price of brand-name prescription drugs in Medicaid increased 48.3% between 2009 and 2018. Overall average net prescription prices in Medicaid, including brand and generic drugs, declined from $63 to $48.
Racial and Ethnic Disparities in COVID-19 Treatment
A new CDC report documents lower use of monoclonal antibody treatment among certain racial and ethnic minority patients with positive COVID-19 results, relative to white and non-Hispanic patients. Racial and ethnic differences were smaller for inpatient administration of remdesivir and dexamethasone.
HRSA Launches Health Center COVID-19 N95 Mask Program
The Health Resources and Services Administration (HRSA) Bureau of Primary Health Care (BPHC) launched a new initiative on January 17, 2022, with an initial group of 100-200 health centers nationwide invited to participate, with the expectation that it will grow incrementally. Program Information is available on HRSA Health Center COVID-19 N95 Mask Program | Bureau of Primary Health Care. Like the home COVID-19 testing kit initiative, FQHCs will be able to distribute N95 masks provided through the program to community partners, patients and the communities they serve.
HealthChoices 2022 Transition
During this week’s Medical Assistance Advisory Committee meetings, the PA Department of Human Services announced its goal of fully transitioning to the new HealthChoices contracts and managed care organization (MCO) assignments on July 1, 2022. The DHS Office of Medical Assistance Programs (OMAP) is developing a Communications Workgroup to assist in development of communications to consumers and providers about the transition. The workgroup will be compiled of representatives of MCOs, Maximus, consumers and providers. DHS said that those MCOs transitioning have committed to ensuring a smooth transition. OMAP is also developing a timeline graphic with key milestones, which will be coming out soon. Materials to support the transition will be on the Maximus website in mid-April. Mailings to consumers will be released late April, with a deadline of mid- to late-May to make their MCO selection. DHS anticipates 450,000 consumers will have a new MCO selection or assignment.
COVID-19 Updates and Advisories
The Pennsylvania Department of Health issued the following updates and advisories in correlation to the continuing COVID-19 pandemic:
622 – 1/25/22 – UPDATE: Return to Work for Healthcare Personnel with Confirmed or Suspected COVID-19
- 621 – 1/25/22 – UPDATE: Work Restrictions for Healthcare Personnel with Exposure to COVID-19
- 620 – 1/15/22 – ADV – Advisory: Therapeutics to Prevent and Treat COVID-19
Click here to access all the 2022 health alerts, advisories and updates.
Pharmacy Benefit Manager Fees Regulated
On December 14, 2021, the Centers for Medicare and Medicaid Services (CMS) unexpectedly issued a letter to U.S. Senator Ron Widen (D-OR) indicating that CMS plans to use its “administrative authority to issue proposed rulemaking” addressing price concessions and direct and indirect remuneration (DIR) fees that pharmacy benefit managers (PBMs) have increasingly charged to specialty and retail pharmacy providers in Medicare and other pharmacy benefit programs in recent years. The proposed regulation was issued on January 12.
Water Assistance Program Applications Available
The Low-Income Household Water Assistance Program (LIHWAP) is a temporary emergency program to help low-income families pay overdue water bills. LIHWAP is a grant. Recipients do not have to repay it. LIHWAP crisis grants may be available if an individual and/or household has an emergency and are in jeopardy of losing their water service. Eligible recipients can receive one crisis grant for their drinking water service and one crisis grant for their wastewater service, up to $2,500 each. Click here for more information about the program or how to apply.
Preventive Care Guidelines Mean Improved Coverage
The U.S. Department of Human Services, through the Health Resources and Services Administration (HRSA), has updated comprehensive preventive care and screening guidelines for women and for infants, children and adolescents. Under the Affordable Care Act, certain group health plans and insurance issuers must provide coverage with no out-of-pocket cost for preventive health services within these HRSA-supported comprehensive guidelines. Among a number of updates, for the first time the guidelines will require such group health plans and insurance plans to provide coverage without a co-pay or deductible for double electric breast pumps. Read more.
Health Center Volunteer Health Professional Program
The Senate HELP Committee released a discussion draft of the Prepare for and Respond to Existing Viruses, Emerging New Threats, and Pandemics Act (PREVENT Pandemics Act). This legislation focuses on strengthening the nation’s public health and medical preparedness and response systems in the wake of the COVID-19 pandemic. In particular, the bill includes language that removes the current statutory expiration date for the Health Center Volunteer Health Professionals Program. Currently, more than 100 health centers utilize more than 500 volunteer providers through the program. NACHC has pushed for an extension given the ongoing workforce shortages that many health centers are facing. A section-by-section summary and full text are available. The Senate HELP Committee is accepting comments on the draft through February 4, 2022, and could move to mark up the legislation after reviewing stakeholder feedback.
Build Back Better Act and Appropriations Continue
President Biden expressed support last week for breaking up the Build Back Better Act into smaller pieces of legislation. However, this strategy is problematic since the bill was designed to be passed using reconciliation, which can only be used a limited number of times per year and avoids a filibuster in the Senate by requiring only 51 votes. Republicans have resisted negotiating an omnibus FY22 with the BBB Act unresolved, and House and Senate appropriators have struggled to overcome issues in determining top-level funding numbers and including policy riders, like the Hyde Amendment. Another continuing resolution (CR) after the current one ends on February 18, 2022, is possible as House and Senate appropriators work to strike a deal. Congress is also considering including additional supplemental COVID-19 relief funding as well as telehealth flexibility extensions in an omnibus appropriations bill.