Rural Health Information Hub Latest News

Cybersecurity A Rising Concern

As a result of increased technology use and data sharing, along with the vaccine rollout effort and continuation of remote work, cybersecurity will become more of a focal point for healthcare companies in 2021, experts predict. The rise of telehealth has also led to more cyberattacks. Telehealth providers reported a huge increase in targeted attacks last year as adoption skyrocketed. Investment in cybersecurity also makes sense as two new Department of Health and Human Services regulations meant to nudge the industry toward interoperability are taking effect in April. They will result in health data being shared more broadly, raising significant privacy and security concerns. Additionally, Trump administration regulatory rollbacks finalized in late 2020 include provisions allowing providers, including hospitals, to share cybersecurity software with one another.

Employers Respond to Changing Needs of Workforce in Pandemic

The COVID-19 pandemic has made for a continually changing workforce environment. Companies are adapting their practices and policies to support their staff by offering flexible paid and unpaid leave policies, reimbursing remote-work expenses and giving access to tools for managing stress and improving mental health. Employers are also providing on-going support for employees to help them understand and maximize their benefit package. Click here for more information and recent survey results from the International Foundation of Employee Benefit Plans (IFEBP).

Study Finds Young Adults Are Major Coronavirus Spreaders

A new study finds that adults aged 20-49 were responsible for most virus transmission last year, even after schools reopened in the fall. The study, published in Science, challenges the notion that non-vulnerable people can go about their normal lives, while vulnerable people self-isolate. Three-quarters of new infections originated from adults 20–49 until mid-August of last year, with adults 35–49 contributing the most to spread. In October, after a large portion of U.S. students returned to school, this age group was still responsible for about 72 percent of new infections. The study estimates that school reopening’s increased total infections by about 26 percent as of October, and deaths by about six percent–because children and teenagers spread the virus to adults, who are “more transmission efficient.”

Long-Term Impacts of COVID-19 Leaves Questions

Millions of COVID-19 survivors worldwide–even those who had mild illness–are reporting long-term symptoms months later, including brain fog, persistent exhaustion and lung, heart or kidney damage. For too long, these long haulers, as they call themselves, have not been taken seriously enough by providers and researchers according to some doctors, adding that there’s an urgent need for dedicated research in order to treat patients with lingering symptoms. Many providers and healthcare systems initially dismissed the symptoms as related to something else, but growing evidence points to SARS-CoV-2 as the culprit in many cases. More research is needed to determine the full long-term effects.

Another Lawsuit Filed to Strike Down 340B Dispute Resolution Rule

Pharmaceutical Research and Manufacturers of America (PhRMA) sued in federal district court in Maryland to strike down the federal final rule that established the new 340B program administrative dispute resolution (ADR) process. It also wants the court to declare federal 340B program guidelines governing drug manufacturer audits of 340B covered entities illegal.

Biden Task Force Promises Aid to Hardest-Hit

Marcella Nunez-Smith, chair of President Biden’s COVID-19 Equity Task Force, told press and advocates during a January 28 White House health briefing that outreach to communities of color, people with disabilities and other marginalized groups will be a priority for the administration’s COVID-19 response. Black, Latino and Native Americans have disproportionately suffered higher rates of infection, hospitalization and death since the beginning of the pandemic, with the national death rate of Black patients reaching twice that of White patients last summer. Some distribution data suggest vaccine uptake is currently almost twice as high among White people on average than Black and Latino people despite the disproportionate morbidity and mortality rates.

New Report on the Financial Impact of COVID-19 on FQHCs

Capital Link has issued a new report providing a national picture of health center revenue loss, COVID-19-related expenses, the influx of relief funds through Dec. 31, 2020 and the estimated funding gap, based on the 15-month period from April 2020 through June 2021. Results show that the nation’s more than 1,400 Federally Qualified Health Centers (FQHCs) experienced a 26 percent decline in patient visits between April and December 2020, as patients complied with stay-at-home orders. Without additional support to cover the identified $5.5B shortfall through June 2021, many health centers sites will remain closed, and 29,000 staff may be laid off or furloughed and 66 percent of FQHCs will drain cash reserves to dangerous levels.

Federal Notices and Posting Requirements in a Remote Work Environment

A remote workforce can be challenging for employers that are required to display notices and posters in the workplace to advise employees of their rights under federal, state and local employment laws. The U.S. Department of Labor (DOL) recently provided guidance from the Wage and Hour Division on complying with its notice and posting requirements when employees are working remotely. The DOL bulletin clarifies how employers may comply with federal posting requirements using company secure email, employee handbook and handbook acknowledgments and an easily accessible space in the company intranet site or employee portal.

HHS Delays Rule That Would Prevent PBMs from Keeping Drug Rebates

The U.S. Department of Health and Human Services (HHS) delayed until March 22 a rule that would prevent pharmacy benefit managers (PBMs) from keeping drug rebates paid by drugmakers under Medicare Part D. The delay comes after the Pharmaceutical Care Management Association (PCMA), which represents PBMs, filed a federal lawsuit to block implementation of the rule.

HHS Amendment PREP Act Declaration Increases Who Can Administer COVID-19 Vaccines

The U.S. Department of Health and Human Services (HHS) issued a fifth amendment to the PREP Act Declaration (not to be confused with PrEP for HIV) under the Public Readiness and Emergency Preparedness Act (PREP Act) to add additional categories of qualified persons authorized to prescribe, dispense, and administer COVID-19 vaccines. And in Pennsylvania, there is a document from October 2020 that actually delineates who can administer COVID-19 vaccines, including dental providers. However, there are protocols that need to be followed in order to do so.