Rural Health Information Hub Latest News

Electronic Exchange Requirements Move Closer to Reality

After several COVID-related delays, the Office of the National Coordinator (ONC) has set a December 31 deadline for the healthcare industry to support apps that store records electronically, such as Apple Health. This is part of the 21st Century Cures Act, and it works both ways: Health IT developers will need standardized APIs and FHIR technology to support data exchange and interoperability, and providers will be expected to use APIs and FHIR technology. Patients won’t be required to use apps, but medical offices will at least have to support electronic exchanges using the FHIR standards. What remains to be seen is how this will be enforced.

Funding for Nurse Practitioners in Underserved Communities

The University of Pennsylvania has announced the Leonard A. Lauder Community Care Nurse Practitioner Program, which will recruit and prepare a diverse cadre of nurse practitioners to provide primary care to individuals and families in underserved communities. The $125 million donation by Leonard A. Lauder, chairman emeritus of The Estée Lauder Companies, to create this first-of-its-kind, tuition-free program is the largest gift ever to an American nursing school. Lauder is a Penn alumnus.

Licensing Tools for Health Professionals

The Federal Office of Rural Health Policy (FORHP) has created the following web-based tools for certain health professions:

  • Online Resource for Licensure of Health Professionals. As telehealth usage increased during the pandemic, FORHP funded new work with the Association of State and Provincial Psychology Boards to reduce the burden of multi-state licensure. The site provides up-to-date information on emergency regulation and licensing in each state for psychologists, occupational therapists, physical therapists assistants and social workers.

Mobilizing Health Care Workforce via Telehealth. ProviderBridge.org was created by the Federation of State Medical Boards through the CARES Act and the FORHP-supported Licensure Portability Grant Program. The site provides up-to-date information on emergency regulation and licensing by state as well as a provider portal to connect volunteer health care professionals to state agencies and health care entities.

COVID-19 Can Destroy Placenta and Lead to Stillbirths

New research bolsters evidence from small case reports and confirms that placenta damage rather than an infection of the fetus is the likely cause of many COVID-19-related stillbirths. Researchers in 12 countries, including the U.S., analyzed placental and autopsy tissue from stillbirths and newborns who died shortly after birth. The cases all involved unvaccinated women who had COVID-19 during their pregnancy. Researchers found that placentas were infected and extensively destroyed. Read more.

Contract Pharmacy Restrictions Implemented

This week, GlaxoSmithKline (GSK) announced that it is implementing contract pharmacy restrictions under 340B. Fortunately, (and despite the somewhat confusing wording in the announcement) all FQHCs and other Federal “grantees” are exempted from these rules. GSK marks the 14th drug maker to implement 340B contract pharmacy restrictions and the 10th to explicitly exempt Federal “grantees” (which includes both FQHC grantees and look-alikes). Notably, GSK has informed hospitals that they can avoid the contract pharmacy restrictions if they provide data about their 340B drugs to the 340BESP website.

Special Enrollment Period

In 2021, the Pennie Board of Directors approved a Low-Income Special Enrollment Period (SEP) for individuals and dependents with household incomes that do not exceed 150% of the Federal Poverty Levels in accordance with the 2022 Notice of Benefit and Payment Parameters. These monthly SEPs are available for both new and current enrollees. New enrollees can enroll in a plan in any metal level now. Soon, Pennie will announce current enrollees can move to a silver-level plan. This SEP is available while subsidies under the American Rescue Plan remain in effect.

Insurance Commissioner Leaves Pennsylvania

Jessica Altman, Pennsylvania’s Insurance Commissioner, was named as new CEO of Covered California the state’s health insurance marketplace for ACA coverage. She serves as the Insurance Commissioner and chair of the Pennsylvania Health Insurance Exchange (Pennie) Authority Board of Directors. She also holds a leadership position with the National Association of Insurance Commissioners and is chair of the Health Insurance and Managed Care Committee. Mike Humphreys, Chief of Staff at the Pennsylvania Insurance Department, will fill Jessica’s position on the Pennie Board. Pennsylvania is the 5th largest insurance market in the nation.