Rural Health Information Hub Latest News

Nearly 75% Of U.S. Counties Lost Population Last Year as Deaths Outnumbered Births

 

Almost three-quarters of all U.S. counties reported more deaths than births last year, a development largely caused by the pandemic, which contributed to a dramatic slowing in the nation’s overall population growth, according to data released by the U.S. Census Bureau. Low fertility rates, which have persisted since the end of the Great Recession, and the nation’s continuing demographic shift toward an older population also combined to create the smallest population increase in 100 years. Read more.

U.S Records Highest Annual Death Rate in History

 

Nearly 3 in 4 counties across America suffered more deaths than births between the middle of 2020 and the middle of 2021, according to new data from the U.S. Census Bureau, as the coronavirus pandemic claimed hundreds of thousands of lives and slowed the nation’s growth rate to its slowest pace in history. More people died than were born in 2,297 of the nation’s 3,143 counties last year, the largest number of counties to record a natural decrease in American history. The new figures show more than 3.4 million Americans died in the yearlong period covered by the new data; the highest number of deaths ever recorded in a single year. The figure is 20% greater than it was two years ago before the pandemic began.

Need to Connect with a Pennsylvania HealthChoices MCO New to Your Region?

 

As Pennsylvania prepares to transition to new Physical HealthChoices managed care organization (MCO) zone assignments effective July 1, 2022, MCOs new to a zone should be reaching out to providers to build their network and establish network adequacy. The Pennsylvania Department of Human Services (DHS) says that because all the future MCOs are current MCOs, there are no new contacts; there are only MCOs slated to leave the program (Aetna), to leave specific zones (United and Highmark) and to enter specific zones (Geisinger, HealthPartners). MCO contacts can be found in the HealthChoices MCO directory. The directory has all the contact information for all the plans and can be used with the list of selected plans for each zone.

HHS Updates COVID-19 Test Results Guidance

 

The U.S. Department of Health and Human Services (HHS) updated its guidance on reporting COVID-19 test results. This updated guidance will go into effect on April 4, 2022. Specifically, beginning April 4, 2022, COVID-19 testing facilities that test under a CLIA certificate of waiver are no longer required to report NEGATIVE results for tests authorized for use under a CLIA certificate of waiver, which includes PCR and antigen tests. Find the guidance here.

Pennsylvania Refugee and Immigrant Health Needs Assessment are Being Conducted

The Penn State College of Medicine and the Pennsylvania Refugee Health Promotion Program are working to conduct the state’s first Refugee/Immigrant Health Needs Assessment. The goal is to work with resettled Nepali-speaking Bhutanese, Congolese, and Syrian communities to assess their perceived healthcare needs. Survey participants must identify with one of the aforementioned communities and be 18 years or older to participate. The goal is to collect data from around 150 participants from each community. Each participant who completes the survey will receive a $10 gift card via email to thank them for their time. The survey can be found here. For more information, contact Chandat Phan, President of the Global Health Interest Group, Penn State College of Medicine.

The House of Representatives Plans a Vote on Insulin Cap Legislation

 

The U.S House of Representatives intends to vote on a bill later this week to cap the cost of an insulin co-pay at $35 for privately insured and Medicare patients. The bill, HR 6833, the Affordable Insulin Now Act, is an effort by Democrats to lower the rising costs of prescription drugs. After the bill moves through the House, the Senate plans to take up the bill and pair it with a yet to be determined bipartisan proposal that would target Pharmacy Benefit Managers to lower the price of insulin.

Pennsylvania PROMISe No Longer Quite Meeting Its Promises

 

The Pennsylvania Department of Human Services (DHS) announced that it will release a request for proposals (RFP) on September 1, 2022, for a vendor to take over the state’s Medicaid Management Information System (MMIS). Implementation is targeted for Nov. 1, 2024. The commonwealth is procuring a new MMIS to replace its aging Provider Reimbursement and Operations Management Information System (PROMISe™). The state also plans to release a solicitation for an external quality review organization on July 1, 2022.

Rural Hospital Profitability During the Global COVID-19 Pandemic Requires Careful Interpretation

Since the start of the coronavirus pandemic, the federal government has provided enhanced financial support for hospitals and other health care providers to compensate for revenue loss and higher costs.  This brief from the North Carolina Rural Health Research and Policy Analysis Center describes the pre-pandemic trend of rural hospital profitability and explains why possible increases in reported profitability during the pandemic may mask the long-term financial challenges of rural hospitals.

The Census Bureau Updates Criteria for Defining Urban Areas

Last week, the U.S. Census Bureau published its final criteria for defining urban areas based on the results of the 2020 Decennial Census.  Rather than distinctions for urbanized area or an urban cluster, all areas with a population of at least 5,000 and containing at least 2,000 housing units will be designated urban areas. The notice defines rural as territory not defined as urban. Some federal and state agencies use the Census Bureau’s urban-rural classification for allocating funds, setting standards, and implementing aspects of their programs. Stakeholders should be aware that the changes to the urban area criteria also might affect the implementation of these programs.