- CMS: Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
- Public Inspection: CMS: Medicare Program: Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model
- CMS: Secretarial Comments on the CBE's (Battelle Memorial Institute) 2024 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
- HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization Program
- Announcing the 2030 Census Disclosure Avoidance Research Program
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2026 Rates; Requirements for Quality Programs; and Other Policy Changes; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare and Medicaid Programs; Contract Year 2026 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Correction
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- CMS: Medicare Program; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
Healthy People 2020 Final Review
The National Center for Health Statistics (NCHS) released the Overview of Health Disparities, the final component in the Healthy People 2020 Final Review suite of products. This component displays changes over time in disparities for a subset of measurable objectives by six selected characteristics: sex, race and ethnicity, educational attainment, family income, disability status, and geographic location.
The Overview of Health Disparities is interactive and includes a chart and table that can be filtered by Healthy People 2020 topic area(s) and population characteristic(s).
Tips from Former Smokers® Campaign Launch
2022 marks the 10th anniversary of the Tips From Former Smokers® (Tips®) campaign from CDC’s Office on Smoking and Health. This year, ads will appear on network broadcast television and national cable television, Monday–Friday, from February 28 to March 27. Ads will feature Christine B., who quit smoking after she was diagnosed with oral cancer. CDC’s Office on Smoking and Health has developed an online toolkit that includes images and messages about the campaign. CDC Tobacco Free Twitter and Facebook accounts will also be sharing more about Christine B.’s story throughout the month. Dental professionals can play a critical role in helping their patients quit tobacco use. We encourage you to learn more about the Tips® campaign by accessing the toolkit and engaging with the social posts. Learn more.
Dental professionals can also learn effective strategies on how to talk to patients about tobacco use and referring to QuitLine resources by taking Integrating Nicotine Dependence Treatment with Oral Health: For Dental Professionals (INDTOH). This free, two-part webinar series is hosted by PCOH and presented in partnership with Nicotine Free NWPA and includes 2.5 CEUs.
Mission of Mercy in Pennsylvania (MOM-n-PA) Volunteer Registration Now Open!
MOM-n-PA is an annual two-day free dental clinic for Pennsylvanians who cannot afford dental care. MOM-n-PA provides dental care for the relief of pain to thousands of the most needy, many of whom are from working families who do not have access or cannot afford dental insurance.
This year’s event will be held in York, PA on June 10 and 11, 2022.
No Surprises Act: Consumer Stakeholder Listening Sessions Announced on the Implementation
The U.S. Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) continue to host a series of listening sessions to obtain feedback on CMS’ efforts to help ensure robust awareness, outreach, and education for consumers and consumer stakeholders of important new No Surprises Act (NSA) protections. We are pleased to announce that we have added an additional session for June 2, 2022 at 3:00 PM ET.
In this series of listening sessions, we wish to first understand from consumer advocates the role they can play to help educate consumers about the protections in the NSA as well as to receive input from the field about the consumer experience so far. We also want feedback from consumer advocates on the tools, consumer website, guidance, social media, paid media, marketing, word of mouth awareness, and other resources necessary to help educate consumers on their rights and protections under NSA.
The sessions will have a question and answer chat and we will address as many on-topic comments, ideas, and questions as time permits. We will likely not be able to respond to all comments individually, but all those we receive will be used to improve our efforts and help plan future sessions.
During the sessions we will be focusing on consumer outreach, education, and implementation and will not be addressing technical questions specific to NSA provisions or policy, or from a provider’s perspective. We really want your feedback and innovative ideas to help educate consumers and we encourage you to participate.
To learn more about the No Surprises Act, visit: https://www.cms.gov/nosurprises.
When: 3:00 PM ET on April 7, May 5, and June 2.
If you have already registered for this series, you must re-register to sign up for the June 2nd session.
Who should attend: This series is designed for organizations who advocate for and/or assist healthcare consumers.
RSVP: click here
Registering for the listening sessions will register you for all sessions. After registering, you will receive a confirmation email containing information about joining the webinar.
This meeting is closed to press.
Pennsylvania Provides Resources to Help Women Lead Healthy, Vibrant Lives
Pennsylvania Governor Wolf’s Administration and the Pennsylvania Department of Human Services (DHS) are committed to improving the extent and quality of care for Pennsylvania women and families, especially our most vulnerable through a delicate and crucial period of their lives. Through Medicaid expansion, 3.3 million Pennsylvanians currently receive crucial services.
Expanding Perinatal Services
DHS is working to improve the health and wellness of Pennsylvania mothers — especially those who historically and disproportionately experience health inequity, such as Black Pennsylvanians:
Pregnancy-Related Deaths
- In Pennsylvania, pregnancy-related deaths grew by more than 21 percent between 2013 and 2018.
- About 12 percent of pregnancy-related deaths occur between six weeks and one year postpartum, but almost 60 percent of those are preventable.
- Black women are almost two times more likely than white women to die after giving birth.
Perinatal Mental Health
- Perinatal depression is the most common complication during pregnancy and the postpartum period.
- 1 in 7 women experience depression during or following a pregnancy, but too often it can go undiagnosed.
- A 2018 study published by the National Institute of Health (NIH) reported that just 1 in 5 women report symptoms of depression or anxiety during or after a pregnancy to a health care provider, but follow through for treatment may be even lower, especially for women of color.
The American Rescue Plan Act allows states to implement a new Medicaid state plan option beginning in April 2022 that will expand the Medicaid coverage period for new moms from 60 days to one year after giving birth. This extension will help mothers continue to access physical and behavioral health care necessary to keep themselves healthy and their families on a path to good health and well-being.
Doula Pilot Program for Incarcerated Pregnant Women
DHS — in a partnership with the PA Department of Corrections, Tuttleman Foundation and Genesis Birth Services — established a pilot program at SCI Muncy offering doula services to women who are pregnant while incarcerated. The goal of the program is to support mothers through a difficult and vulnerable period and empower them as they prepare to reenter their communities.
Doulas are trained birthing and postpartum support professionals who work with expecting and new mothers to provide the following services, including:
- Non-clinical physical and emotional support through pregnancy, labor and delivery, and the postpartum period.
- Work with mothers to help them prepare for childbirth.
- Create a birthing plan and plans for the postpartum recovery and care.
- Support the mother and infant as they navigate nursing and feeding.
- Support the mother through perinatal depression and anxiety.
- Other milestones through pregnancy and postpartum.
The seven women participating in the pilot will receive doula services during their pregnancy, at the birth of their child, and through 365-days post-partum. If a pilot participant reenters her community prior to the end of the post-partum period, the doula service will continue.
The doula providing services at SCI Muncy is also helping to facilitate parenting classes and discussion groups in conjunction with the facility’s on-staff counselors.
Apply for Medical Assistance
Medical Assistance coverage for pregnant women can begin as soon as your doctor or nurse informs you that you are pregnant. You can apply for benefits in any of the following ways:
- You may apply online using COMPASS. You can also use COMPASS to apply for other benefits such as the Supplemental Nutrition Assistance Program (SNAP) and Cash Assistance.
- You can also contact your local county assistance office for an application or you may download an application form (below) to send to your county assistance office. If you need help completing the application form and a friend or relative is unable to help you, trained county assistance office staff members can help you.
Additional Women’s Resources in Pennsylvania
- Governor’s Commission for Women
- Women’s Health Caucus — PA House Representatives
- Women’s Health and Advocacy Committee — PA Senate Democrats
- Women, Infants, and Children (WIC) Program
- Women On the Bench in Pennsylvania — The Unified Judicial System of PA
- Child Care Works Program — DHS
NRHA Announces Top Rural and Community Hospitals
The National Rural Health Association (NRHA) announced the 20 highest-ranked prospective payment system (PPS) hospitals in the country based on an evaluation by the Chartis Center for Rural Health. The hospitals are identified using the Chartis Rural Hospital Performance INDEX, the most comprehensive and objective assessment of rural PPS hospital performance. These hospitals will be recognized May 12 during NRHA’s Rural Hospital Innovation Summit in Albuquerque, NM.
The determining factors for the top 20 rural and community hospitals are based on eight indices: inpatient market share, outpatient market share, quality, outcomes, patient perspective, cost, charge, and financial efficiency. “NRHA is committed to ensuring our members have the best information to manage their hospitals,” says Brock Slabach, NRHA membership services senior vice president. “We’re pleased to recognize the accomplishments of these rural and community hospitals.”
The top 20 rural and community hospitals are:
- Aurora Medical Center Manitowoc County, Two Rivers, WI
- Avera Sacred Heart Hospital, Yankton, SD
- Brookings Health System, Brookings, SD
- Castleview Hospital, Price, UT
- Cedar City Hospital, Cedar City, UT
- Garrett Regional Medical Center, Oakland, MD
- Hays Medical Center, Hays, KS
- Jefferson Hospital, Louisville, GA
- Lakes Regional Healthcare, Spirit Lake, IA
- Memorial Hospital and Health Care Center, Jasper, IN
- Mercy Health–Tiffin Hospital, Tiffin, OH
- Munson Healthcare Cadillac Hospital, Cadillac, MI
- MyMichigan Medical Center Alpena, Alpena, MI
- Prairie Lakes Healthcare System, Watertown, SD
- Punxsutawney Area Hospital, Punxsutawney, PA
- Riverside Shore Memorial Hospital, Onancock, VA
- Schneck Medical Center, Seymour, IN
- Seymour Hospital, Seymour, TX
- Spencer Hospital, Spencer, IA
- UCHealth Yampa Valley Medical Center, Steamboat Springs, CO
About NRHA
NRHA is a nonprofit organization working to improve the health and well-being of rural Americans and provide leadership on rural health issues through advocacy, communications, education, and research. NRHA’s membership is made up of diverse individuals and organizations from across the country, all of whom share the common bond of an interest in rural health.
About the Chartis Group
The Chartis Group® (Chartis) provides comprehensive advisory services and analytics to the health care industry. It brings critical thinking and deep industry experience paired with cutting-edge data, analytics, and technology to deliver #NextIntelligence. With an unparalleled depth of expertise in strategic planning, performance excellence, health analytics, informatics and technology, digital and emerging technologies, clinical quality and operations, and strategic communications, Chartis helps leading academic medical centers, integrated delivery networks, children’s hospitals, and health care service organizations achieve transformative results and build a healthier world. Chartis has offices in Atlanta, Boston, Chicago, New York, Minneapolis, and San Francisco. For more information, visit www.chartis.com.
Emergency Broadband Benefit Snapshot
Rural LISC has launched a new tool, developed in collaboration with Heartland Forward, that maps 2021 enrollment in the Federal Communications Commission’s (FCC) Emergency Broadband Benefit (EBB) Program. The map presents a nationwide view of household EBB enrollment based on eligibility by ZIP Code. On average across the country, an estimated 17% of households that were eligible for the benefit enrolled.
The tool is designed to aid Digital Navigators and other partner organizations in identifying the communities that can benefit most from outreach and awareness efforts on broadband access. A new, long-term federal discount on internet service for low-income households, the Affordable Connectivity Program (ACP), replaced EBB on January 1, 2022.
Users are invited to engage with the map by entering the ZIP Code, city name, county name, or an address of their choice. Users can also toggle on a terrestrial broadband layer, depicting if wired or fixed wireless broadband internet is available in an area.
Click here to access the map.
End of the COVID-19 Public Health Emergency: Medicaid/CHIP ‘Unwinding Period’ Tools and Guidance
The Centers for Medicare and Medicaid Services (CMS) compiled a webpage with state resources for the ‘unwinding period’ when the Public Health Emergency (PHE) provisions for continuous Medicaid/CHIP coverage will terminate. Recent guidance for state programs establishes a 12-month period for re-determinations of eligibility after the end of the PHE. It is anticipated that millions of people nationwide will lose coverage including many in rural communities. On this webpage CMS has provided state Medicaid/CHIP programs with toolkits for planning an orderly transition for individuals losing Medicaid/CHIP eligibility to affordable private offerings under state health exchanges.
See the resource compilation webpage here: Unwinding and Returning to Regular Operations after COVID-19 | Medicaid
Pennsylvania Prepares for Changes to the HealthChoices Medicaid Organizations
The Pennsylvnia Department of Human Services (DHS) leadership announced in mid-January that they intend to implement changes to the managed care plans operating the physical health (PH) HealthChoices program effective July 1, 2022. Approximately 460,000 Medicaid consumers will be required to choose a new managed care plan or be auto-assigned into one. The remaining 2.3 million consumers in the HealthChoices program will have the option to choose a new managed care plan and will have new plan options available. This will affect dental coverage and dental providers as well.
Click here to read more on this from the PA Health Law Project.
Evaluating State Flex Program Population Health Activities
The Flex Monitoring Team has released a new policy brief, Evaluating State Flex Program Population Health Activities.
The Medicare Rural Hospital Flexibility (Flex) Program funds initiatives to improve the health of rural communities under Program Area 3: Population Health Improvement. This brief: (a) provides an overview of the expectations for Program Area 3; (b) summarizes State Flex Program (SFP) initiatives under this Program Area; (c) describes promising population health strategies implemented by SFPs; and (d) discusses outcome measurement issues for population health. It also describes a pathway to connect Flex Program population health efforts to the U.S. Department of Health and Human Services’ Healthy Rural Hometown Initiative (HRHI), a five-year multi-program effort to address the factors driving rural disparities in heart disease, cancer, unintentional injury, chronic lower respiratory disease, and stroke.
A companion brief, An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023, provides a detailed description of population health initiatives proposed by the 45 SFPs.