- CMS: Medicare and Medicaid Programs: CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
- Public Inspection: CMS: Medicare and Medicaid Programs: CY 2026 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
- 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
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Announcing the 2030 Census Disclosure Avoidance Research Program
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization 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
Strategies for Disseminating and Implementing COVID-19 Public Health Prevention Practices in Rural Areas
By Beth Prusaczyk, PhD, Department of Medicine, Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri
The rapid spread of COVID-19 across the United States (US) demands a similarly rapid scientific response to mitigate the impact. While the initial scientific discourse about the virus appropriately focused on virology, clinical features, and therapeutics, there is now equal, if not greater, attention on the public health practices that are immediately needed to slow the spread as the response shifts from―containment‖ to―mitigation.
To mitigate the spread of the virus, numerous states have enacted policies that restrict their residents statewide, such as closing all schools, limiting gatherings over a certain amount, or issuing ―shelter in place/stay at home‖ orders for all non-essential activities. These―social or physical distancing‖ practices are seen by many public health experts as the most effective tools currently available to slow the transmission of the virus.
Updated: Most Aggressive States Against the Coronavirus – WalletHub Study
With nearly all of the 50 states in some form of lockdown to fight the spread of COVID-19, WalletHub today released updated rankings for the Most Aggressive States Against the Coronavirus, as well as accompanying videos.
To identify which states are taking the most aggressive actions to combat coronavirus, WalletHub compared the 50 states and the District of Columbia across 51 key metrics. The data set ranges from tested cases of COVID-19 per capita to school closures, ICU beds, and shelter-in-place policies. Below, you can see highlights from WalletHub’s report, along with a summary of the largest changes in rank from our previous report and a Q&A with WalletHub analysts.
|
States with Most Aggressive Measures |
States with Least Aggressive Measures |
| 1. New York | 42. Texas |
| 2. District of Columbia | 43. Utah |
| 3. Alaska | 44. Florida |
| 4. Hawaii | 45. Mississippi |
| 5. New Jersey | 46. Arkansas |
| 6. Rhode Island | 47. Wyoming |
| 7. Washington | 48. Alabama |
| 8. Massachusetts | 49. Nebraska |
| 9. New Hampshire | 50. South Dakota |
| 10. West Virginia | 51. Oklahoma |
Note: Rankings reflect data available as of 1 p.m. ET on April 6, 2020.
National Public Health Week 2020
The week of April 6-12, 2020 is National Public Health Week. Join the American Public Health Association in recognizing the contributions of public health and highlighting issues that are important to improving overall health. Use the hashtag “#NPHW2020” on social media and consider joining the Twitter Chat on April 8 at 2 p.m.
Click here for more information.
Click here to register for the Twitter Chat.
Free Oral Health Educational Curriculum: Smiles for Life
Smiles for Life (SFL) is a free online oral health curriculum. The curriculum consists of 60-minute modules covering core areas of oral health relevant to health professionals. The topics are: The Relationship of Oral Health & Systemic Health, Child Oral Health, Adult Oral Health, Acute Dental Problems, Pregnancy & Woman’s Oral Health, Caries Risk Assessment Fluoride Varnish & Counseling, The Oral Exam, and Geriatric Oral Health.
Lessons from The Front Lines: COVID-19
On April 3, CMS Administrator Seema Verma, Deborah Birx, MD, White House Coronavirus Task Force, and officials from the FDA, CDC, and FEMA participated in a call on COVID-19 Flexibilities. Several physician guests on the front lines presented best practices from their COVID-19 experience(s). You can listen to the conversation here.
Mental Health Remains a Concern in Rural America
As the coronavirus spreads across the country, the related anxiety, fear, and depression also threaten the health of Americans. Mental health experts say the combination of rising death tolls and social isolation make it difficult to cope with the pandemic. As the Director of the Office of Rural Mental Health Research, Andrea Beckel-Mitchener explains that rural communities often pursue counseling less often due to the “stigma to seeking help.” Further, rural areas often have less access to mental health care. Telehealth has received growing support recently and can greatly improve mental health care in rural communities. For tips on coping with social distancing and isolation, check out the advice given by Substance Abuse and Mental Health Services Administration.
Indian Health Services and Rural Areas to be Given COVID-19 Testing Priority
Politico reports that in a April 2, 2020 news briefing, Dr. Deborah Birx, the White House coronavirus coordinator, announced that rapid point-of-care tests will distributed to areas of the country where current COVID-19 testing is scarcest. “These are new tests, and we have prioritized the groups that we think have the least access to testing now,” Dr. Birx said. “Priority will be given to Indian Health Services and rural areas that do not have access to labs that perform high-volume coronavirus tests.”
Bipartisan Leaders Ask HHS to Help Rural Providers
With the support from the National Rural Health Association, 41 senators and 81 representatives wrote a letter to HHS Secretary Azar urging the administration to fairly distribute aid to rural hospitals and health clinics. Under the CARES Act, the HHS Secretary has flexibility in how the $100 billion fund will be allocated to struggling providers. The lawmakers requested that funding be provided to rural hospitals quickly, as many are running low on money while preparing for the coronavirus. NRHA is concerned that large health systems (who also need help) will consume the funds due to small rural providers’ inability to compete for the funds. We are advocating for a rural set-aside to be established within these funds to ensure that rural providers can access this important, much-needed funding.
Analysis: Telehealth Can Turn Hotels into Inpatient Monitoring Facilities
Daily Yonder
By Craig Settles
Rural America already has a shortage of hospital beds. Telehealth could help move some patients to a new type of facility powered by broadband. New temporary regulations in response to COVID-19 will allow the change.
Some Rural Counties Have Among Highest Infection Rates in U.S.
Daily Yonder
By Bill Bishop, Tim Marema and Jan Pytalski
The novel coronavirus continues to spread across rural America, according to data USA Facts has compiled from state health authorities. Yesterday, April 1, an additional 58 rural counties reported their first Covid-19 cases.
The impact of the novel coronavirus varies across the rural landscape. On average, there were 14.1 cases of COVID-19 for every 100,000 rural residents. That rate is well below the national rate of 55.9 cases per 100,000 residents.
But most of us don’t live in an “average” county. There are 80 rural counties with infection rates above the national average (shown in red in the map). And some rural counties have COVID-19 infection rates among the highest in the country.
Some of the highest rates are in Rocky Mountain ski counties. (The Yonder reported this phenomenon last week.) Blaine County, Idaho, has a COVID-19 infection rate of 1,164 per 100,000. For comparison, the Bronx in New York City reported a rate of 598.6, the highest tally of any central city area.