Rural Health Information Hub Latest News

Institute Looks at Impact of COVID-19 Pandemic on Employment in Pennsylvania

Continuing its analysis on the impact of the COVID-19 pandemic on Pennsylvania, the Institute of State and Regional Affairs (ISRA) at Penn State Harrisburg has released a report comparing the economic impact of the pandemic on business sectors in Pennsylvania. The report — which is one tool that may be used to inform decision-making by local officials — found that unemployment claims grew at an alarming rate from the week of March 21 through the week of April 11, totaling nearly 1.7 million cases, and that cases may continue to grow past 2 million.

“As the commonwealth reopens, statewide leaders have many factors to consider. It is important that tools being used to support decision-making related to economic impacts pay attention to the job sectors that were hardest hit,” said Philip Sirinides, director of ISRA.

Using employment data from the Bureau of Labor Statistics and Pennsylvania Gov. Tom Wolf’s definition of essential businesses paired with data on establishments, employment, and unemployment claims, the new report assesses the economic impact of the pandemic in Pennsylvania. The report found that at least 1.2 million employees worked in industries impacted by business establishment closures.

APHA and NAM: COVID-19 Conversations

The American Public Health Association (APHA) and the National Academy of Medicine (NAM) hosted a webinar series over the last seven weeks with experts from the fields of public health, infectious disease, risk communication, and crisis standards of care. The recordings of past sessions are available here.

CMS Issues Final Rule for the 2021 Annual Notice of Benefit and Payment Parameters

On May 7, 2020, CMS released the final annual Notice of Benefit and Payment Parameters and Letter to Issuers for the 2021 benefit year. This final rule and Letter set forth payment parameters and instructions to insurers participating in the Health Insurance Exchanges or “Marketplaces”. Among the changes for 2021 are counting drug manufactures coupon toward the annual limitation on cost sharing and promoting the adoption of Value-based Insurance Designs (VBID). CMS also announced a one-week extension of the Qualified Health Plan (QHP) certification and rate review timelines to help issuers and states to better collect and assess data around the effects of COVID-19 and thereby establish more accurate premium rates. Find more information on the notice here. Generally, more information on rural health insurance issues is available from the RHIhub.

Comments Requested: Proposed Updates for FY2021 Medicare Inpatient and Long-term Care Hospital Payments – July 10

On May 11, 2020, CMS released proposed policies and payment updates for acute care and long-term care hospitals for the 2021 Federal fiscal year. In recognition of the significant impact of the COVID-19 public health emergency, CMS has limited annual rulemaking required by statute to focus primarily on essential policies. Of note to rural hospitals, CMS has decided to delay a proposed update to the Overall Hospital Quality Star Rating methodology in recognition of the significant impact of the COVID-19 public health emergency. CMS noted its intention to return to this topic in future rulemaking. CMS is also proposing to expand the definition of displaced resident under the Graduate Medical Education policy to provide greater flexibility. Find more information here.