- 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; FY 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026
- Public Inspection: CMS: Medicare Program: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- CMS: Request for Information; Health Technology Ecosystem
- CMS: Medicare and Medicaid Programs; CY 2025 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; Medicare Prescription Drug Inflation Rebate Program; and Medicare Overpayments; and Appeal Rights for Certain Changes in Patient Status; Corrections and Correcting Amendment
- VA: Staff Sergeant Fox Suicide Prevention Grant Program Funding Opportunity
- HHS: Request for Information (RFI): Ensuring Lawful Regulation and Unleashing Innovation To Make American Healthy Again
New Research Brief: Pharmacy Vaccination Service Availability in Nonmetropolitan Counties
By Fred Ullrich, BA and Keith Mueller, PhD
With the authorization of vaccines for COVID-19, plans for administering those vaccinations across the United States are being implemented. The Department of Health and Human Services has partnered with 19 “large chain pharmacies and networks that represent independent pharmacies and regional chains” to administer the vaccine. As extensive as that network of pharmacy providers is, it does not include a number of nonmetropolitan counties. This brief uses data from the National Council for Prescription Drug Programs to identify counties where there are no pharmacies capable of providing vaccination services.
Over 100 nonmetropolitan counties (n=110) with a total population of 263,007 people have no pharmacy. A much larger number of counties (n=750) do not have a retail pharmacy directly affiliated with one of the 19 HHS ‘partner’ chains/networks. An unidentifiable number of pharmacies have a third party contracting group arrangement with one of the partners and so the number of counties without a ‘partner pharmacy’ is likely lower. If pharmacies indicating that they currently provide immunization service are added to the list of identified partner pharmacies, there are still 326 nonmetropolitan counties (total population over 1.5 million people) with no pharmacy providing immunization service.
Please click here to read the brief.
Pennsylvania Department of Banking and Securities Aids Nearly 5,000 Consumers Amid COVID-19 Pandemic
The Pennsylvania Department of Banking and Securities (DoBS) responded to nearly 5,000 complaints and inquiries about financial transactions, companies, or products in fiscal year 2019-2020 according to its recently released Consumer Services Annual Report.
The department saw an 18 percent increase in inquiries over last year, largely a result of consumers impacted by COVID-19, including questions about mortgage forbearance, payment deferrals, and scams, highlighted in the report. Of the 4,970 inquiries, the most common (28 percent) complaint or inquiry was related to bank account/services, especially withdrawals, and the second most prevalent complaint (20 percent) was mortgage issues, especially with processing and underwriting. On average, department staff helped resolve consumer issues in fewer than five days. The report also highlights aspects of financial caregivers’ fiduciary responsibility and increased activity with social payments.
“The department remains committed to protecting consumers when it comes to financial services,” said Tim Arthun, Deputy Secretary for Financial Services. “The uptick in calls and emails to our office about financial products, services, and scams is not surprising given the ongoing challenges of the COVID-19 pandemic. I commend our staff for their diligence in helping consumers navigate these complex issues while adapting to remote work.”
The department’s outreach staff offered 320 presentations across 56 counties and reached more than 27,000 consumers during the fiscal year. These events, which are typically held in person, moved entirely online beginning in March to help protect public health.
“I am continually impressed by the department’s entire staff who have remained steadfast in upholding the department’s mission and vision throughout the pandemic,” added Secretary of Banking and Securities Richard Vague. “With the assistance of the Office of Administration’s IT staff who helped seamlessly transition staff to telework, our Financial Services for Consumers and Business Deputate has been unwavering in its commitment to supporting consumers and helping to resolve their financial complaints and inquiries.”
The department’s Investor Education and Consumer Outreach is part of the governor’s Consumer Financial Protection Initiative. The staff works with state and local government agencies, service providers, community and trade organizations, the General Assembly, the military community, schools, and other partners to help Pennsylvanians across the commonwealth become well-informed about the financial marketplace. There are a variety of free, non-commercial programs and presentations available, or a program can be tailored to a specific group’s needs.
Anyone can ask questions or file complaints about financial transactions, companies, or services online or by calling 1-800-PA-BANKS (800-600-0007). Members of the public can stay informed about fraud and scams by following the Department of Banking and Securities on Facebook or Twitter or by subscribing to the department newsletter. Use #GovWolfCFPI to follow the Consumer Financial Protection Initiative on Twitter.
Pennsylvanians Urged to “Answer the Call” and Download the COVID App
The Pennsylvania Department of Health announced a new tool called the Connect & Protect Form where contact tracers will now reach out to 19- through 64- year-old residents within the department’s jurisdiction to gather a digital case investigation. This process will allow public health professionals to reach more cases in an efficient time frame to gather information relating to where the case went or who they came in contact with to support both case investigation and contact tracing efforts.
Between Sunday, December 6 and Saturday, December 12, there were 71,341 COVID-19 cases statewide, an increase of 8,648 cases compared to the previous seven-day period weekly numbers. Case investigations are being prioritized to address those cases that present the highest likelihood of leading to an outbreak. Of the 71,341 newly reported cases, 13 percent, or 9,274 cases, had a case investigation started within 24 hours of receiving the positive report. Public health professionals will continue calling to complete the case investigation after the 24-hour period. An additional four percent, or 2,853 cases, had a case investigation started within 48 hours.
Although public health professionals may call to start the case investigation, not all cases to obtain additional information are successful. The Department of Health leaves voicemails, texts, and sends a letter to the home requesting a return call. There were 6,420 people, or 9 percent of cases, in this reported week that were successfully contacted by a public health professional statewide.
After the initial case investigation is complete, contact tracing begins. Within the same time period of December 6 to December 12, there were 1,675 contact tracing staff working with local and county health entities, partner organizations and the Regional Response Health Collaboration Program within the Department of Human Services as well as volunteers from Co-County Wellness in Berks County and Penn Medicine Lancaster General Health. These staff monitored 8,197 contacts who were identified during the case investigations, an increase of 1,844 additional close contacts monitored compared to last week.
Currently, all of the allotted 1,090 people have been hired through Insight Global. Some of these staff have been promoted to perform case investigations to meet the immediate needs of increased caseloads. There are 50 case investigators, 40 supervisors, and 10 resource coordinators who will help to refer Pennsylvanians to services during quarantine across the commonwealth. An additional 50 contact tracers will be promoted and trained to become case investigators over the next two weeks.
Since the implementation of the Contact Tracing Management System in early October through December 12 in those areas of the state where Pennsylvania Department of Health is responsible for contact tracing, there have been:
- 62,700 contacts have been processed for areas where PA DOH has jurisdiction;
- 47,800 people, or 76 percent of the total contacts identified, have been effectively reached to communicate their quarantine status and offer ongoing symptom monitoring;
- 11,900 people, or about 19 percent of the total contacts, were not reached; and
- 1,700 were still in the process of being contacted.
On September 22, the department launched COVID Alert PA, a free mobile app that uses Bluetooth technology to let a person know that they have been exposed to COVID-19 without compromising the identity or location of either the person using the app, or of the person to whom they may have been exposed.
The Department of Health has made updates the COVID Alert PA app to include 13- through 17-year-old residents with parental consent to download the app and four new languages. This app is interoperable with 16 other states that also utilize the same notification exposure app technology.
In addition to the traditional case investigations and contact tracing process, there have been 527 cases that confirmed their positivity and uploaded their random ID’s through the app. These uploads generated 253 exposure alerts to persons who have downloaded the app on their phones and who were in close contact (six feet for 15 minutes or more) to the case. Of those who received the alerts, 41 individuals requested a call back for further assistance from a trained contact tracer.
As the contact tracing program expands, the Department of Health continues to work in partnership with over 150 organizations, in addition to the county and municipal health departments, through regional partnerships to help gather and answer questions, identify problems and find solutions to improve contact tracing efforts within the region.
Each regional partnership has met at least once, and includes public health staff, health providers, academic institutions, community organizations, and other stakeholders interested in helping to coordinate and engage around contact tracing efforts.
Organizations and entities interested in partnering in these efforts should reach out to RA-DHCONTACTTRACING@pa.gov.
You can find more information on the state’s contact tracing efforts at the Department of Health’s website here.
COVID-19 Vaccine Distribution in Pennsylvania
Pennsylvania hospitals began receiving shipments of the Pfizer-BioNTech COVID-19 vaccine the week of December 14. Through December 20:
- 97 hospitals have received 97,500 vaccine doses.
- 17,700 doses of the vaccine have been administered.
A spreadsheet of facilities that have received vaccine can be found here.
Links to updated guidance and Frequently Asked Questions can be found below:
Frequently Asked Questions for Businesses Operating During the COVID-19 Disaster Emergency: https://www.governor.pa.gov/covid-19/business-faq/
Guidance for Businesses in the Construction Industry Permitted to Operate During the COVID-19 Disaster Emergency: https://www.governor.pa.gov/covid-19/construction-industry-guidance/
Guidance for Businesses in the Restaurant Industry Permitted to Operate During the COVID-19 Disaster Emergency to Ensure the Safety and Health of Employees and the Public: https://www.governor.pa.gov/covid-19/restaurant-industry-guidance/
COVID-19 Guidance for Businesses: https://www.governor.pa.gov/covid-19/business-guidance/
CMS COVID-19 Stakeholder Engagement Calls-December 2020
CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.
Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.
Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts
COVID-19 Care Site-Specific Call
CMS-CDC Nursing Home Stakeholder Call
When: December 22, 2020; 1-2pm ET
Where: Participant Line: (833) 614-0820 (Conference ID: 7979889)
Overview: Please join CDC and CMS for this call with Nursing Homes focused on COVID 19 vaccination among residents and staff. During this call, you’ll receive:
- Updates on Pharmacy Partnership for Long-Term Care Program;
- Critical clinical, safety, and infection prevention and control considerations associated with implementation;
- Communication resources you can use to address resident and staff questions and concerns; and
- General reminders for the holiday season.
A questions and answer session will follow updates.
Acute Hospital at Home Q&A Session
When: Tuesday, December 22, 2020 10:30 AM-11:00 AM
Where: Participant Line: (833) 614-0820 (Conference ID: 3985903)
Join CMS for an Acute Hospital Care at Home Q&A Session. This call provides an opportunity for health systems interested in participating as well as hospitals currently enrolled in the program to seek clarification from CMS subject matter experts. Prior to the call, please review the publicly posted FAQs to verify if an answer to your question is available. Acute hospital care at home FAQs (PDF)
For the most current information including call schedule changes, please click here
To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: https://protect2.fireeye.com/url?k=36fa2226-6aae0b0d-36fa1319-0cc47a6d17cc-2d06c219f858d641&u=http://www.coronavirus.gov/. For information specific to CMS, please visit the Current Emergencies Website.
FDA Announces an Emergency Use Authorization for Moderna Vaccine Candidate
The FDA has determined that the Moderna COVID-19 Vaccine has met the statutory criteria for issuance of an EUA. The totality of the available data provides clear evidence that the Moderna COVID-19 Vaccine may be effective in preventing COVID-19. The data also support that the known and potential benefits outweigh the known and potential risks, supporting the vaccine’s use in millions of people 18 years of age and older, including healthy individuals. In making this determination, the FDA can assure the public and medical community that it has conducted a thorough evaluation of the available safety, effectiveness and manufacturing quality information.
A link to the full FDA press release is here. The press release also provides information and discussion on available safety and effectiveness data.
You can review the full Moderna COVID-19 Vaccine EUA Letter of Authorization here.
In addition to the EUA letter, below are links to fact sheets from the FDA:
Fact Sheet for Healthcare Providers Administering Vaccine (Vaccine Providers)
Fact Sheet for Recipients and Caregivers
Operation Warp Speed and private sector partners now begin distributing the first allocation of doses to sites designated by the public health jurisdictions and five federal agencies with which OWS and CDC have been working to plan distribution. HHS Secretary Alex M Azar II and Acting Secretary of Defense Christopher C. Miller have issued statements on this next step, and they can be viewed here.
For more information on COVID-19 vaccines, the EUA process, and guidance to industry for developing a COVID-19 vaccine please visit:
Emergency Use Authorization for Vaccines Explained
Emergency Use Authorization for Vaccines to Prevent COVID-19; Guidance for Industry
Development and Licensure of Vaccines to Prevent COVID-19; Guidance for Industry
CDC Launches Vaccine Inquiry Center for Health Care Providers
The CDC’s Vaccine Inquiry Center for all health care providers is now available to answer vaccine questions. You may send all inquiries to: eocevent168@cdc.gov
The CDC is also pointing people to this HRSA resource: COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured | Official web site of the U.S. Health Resources & Services Administration (hrsa.gov)
COVID-19: Add-on Payment for New Treatments
CMS issued an Interim Final Rule with Comment Period, which established the New COVID-19 Treatments Add-on Payment (NCTAP) under the Medicare Inpatient Prospective Payment System (IPPS), effective from November 2, 2020, until the end of the Public Health Emergency (PHE) for COVID-19. To mitigate potential financial disincentives for hospitals to provide new COVID-19 treatments during the COVID-19 PHE, the Medicare program will provide an enhanced payment for eligible inpatient cases that involve use of certain new products with current Food and Drug Administration approval or emergency use authorization to treat COVID-19. Visit the NCTAP webpage for more information.
COVID Impacts on Rural Dental Care System
Access to oral health care has become a growing concern over the past decade, and the COVID-19 pandemic has had a profound impact on all aspects of the oral health care system. Patients, dental providers, educators, and regulators are being asked to rapidly adjust to the COVID-19 crisis with almost no roadmap. To provide some guidance, the Oral Health Workforce Research Center has developed a new section of their website dedicated to sharing information on immediate impacts to the dental care system as a result of COVID-19, including care delivery, financing, regulation, and education.
COVID-19 Resource: Impacts on the Dental Care System
The COVID-19 pandemic has impacted all aspects of the oral health care system. The Oral Health Workforce Research Center (OHWRC) has developed a new section on their website dedicated to sharing information on immediate impacts to the dental care system as a result of COVID-19. The four key domains of the website include care delivery, financing, regulation, and education.