- 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; 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: Fiscal Year 2026 Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Program Requirements
- 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
- 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
New HRSA Find a Health Center Video Released
The Health Resources and Services Administration (HRSA) released a new video, “Find a Health Center,” to increase awareness about health centers and help potential patients locate a health center near them.
The Association of Rurality and Breast Cancer Stage at Diagnosis
A new study by the WWAMI Rural Health Research Center, led by David Evans, MD, found that patients from rural areas have lower breast cancer screening rates than urban patients.
The researchers found that a greater proportion of rural patients received an initial breast cancer diagnosis at a late stage compared with urban patients and that patients living in remote small rural counties had the highest rate of late-stage breast cancer at diagnosis. Breast cancer survival is known to be worse for rural patients compared to urban, and late stage at diagnosis may be a contributing factor. These disparities are longstanding and suggest areas for further research, advocacy, policy changes, and patient education. Further study is needed to identify appropriate screening availability in rural areas and the burdens that travel presents for patients where screening is not available.
Read more about rural breast cancer screening and a companion study of rural colorectal cancer screening.
New Policy Brief on CAHs Addressing Community Social Needs
The Flex Monitoring Team has released a new policy brief summarizing characteristics of Critical Access Hospital (CAH) initiatives addressing the social needs of individuals in their communities. The brief, How Critical Access Hospitals Are Addressing the Social Needs of Rural Populations, highlights the importance of partnerships in rural communities, as well as the need for support of hospital leadership, ample funding, and dedicated staff to make these programs effective.
In tandem with the previously published report, Rural Initiatives Addressing Community Social Needs, this work can provide additional knowledge for developing population health initiatives in rural areas.
CMS Releases Updated Fact Sheet on Current Medicaid and CHIP Health Coverage Options Available for Afghan Evacuees
The Centers for Medicare & Medicaid Services (CMS) released an updated fact sheet, based on recent legislative changes, to help states and advocacy organizations understand what health coverage options are available to Afghan evacuees.
Afghan evacuees arriving in the United States will be eligible for health coverage through Medicaid, the Children’s Health Insurance Program (CHIP), the Health Insurance Marketplace, or refugee medical assistance (RMA or other health coverage provided by the Office of Refugee Resettlement (ORR)). RMA is provided through the Administration for Children and Families (ACF) and administered in most cases by state Medicaid programs. Eligibility for each coverage program depends on the state where an evacuee is residing and the eligibility criteria for the respective program.
Learn more here: https://medicaid.gov/medicaid/eligibility/downloads/hlth-cov-option-afghan-evac-fact-sheet.pdf
Pennsylvania Trauma Systems Foundation Releases List of Current Accredited Trauma Centers in the State
In Pennsylvania, there are four levels of trauma centers. Level I trauma centers provide the highest degree of resources with a full spectrum of specialists and must have trauma research and surgical residency programs. Level II trauma centers require the same high level of care but do not require research and residency programs. Level III trauma centers are smaller community hospitals that do not require neurosurgeons and focus on stabilizing severe trauma patients prior to transport to a higher-level trauma center. They may admit patients with mild and moderate injuries. Level IV trauma centers provide enhanced care to injured patients within the emergency department and focus on stabilization and quick transfer to a higher-level trauma center. They may admit mildly injured patients.
Each trauma center regardless of its level is an integral component of the emergency medical services (EMS) system. The EMS system assures appropriate patient care management from the time of injury to treatment at a local hospital or trauma center through the rehabilitative phase of care. Trauma centers are hospitals with resources immediately available to provide optimal care and reduce the likelihood of death or disability to injured patients. Accredited trauma centers must be continuously prepared to treat the most serious life threatening and disabling injuries. They are not intended to replace the traditional hospital and its emergency department for minor injuries.
Effective November 1, 2021, there are 49 accredited trauma centers in Pennsylvania.
Combined Adult Level I /Pediatric Level I Trauma Centers
- Hershey – PennState Health Milton S. Hershey Medical Center/ PennState Health Children’s Hospital
Combined Adult Level I/Pediatric Level II Trauma Centers
- Allentown – Lehigh Valley Health Network – Lehigh Valley Hospital Cedar Crest/ Lehigh Valley Reilly Children’s Hospital
- Danville – Geisinger Medical Center/ Geisinger Janet Weis Children’s Hospital
Adult Level I Trauma Centers
- Bethlehem – St. Luke’s University Health Network – St. Luke’s University Hospital Bethlehem
- Johnstown – Conemaugh Health System – Conemaugh Memorial Medical Center
- Lancaster – Penn Medicine Lancaster General Health – Lancaster General Hospital
- Philadelphia – Einstein Healthcare Network – Einstein Medical Center Philadelphia
- Philadelphia – Temple Health – Temple University Hospital
- Philadelphia – Jefferson Health – Thomas Jefferson University Hospital
- Philadelphia – Penn Medicine – Penn Presbyterian Medical Center
- Pittsburgh – Allegheny Health Network – Allegheny General Hospital
- Pittsburgh – University of Pittsburgh Medical Center – Mercy
- Pittsburgh – University of Pittsburgh Medical Center – Presbyterian
- West Reading – Tower Health – Reading Hospital
- York – WellSpan Health – WellSpan York Hospital
Pediatric Level I Trauma Centers
- Philadelphia – Tower Health – St. Christopher’s Hospital for Children
- Philadelphia – The Children’s Hospital of Philadelphia
- Pittsburgh – University of Pittsburgh Medical Center – Children’s Hospital of Pittsburgh
Adult Level II Trauma Centers
- Abington – Jefferson Health – Abington Hospital
- Altoona – University of Pittsburgh Medical Center – Altoona
- Bethlehem – Lehigh Valley Health Network – Lehigh Valley Hospital – Muhlenberg
- Camp Hill – PennState Health Holy Spirit Medical Center
- Easton – St. Luke’s University Health Network – St. Luke’s Hospital Anderson Campus
- Erie – University of Pittsburgh Medical Center – Hamot
- Langhorne – Trinity Health Mid-Atlantic – St. Mary Medical Center
- Monroeville – Allegheny Health Network – Forbes Hospital
- Paoli – Main Line Health – Paoli Hospital Main Line
- Philadelphia – Jefferson Health – Jefferson Torresdale Hospital
- Sayre – Guthrie Robert Packer Hospital
- Scranton – Geisinger Community Medical Center
- Sellersville – Grand View Health – Grand View Hospital
- Upland – Crozer-Keystone Health System – Crozer-Chester Medical Center
- Wilkes-Barre – Geisinger Wyoming Valley Medical Center
- Williamsport – University of Pittsburgh Medical Center – Williamsport
- Wynnewood – Main Line Health – Lankenau Medical Center Main Line
Level III Trauma Centers
- East Stroudsburg – Lehigh Valley Health Network – Lehigh Valley Hospital Pocono
Level IV Trauma Centers
- Coaldale – St. Luke’s University Health Network – St. Luke’s Hospital Miners Campus
- Grove City – Allegheny Health Network – Grove City Hospital
- Hastings – Conemaugh Miners Medical Center
- Hazleton – Lehigh Valley Health Network – Lehigh Valley Hospital Hazleton
- Honesdale – Wayne Memorial Hospital
- Jersey Shore – Geisinger Jersey Shore Hospital (Effective 11/1/21)
- Lehighton – St. Luke’s University Health Network – St. Luke’s Hospital – Lehighton Campus (Effective 11/1/21)
- Lewistown – Geisinger Lewistown Hospital (Effective 11/1/21)
- McConnellsburg – Fulton County Medical Center
- Orwigsburg – Geisinger – St. Luke’s Hospital (Effective 11/1/21)
- Quakertown – St. Luke’s University Health Network – St. Luke’s Hospital Upper Bucks Campus
- Stroudsburg – St. Luke’s University Health Network – St. Luke’s Hospital Monroe Campus
- Troy – Guthrie Troy Community Hospital
The Pennsylvania Trauma Systems Foundation (PTSF) is a non-profit corporation recognized by the Emergency Medical Services Act (Act 1985-45). The PTSF is the organization responsible for accrediting trauma centers in the Commonwealth of Pennsylvania.
A comprehensive list of the Commonwealth’s trauma centers is located at www.ptsf.org.
Racial & Ethnic Disparities in Health & Healthcare Executive Brief
ECRI and the Institute for Safe Medication Practices (ISMP), a Patient Safety Organization (PSO), recognizing the ubiquity of racial and ethnic disparities in health and health care and their far-reaching consequences, will be using data they receive, detailed research and expert evaluation for their upcoming 2022 Deep Dive. It will identify why addressing racial and ethnic disparities is important and what you can do to reduce them. They have also released Deep Dive: Racial and Ethnic Disparities in Health and Healthcare Executive Brief, key strategies for understanding, detecting, and reducing disparities that impact every area of health care.
The Role of Value-Based Care Using Enabling Services
The 2021 Technical Assistance Outcomes Report issued by the HRSA Bureau of Primary Health Care (BPHC) is an annual report highlighting the significant resources, impacts and outcomes achieved by the BPHC awardees between June 2020 and June 2021. This report, broken down by categories, includes a publication by Health Outreach Partners on the role of value-based care as a primer for outreach and enabling services staff. Enabling services are non-clinical services that do not include direct patient services that enable individuals to access health care and improve health outcomes. Enabling services include case management, referrals, translation/interpretation, transportation, eligibility assistance, health education, environmental health risk reduction, health literacy, and outreach.
For more, click here.
Applications Sought for Pennsylvania Maternal Mortality Review Committee
The Pennsylvania Maternal Mortality Review Committee (PA MMRC) is accepting applications for new membership. The PA MMRC reviews de-identified summaries of all pregnancy-associated deaths in the commonwealth, regardless of cause of death and including drug-related deaths, homicides, and suicides. The committee determines if the death was related to the pregnancy, identifies contributing factors, determines if the death could have been prevented, and makes recommendations to prevent future deaths.
Learn more about the committee and member expectations. If you are interested in becoming a member, please complete the application and return it to ra-dhmmrc@pa.gov by the deadline of Tuesday, November 30, 2021.
Pennsylvania Senate Moves Telemedicine Bill
The Pennsylvania Senate passed SB 705 authorizing the regulation of telemedicine by professional licensing boards and providing for insurance coverage of telemedicine. Sponsored by Sen. Elder Vogel, SB 705 now heads to the House of Representatives for its consideration. The bill has language that was in the previous version of the bill that led to the governor vetoing the bill last session. When vetoing SB 857 last session, Gov. Wolf noted that “this legislation arbitrarily restricts the use of telemedicine for certain doctor-patient interactions. As amended, this bill interferes with women’s health care and the crucial decision-making between patients and their physicians.” At this time, the Pennsylvania House of Representatives is not expected to act on this legislation.
Research Brief: CMS Hospital Quality Star Ratings of Rural Hospitals
Researchers at the North Carolina Rural Health Research Program released a brief on CMS Hospital Quality Star Ratings of rural hospitals.
The brief details how rural hospitals were more likely to be unrated than their urban counterparts (41.6% vs. 12.0%) and the percentage of unrated rural hospitals has increased dramatically between 2016 and 2021 (34.3% to 41.6%). Nearly all unrated rural hospitals are Critical Access Hospitals, and almost half of unrated rural hospitals are in the Midwest census region. Star ratings can give patients important information and help them compare hospitals locally and nationwide, but patients should consider a variety of factors when choosing a hospital – not just their star rating or lack thereof.