Rural Health Information Hub Latest News

Managing Dental Caries Against the Backdrop of COVID-19: Approaches to Reduce Aerosol Generation

Newly released Managing Dental Caries Against the Backdrop of COVID-19: Approaches to Reduce Aerosol Generation aims to present evidence-based treatments that remove or reduce the generation of aerosols during the management of carious lesions. It maps aerosol generating procedures (AGPs), where possible, to alternative non-AGPs or low AGPs. This risk reduction approach overcomes the less favorable outcomes associated with temporary solutions or extraction-only approaches.

Telebehavioral Health – An Effective Alternative to In-Person Care 

A new report presents findings from a pre-COVID 2019 review of telebehavioral health’s effectiveness on key clinical outcomes. This Milbank Memorial Fund report also features insights into the telebehavioral health policies and program structures of Texas and Massachusetts Medicaid and an example from the Veterans Affairs administration. These findings may provide useful lessons for state policymakers as they consider next steps for telehealth. The full report is available here.

Medicaid Telehealth Toolkit Updated, Telehealth Utilization Snapshot Published

On Oct. 14, the Center for Medicaid and CHIP Services (CMCS) updated its Medicaid telehealth toolkit to include additional detail on telehealth modalities, tools to support states in analyzing and further developing telehealth benefits, and specific examples from several states. This comprehensive toolkit includes special considerations for pediatric populations and compiles a variety of other federal telehealth resources for states. Alongside the toolkit update, CMCS also released a data snapshot analyzing the dramatic increase in telehealth in Medicaid since the beginning of this year. The snapshot, derived from Transformed Medicaid Statistical Information System (T-MSIS) data, shows telehealth utilization increasing over 2600% between January and June 2020, with significant increases across all age groups. The increases were most pronounced for adults aged 19 – 64.

Weigh in on DHS HIT Survey

The Pennsylvania Department of Human Services (DHS) is conducting an important survey of the state’s outpatient healthcare provider practices. DHS is conducting the survey because CMS has requested each state to assess the current degree of Health Information Technology (Health IT) adoption, usage and challenges experienced by its healthcare providers. Some important considerations:

  • Survey results will be reported to CMS as part of the Pennsylvania’s State Medicaid Health IT Plan, and will be used to inform policy decisions as part of the commonwealth’s efforts to encourage meaningful use of health IT.
  • This survey should be completed by one individual on behalf of the entire practice/organization. The individual may be a provider, practice manager, CIO, or any individual who is familiar with the health center’s health IT adoption and is authorized to answer the survey on behalf of the FQHC.
  • Your answers will be kept anonymous and reported only in the aggregate.

Access the survey here. For your convenience, DHS has also posted a downloadable copy of the survey (in PDF format) on its website so that you can preview it and use it to gather answers prior to completing the actual survey. Preview the PDF of the survey. The survey is estimated to take 15-20 minutes to complete.

RAND: Americans Pay 8x More for Insulin

Insulin prices are more than eight times higher in the United States than in 32 high-income comparison nations combined, according to a RAND Corporation study. This ranges from 3.8 times higher than Chile to 27.7 times higher than Turkey. Closer to home, they were 6.3 times higher than Canada. Even accounting for rebates and discounts, U.S. consumers are still likely to pay four times the average paid in other high-income nations. The study was sponsored by the Health and Human Services Office for Planning and Evaluation. Read more.

Results from a 50-State Medicaid Budget Survey Released

Kaiser Family Foundation (KFF) released findings from the 20th annual budget survey of Medicaid officials in all 50 states and the District of Columbia. The survey was conducted by KFF and Health Management Associates (HMA) in collaboration with the National Association of Medicaid Directors (NAMD). Findings from this year’s budget survey policy report primarily focus on Medicaid policy changes planned for FY 2021, particularly those related to the COVID-19 pandemic. Key areas of focus include eligibility and enrollment, provider rates and taxes, delivery systems, long-term services and supports, benefits and telehealth, and pharmacy cost containment. The full report is available here.

CDC Finds Nearly 300,000 “Excess Deaths” in the U.S. Amid Pandemic and 25- to 44-Year-Olds Hit Hard

The Centers for Disease Control and Prevention (CDC) reports that COVID-19 has taken a disproportionate toll on Latinos and Blacks, as previous analyses have noted. But the CDC also found, surprisingly, that it has struck 25- to 44-year-olds very hard: Their “excess death” rate is up 26.5 percent over previous years, the largest change for any age group. It is not clear whether that spike is caused by the shift in COVID-19 deaths toward younger people between May and August or deaths from other causes, the CDC said. “Excess deaths” is a calculation by researchers of the number of deaths overall during a particular period compared to how many people die during the stretch in a normal year. It is an important calculation because some people who die might never have been tested for the disease, for example, and if people die at home without receiving medical care, they might not make it into the confirmed data. In the most updated count to date, CDC researchers found that nearly 300,000 more people in the United States died from late January to early October this year compared to the average number of people who died in recent years.

NEW! CRNP Prescriptive Authority Applications Online Only

On Sept. 24, 2020, the Pennsylvania State Board of Nursing (SBN) announced that the application for prescriptive authority approval for certified registered nurse practitioners (CRNPs) will need to be submitted online via the Pennsylvania Licensing System (PALS). Paper applications for prescriptive authority approval will not be accepted (Note: PACHC is working to confirm effective date). The change applies to both Initial applications for CRNP Prescriptive Authority ($95.00 fee) as well as additional applications for CRNP Prescriptive Authority ($45.00 fee). For more information on where to apply online, who can complete the application, the process to make changes to collaborative agreement substitute physicians, collaborating physician sign-off on changes, and more, contact Andrea Wandling, PACHC Manager, Member Relations and Human Resources.