Rural Health Information Hub Latest News

Pennsylvania Supreme Court Weighs in on State Election Law Changes

The Pennsylvania Supreme Court handed down several voting-related decisions last week. The court extended the deadline for accepting mail ballots, will allow voters to submit their ballots through drop boxes and removed the Green Party’s candidate for president from the ballot. 2020 is the first year Pennsylvanians have the option to vote by mail without needing to specify a reason. The Pennsylvania Department of State says nearly 2 million people have already asked for mail ballots for the upcoming election–and that figure is expected to grow. PA voters must register to vote by Oct. 19 to be eligible to vote in the Nov. 3 election. PA residents may register to vote online.

Medicare Finalizes Two New Specialty Care Payment Models

Last week, the Centers for Medicare & Medicaid Services (CMS) finalized two new mandatory Medicare payment models.  The Radiation Oncology Model (RO Model) creates a bundled payment system that is the same for all providers of radiotherapy treatment, regardless of whether care occurs in an outpatient department or in a physician’s office. The End-Stage Renal Disease (ESRD) Treatment Choices Model (ETC Model), part of the Federal Advancing Kidney Health Initiative, adjusts payments to ESRD facilities based on the availability of home dialysis programs and the reduction of kidney transplant wait times.  Each model begins January 1, 2021.  Read more here.

Payment for COVID-19 Testing for Nursing Facility Residents

This flowchart from the Centers for Medicare & Medicaid Services (CMS) guides providers on how to bill Medicare for COVID-19 testing for beneficiaries in skilled nursing facilities/nursing facilities.  It also includes resources and explanations on how to receive reimbursements for testing if residents have Medicaid, private health insurance, or no health insurance.  Find more information here.

Request for Information:  Quality Measures for Medicaid Home and Community Based Services (HCBS) – October 19

The Centers for Medicare & Medicaid Services (CMS) seek public input on the potential benefits and challenges of using a nationally available set of quality measures in the delivery of Medicaid-funded HCBS.  HCBS programs vary by state and serve a variety of targeted Medicaid enrollees, such as people with developmental disabilities, physical disabilities, and/or mental illness, and provide opportunities for Medicaid beneficiaries to receive services in their own homes and communities rather than in institutions.  Read more here.

Comments Requested: The Role of Telehealth in Improving Quality and Access to Care – October 9

The Physician-Focused Payment Model Technical Advisory Committee requests public input on the role that telehealth can play in new physician payment models.  This committee reviews and recommends payment models proposed by the public to the Secretary of Health and Human Services, and they have posed several questions in this RFI to improve their understanding of how telehealth is used in value-based care and how it can be improved.  Find more information here.  Email comments to PTAC@HHS.gov.

New Report on Post-Acute Care in Rural America

This week, the National Rural Health Resource Center released findings from their May 2020 Virtual Summit, which focused on the issues, challenges, and strategies related to the integration of acute and post-acute care in rural areas.  The report covers the current state of rural post-acute care, including the impact of COVID-19, and explores strategies and tactics to address key issues, such as payment, workforce, and community care coordination. Read more here.

SAMHSA: National Survey on Drug Use and Health

In its annual report, the Substance Abuse and Mental Health Services Administration (SAMHSA) presents data on the use of illicit drugs, alcohol, and tobacco, as well as trends in mental health and access to treatment. Statistics cover a range of demographic and geographic characteristics, including comparison of urban and rural. Read more here.

CDC: Urban-Rural Differences in Suicide Rates, 2000-2018

The Centers for Disease Control and Prevention (CDC) used data from the National Vital Statistics System to find that suicide rates increased overall for urban and rural areas for the years studied, with the pace of increase greater for rural suicide rates.  On Wednesday, the CDC’s National Center for Health Statistics released their findings from a survey on Mental Health Treatment Among Adults in 2019. Results show that overall, as the level of urbanization decreased, the percentage of adults who had taken medication for their mental health increased, and the percentage who had received counseling or therapy decreased.  Read more here.