- CMS: Medicare and Medicaid Programs: CY 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
- Public Inspection: CMS: Medicare and Medicaid Programs: CY 2026 Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
- CMS: Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model
- Public Inspection: CMS: Medicare Program: Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction Model
- CMS: Secretarial Comments on the CBE's (Battelle Memorial Institute) 2024 Activities: Report to Congress and the Secretary of the Department of Health and Human Services
- HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Public Inspection: HHS: Patient Protection and Affordable Care Act: Marketplace Integrity and Affordability
- Increased Risk of Cyber Threats Against Healthcare and Public Health Sector
- HRSA Announces Action to Lower Out-of-Pocket Costs for Life-Saving Medications at Health Centers Nationwide
- Announcing the 2030 Census Disclosure Avoidance Research Program
- Eight Hospitals Selected for First Cohort of Rural Hospital Stabilization 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
Community Health Workers: Evidence of Their Effectiveness
The Association of State and Territorial Health Officials and the National Association of Community Health Workers recently published a summary of the research examining community health workers over the past fifty years. This research has focused on assessing their effectiveness in improving health outcomes, reducing healthcare costs, and bridging the gap in health disparities. This work is supported through HRSA’s cooperative agreement with the National Organizations of State and Local Officials.
Read the summary (PDF – 281 KB).
Wellness Funds: Flexible Funding to Advance the Health of Communities
The accountable communities for health (ACH) model is a multi-sector, community-based partnership that brings together health care, public health, social services, and other sectors such as education and the justice system to collectively address priority health and social issues. To promote Wellness Funds that help build ACHs, the Funders Forum on Accountable Health created this support to explain the model and provide case studies on the work of three communities, two of them rural.
New Medicare ACO Beneficiary Engagement Case Studies and Video
The Centers for Medicare & Medicaid Services released a new video and case studies that provide ideas and strategies promoting value-based care in current and prospective Accountable Care Organizations (ACOs). These resources highlight how ACOs can provide nonclinical support for beneficiaries with end-stage renal disease (ESRD); maintain patient advisory committees to improve care for beneficiaries with ESRD; and leverage health navigators to identify and resolve care gaps for beneficiaries in rural areas. The information can be accessed here.
New Data on Drug Overdose Deaths in the United States
The National Vital Statistics System is the oldest and most successful example of data sharing in Public Health across all levels of government. Among the key findings in this most recent report on drug overdose deaths, is an overall decline of 4.1 percent between 2017 and 2018. The rate of overdose deaths involving synthetic opioids other than methadone (drugs such as fentanyl, fentanyl analogs, and tramadol) increased by 10 percent. Click here for more information.
ADEA Updates Resource for State Advocacy
The American Dental Education Association (ADEA) recently updated their State Advocacy Toolkit which provide useful tips and insights to individuals who are already engaged in state advocacy or just getting started.
Testing for HIV and TB Coinfection
In 2006, the Centers for Disease Control and Prevention (CDC) issued new recommendations for HIV testing that was to increase the early diagnosis of human immunodeficiency virus (HIV) infection by recommending it be a routine part of medical care. But were you aware that HIV is the most important known risk factor for the progression from latent tuberculosis infection (LTBI) to TB disease? Individuals testing positive for LTBI and HIV infection that are not treated for both conditions have a high risk of progressing from LTBI to TB disease. By clicking here, you can read more on this issue from information that will be included in the Pennsylvania Department of Health’s TB Manual.
Pennsylvania State Board of Medicine Offers Discrepancy Guide for Physician Licensure Applications
The Pennsylvania Department of State’s (DOS) Bureau of Professional and Occupational Affairs (BPOA) offers guides to help physicians avoid common discrepancies on initial licensure and physician assistant supervising physician applications. Discrepancies delay the processing and approval of applications. The instructions outline the necessary documentation and information needed to successfully complete an application and avoid delays. Access the Discrepancy Guide for Initial Physician Licensure Applications here. Each of the professional licensure boards has an application checklist listing all of the requirements and needed documents for a licensure application to be complete.
Report: Ransomware Attacks Costly for Pennsylvania Health Care Providers
According to a new report, 172 ransomware attacks since 2016 have cost health care providers more than $157 million, and five of those attacks, in Pennsylvania, have set those companies back some $4.5 million. That’s according to research by industry publication Comparitech. Read more.
Medicare Advantage Enrollment Burgeoning
With Open Enrollment ending March 31 for Medicare Advantage plans, Axios reports enrollment rates have increased 9.4 percent over the same time period last year. Medicare Advantage plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. The number of plans available in each county in Pennsylvania varies from 45 plans in Susquehanna County to 61 in Lancaster. To view plan information by county, click here.
Did You Know? Pennsylvania Offers New Mail-In Voting Option
Pennsylvania’s April 28 primary election is still two-and-a-half months away, but it’s not too soon to start thinking about how you will vote in that election. Voters in the commonwealth now have two options for mail ballots:
- Absentee ballot: If you plan to be out of the municipality on election day or if you have a disability or illness, you should request this ballot type, which still requires you to list a reason for your ballot
- Mail-in ballot: If you aren’t an absentee voter, you may apply for a mail-in ballot. You may simply request this ballot without a reason
In order to request either ballot type, you must be registered to vote. Visit Check Your Registration Status to review your registration information.