New Report Released on Network Adequacy in Pennsylvania

By law, health plans must provide their members with reasonable access to in-network providers and services. Yet many Pennsylvanians face delays of months or even years in scheduling appointments as well as excessively long driving distances to treatment locations.

Our new report, Healthcare Network Inadequate to Serve All: Causes and Solutions in Pennsylvania, discusses what happens when health plan networks are inadequate to serve their members, why this happens, and what the Commonwealth of Pennsylvania can do about it.

USDA Rural Development Funds First Responder Programs in Pennsylvania

Grants Will Benefit More Than 52,000 People in Rural Pennsylvania

U.S. Department of Agriculture (USDA) State Director for Rural Development in Pennsylvania announced that USDA is awarding $1.7 million in grants to five organizations as part of President Biden’s Investing in America agenda.

“USDA Rural Development is committed to preserving access to care in rural communities,” State Director of Pennsylvania Bob Morgan said. “Rural towns are a gathering place where first responders put people’s safety first and hospitals care for everyone. USDA promotes a healthy community and environment through grants to make sure people, kids and families have access to the health care they need.”

The awards are part of the Emergency Rural Health Care Grants program. These projects are estimated to benefit 52,245 rural Pennsylvanians.

For example, the Olean General Hospital received $1 million to offset the revenue lost in 2021 due to lower volume of patients resulting in lower revenues for Olean General Hospital, which is in the City of Olean, in Cattaraugus County, New York. Olean General Hospital is doing business as (DBA) Bradford Regional Medical Center, which is in the city of Bradford, in McKean County, Pennsylvania. This project will benefit an estimated 43,450 people.

“Supporting rural health care infrastructure is crucial to the safety, well-being and prosperity of our rural communities,” New York State Director for USDA Rural Development Brian Murray said. “Under the leadership of President Biden and Vice President Harris, USDA Rural Development is dedicating resources to support and improve the long-term viability of our rural health care partners and their facilities to ensure patients have access to high-quality health care.”

The Albion Volunteer Fire Department in Erie County received $83,400 to purchase a Medix MSVII Type 1 Ambulance. The ambulance will be used to provide pre-hospital emergency medical care and transport of patients to medical facilities. This project will benefit an estimated 1,516 people.

Endless Mountain Health Systems Inc. in Susquehanna County received $32,300 to purchase a pharmaceutical dispensing cabinet. The equipment will be used in the hospital’s emergency room department and store over 200 different types of medication for use in emergency and pandemic-related situations. This project will benefit an estimated 2,844 people.

The McConnellsburg Volunteer Fire Company No. 1 in Fulton County received $562,500 to purchase a 2020 Pierce Arrow Pumper. The department will use the new vehicle to replace a 1991 truck that is nearing the end of its useful life. The new vehicle will allow the company to provide more reliable service to the community. This project will benefit an estimated 1,220 people.

The New Love Center received $177,500 to purchase food supplies for a food pantry that will be distributed and stored in Jersey Shore, Pennsylvania. Funds will also be used to purchase a mobile food pantry unit to include an F350 truck and an enclosed pantry trailer, which will be upfitted with coolers, shelving, storage, and supplies. The organization primarily serves the residents of Clinton and Lycoming Counties by providing the daily and long-term needs of food, shelter and clothing. This project will benefit an estimated 3,215 people.

You can read the complete news release on our website.

30 Day Public Inspection Period and Comments Received from USDA Rural Development’s Periodic Review of Rural Areas in Pennsylvania (Housing Programs)

On March 8, 2023, USDA Rural Development issued a 90-day public notice informing the public that USDA was conducting a periodic review of all areas under its jurisdiction to identify areas that no longer qualify as rural for housing programs. The 90-day public notice listed communities under review for potential eligibility changes and provided the public with a link to submit comments or concerns regarding any potential loss of eligibility.

In accordance with 7 CFR 3550.56 and HB-1-3550, Section 5.3 (C)(1), USDA Rural Development has concluded the 90-day public notice and comment period and has reviewed areas under its jurisdiction to identify areas that no longer qualify as “Rural” for housing programs as well as areas that will now be considered as eligible rural areas.

During the 90-day public comment period, a total of (4) public comments were received. Thank you to all those who submitted comments. Public comments help the Agency better understand how communities are impacted from a potential change in eligibility and are considered throughout the determination process.

For a complete review of comments received, or questions regarding rural area boundaries, please contact Single Family Housing Program Director, Michelle Musser at (570) 433-5082 or via email at Michelle.Musser@usda.gov.

The updated rural area map can now be viewed on our eligibility website.

Users will need to click on the program, for example “Single Family Housing Direct” or “Single Family Housing Guaranteed,” and then click on the “Accept” button on the disclaimer page, if presented, and then click on the “Proposed Eligibility Areas” tab.

Revised rural boundaries will become effective October 1, 2023. For areas whose designation will change from rural to non-rural, a one-time notice will be published 30 days prior to implementation date confirming the updated boundaries.

HRSA Seeks Grant Reviewers

The Health Resources and Services Administration (HRSA) is seeking individuals to serve as grant reviewers in the coming months. HRSA relies on grant reviewers to select the best programs from a competitive group of applicants. Having reviewers with expertise in oral health care programing and/or equitable access to preventive health care greatly benefits the review process and is also an opportunity to learn about the review process itself. Reviews are typically held remotely over a period of a few days. Non-federal participants selected as a reviewer and who complete their assigned duties receive an honorarium.

Click here for more information and to apply.

Community Catalyst Pushes for Expanded Dental Coverage

Community Catalyst submitted a letter to the Biden Administration urging them to address the gaps and inconsistences in the Affordable Care Act’s essential health benefits. Community Catalyst and 50 other groups, including the PA Coalition for Oral Health, signed on to the letter, which also called on the Health and Human Services and Centers for Medicare and Medicaid to adopt several health care services into the Essential Health Benefits framework, including oral health care.

Click here to read the press release.
Click here to read the letter.

Non-Invasive Caries Therapy Guide Released

The CareQuest Institute for Oral Health published the “CareQuest Non-Invasive Caries Therapy Guide,” an illustrated manual of tips and tricks on how to perform evidence-based techniques to improve oral health for all. The goals of the guide are to increase access to care by decreasing resilience on invasive dentistry, transform the oral health workforce by empowering non-dentists to manage dental caries, improve clinical outcomes, and lower barriers to adopting evidence-based techniques.

Click here to read the guide.

New CareQuest Infographic Published: Oral Health and Overall Health for Older Adults

The CareQuest Institute for Oral Health and the Lunder-Dineen Massachusetts General Hospital MOTIVATE Program created an infographic that explains the importance of oral health for the overall health of older adults. The infographic also includes recommendations including more communication between physicians, dentists, and patients about the connections between oral health and overall health.

There are versions of the infographic available for both providers and patients.

Click here for more information and to access the infographics.

Oral Health Resource Center Fluoride Varnish Handout Available

The Oral Health Resource Center shared a new patient education handout,  “Fluoride Varnish for Adults: Q&A.”

This resource provides information that health professionals can share with adults, including pregnant people, about how fluoride varnish can make their teeth more resistant to tooth decay. The resource explains what fluoride varnish is and discusses its safety. It also addresses things to avoid after it is applied to teeth, how long it lasts, how often it should be applied, and whether it is covered by dental insurance.

Click here to download the resource.

Here You Can Read the New Report to Congress on Baseline Trends and Framework for Evaluating the No Surprises Act

 This report from the Office of the Assistant Secretary for Planning and Evaluation (ASPE) details key trends in factors that will be important to evaluate the No Surprises Act (NSA) and describes the framework for future evaluations.  The NSA, enacted on December 27, 2020, addresses certain instances of surprise billing where individuals with private health coverage receive unexpectedly high medical bills when they are unknowingly or unavoidably treated by an out-of-network provider, facility, or provider of air ambulance services.  ASPE found that overall, between 2012 and 2020, out-of-network claims decreased similarly in rural and urban areas.