Rural Health Information Hub Latest News

Increased Risk of Dengue Virus Infections in the United States

The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to notify healthcare providers, public health authorities and the public of an increased risk of dengue virus (DENV) infections in the United States in 2024. In the setting of increased global and domestic incidence of dengue, healthcare providers should take steps including:

·     Maintain a high suspicion for dengue among patients with fever and recent travel (within 14 days before illness onset) to areas with frequent or continuous dengue transmission.

·     Consider locally acquired dengue among patients who have signs and symptoms highly compatible with dengue in areas with competent mosquito vectors.

·     Order appropriate FDA-approved dengue tests and do not delay treatment waiting for test results to confirm dengue.

·     Know the warning signs for progression to severe dengue.

·     Recognize the critical phase of dengue. The critical phase begins when fever starts to decline and lasts for 24–48 hours. During this phase, some patients require close monitoring and may deteriorate within hours without appropriate intravenous (IV) fluid management.

·     Hospitalize patients with severe dengue or any warning sign of progression to severe dengue and follow CDC/WHO protocols for IV fluid management

Change Healthcare Breach Notifications Are Going Out

On Thursday, June 20, Change Healthcare started sending out breach notifications to affected customers. In addition, they have updated the Change Healthcare website with a HIPAA Substitute Notice. It is important to note that the Department of Health and Human Services said on May 31 that Change can be the notifying entity, however, per the National Association of Community Health Centers (NACHC), it’s on the covered entity (health center) to reach out to Change to delegate the tasks of providing the required HIPAA breach notifications on their behalf. Change plans to start sending actual letters to the affected individuals themselves in late July, though the company noted it may not have addresses for everyone. Exposed data could include contact information, health insurance details, medical information like diagnoses and test results, billing and payment information and personal details like Social Security numbers or ID numbers

Have You Seen the Trends in Physician Compensation?

Doximity, a digital platform and community for U.S. medical professionals, recently conducted a physician compensation study, surveying nearly 150,000 physicians over a five-year period to gain insights into physician compensation trends and critical challenges facing the physician workforce. Did you know the average pay for doctors increased nearly 6% in 2023? If you want to see how your health center’s compensation compares to the national average, the Doximity report is available for you to view for free.

Health Care in America Is Deeply Unequal

Axios writes that health care in America is deeply unequal, and it might get worse. That matters because all of the innovation in the world won’t make any difference to patients if it’s unaffordable or inaccessible. “It’s not only inequities in access to the system, but then also differential experiences even within the system,” said Samantha Artiga, vice president and director of the Racial Equity and Health Policy Program at KFF. When you look at health outcomes, “you will see persistent and long-standing disparities in health … really from the beginning of life to end of life.” These disparities are evident in insurance, hospitals, prescription drugs, access, aging, mental health, addiction, workforce, and emerging technologies – all of which add up to inequity in life expectancy. Learn more.

FY 2025 Budget Period Progress Report Non-Competing Continuation Released for January 1 Budget Period Starts

The Health Resources and Services Administration (HRSA) has released the FY 2025 Budget Period Progress Report (BPR) Non-Competing Continuation (5-H80-25-001) for Health Center Program award recipients with a January 1 budget period start date. These award recipients have a BPR submission available for completion in EHBs with a deadline of 5:00 pm on Friday, August 16. Technical assistance materials and deadlines for all FY 2025 BPRs are available on the BPR TA webpage.

Court Rules Against HHS Online Tracking Bulletin

In December 2022, the U.S. Department of Health and Human Services (HHS) released its online tracking bulletin which was revised in March of this year. This bulletin restricted healthcare providers from using standard third-party web technologies that capture IP addresses on portions of their public-facing webpages. In response to the bulletin, many health centers removed website analytics like Google Analytics from their websites causing them to lose the ability to track the traffic and engagement on their own websites. Last week, a United States District Court Judge in Texas ruled in favor of the American Hospital Association (AHA), Texas Hospital Association, and hospital plaintiffs, who began their lawsuit in early 2024. The judge agreed that the HHS bulletin was unlawful and vacated the March 2024 revised online tracking bulletin. Read the full press release about the ruling on the AHA’s website.

New Read: States With the Most Rural Hospital Closures in the Past 20 Years

From Becker’s Financial Management

Since January 2005, 192 rural hospitals have closed or converted, according to data compiled by the University of North Carolina’s Cecil G. Sheps Center for Health Services Research.

Of those hospitals, 105 have completely closed, and 87 have converted, meaning the facilities no longer provide inpatient services, but continue to provide some services, such as primary care, skilled nursing care or long-term care. Since 2020, 36 hospitals have closed or converted. Find the list here.

Here are the states along with their number of rural hospital closures or conversions since 2005:

Alabama

  • Closure: 5
  • Conversion: 2

Alaska

  • Closure: 1

Arkansas

  • Closure: 2

Arizona

  • Closure: 2
  • Conversion: 2

California

  • Closure: 3
  • Conversion: 6

Florida

  • Closure: 4
  • Conversion: 4

Georgia

  • Closure: 2
  • Conversion: 7

Illinois

  • Closure: 1
  • Conversion: 3

Indiana

  • Closure: 2
  • Conversion: 2

Iowa

  • Closure: 1

Kansas

  • Closure: 5
  • Conversion: 5

Kentucky

  • Closure: 4

Louisiana

  • Closure: 2

Maine

  • Closure: 2
  • Conversion: 1

Maryland

  • Closure: 1

Michigan

  • Closure: 2
  • Conversion: 2

Minnesota

  • Closure: 3
  • Conversion: 3

Mississippi

  • Closure: 3
  • Conversion: 3

Missouri

  • Closure: 9
  • Conversion: 1

Nebraska

  • Closure: 2

Nevada

  • Closure: 1
  • Conversion: 1

New Jersey

  • Closure: 1

New Mexico

  • Closure: 1

New York

  • Closure: 3
  • Conversion: 2

North Carolina

  • Closure: 6
  • Conversion: 6

North Dakota

  • Conversion: 1

Ohio

  • Closure: 1
  • Conversion: 2

Oklahoma

  • Closure: 5
  • Conversion: 3

Pennsylvania

  • Closure: 3
  • Conversion: 3

South Carolina

  • Conversion: 4

South Dakota

  • Closure: 2
  • Conversion: 1

Tennessee

  • Closure: 7
  • Conversion: 8

Texas

  • Closure: 14
  • Conversion: 11

Virginia

  • Closure: 1
  • Conversion: 1

Washington

  • Conversion: 1

West Virginia

  • Closure: 3
  • Conversion: 2

Wisconsin

  • Closure: 1

 

Independent Review Process Overturns Over 100 Health Insurance Denials in Pennsylvania

The Pennsylvania Insurance Department’s (PID) Independent external review established by Act 146 of 2022 allowed PID to oversee the process of reviewing eligibility determinations. After customers complete an internal appeal process through their insurer for denied services, they can submit a review request online to PID at no cost detailing why their health plan should cover a service, treatment, or benefit. Once the request for external review is received by PID and processed, consumers will know within five business days if their denial is eligible for review. More than 100 Pennsylvanians successfully appealed denied services in the first six months of the launch of the process. Consumers with questions about this process should go to PID’s Consumer Services Bureau at pa.gov/reviewmyclaim or by calling 1-877-881-6388.

U.S. Senate Workforce Innovation Act Bill to be Introduced Soon

There is credible news that a Senate version of the Workforce Innovation Act (H.R. 7307) will likely be introduced in early July by Senator Wyden (D-OR) and Senator Blackburn (R-TN). Like the House bill, the Senate bill would scale up community-based workforce programs, including partnerships between Community Health Centers and schools, preceptorships, and career laddering programs. NACHC is currently working to add additional Republican cosponsors to the House bill and Republican co-leads to the Senate bill.