With health care costs rising and U.S. life expectancy declining for three consecutive years, the personal-finance website WalletHub today released its report on 2020’s Healthiest & Unhealthiest Cities in America as well as accompanying videos.

To identify the places where health is a priority, WalletHub compared more than 170 of the largest U.S. cities across 43 key metrics. The data set ranges from cost of medical visit to fruit and vegetable consumption to fitness clubs per capita.

Key Stats

• Overland Park, Kansas, has the lowest share of physically unhealthy adults, 7.60 percent, which is 2.5 times lower than in Detroit, the city with the highest at 19.20 percent.
• Laredo, Texas, has the lowest cost per doctor’s visit, $58.33, which is 3.3 times less expensive than in Boston, the city with the highest at $191.62.
• Portland, Maine, has the lowest share of adults eating fruit less than once daily, 28.20 percent, which is 1.8 times lower than in Gulfport, Mississippi, the city with the highest at 51.80 percent.
• Amarillo, Texas, has the lowest average monthly cost for a fitness-club membership, $10.17, which is 8.1 times less expensive than in San Francisco, the city with the highest at $82.83.

To view the full report and your city’s rank, please visit:
https://wallethub.com/edu/healthiest-cities/31072/

The Pennsylvania Department of Health has released it’s 2020-2023 Strategic Plan.  A tremendous effort went into creating this strategic plan, from community partners and employee surveys to workshops, interviews, and data analysis. This plan is the Department’s roadmap for pursuing the greatest public health challenges faced by Pennsylvanians and illustrates their commitment to health equity, collaboration, continuous quality improvement and evidence-based decision making. The Department will build upon the great work already being done to promote healthy behaviors, prevent injury and disease, and to assure the safe delivery of quality health care for all people in Pennsylvania.

This plan sets the course to achieve five overarching strategies that we will work toward accomplishing over the next three years:

1. Maintain and enhance emergency services and public health preparedness
2. Continually develop our talents to significantly advance public health in PA
3. Promote public health with awareness, prevention, and improvement of outcomes where the need is greatest
4. Use data, measures, and technology to enable public health performance
5. Improve staff, customer and partner experience with consistent, efficient and effective services and work processes

On February 13, 2020, Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma announced a Request for Information (RFI) to seek public comments regarding rural maternal and infant health care.

Through CMS’ Office of Minority Health, the agency is seeking information related to opportunities to improve access, quality, and outcomes before, during, and after pregnancy, and to develop and refine programs and policies that ensure all rural women have access to high quality maternal health care that results in optimal health.

To review the RFI, please visit go.cms.gov/ruralhealth.

Responses to this RFI will be used to inform future discussions among stakeholders and future work by CMS toward the development and refinement of programs and policies that ensure rural women have access to high quality maternal health care that results in optimal health outcomes.

CMS encourages all stakeholders to review the RFI at go.cms.gov/ruralhealth and submit comments to RuralMaternalRFI@cms.hhs.gov. Comments will be collected starting Wednesday February 12 through Sunday, April 12 at 11:59pm ET.

For more information and updates about this RFI, please visit the CMS Rural Health website at go.cms.gov/ruralhealth or email questions to RuralMaternalRFI@cms.hhs.gov.  

In January 2020, Pennsylvania Governor Tom Wolf announced a focused all-agency effort and anti-stigma campaign, ‘Reach Out PA: Your Mental Health Matters,’ aimed at expanding resources and the state’s comprehensive support of mental health and related health care priorities in Pennsylvania.

The governor announced several initiatives and reviews the administration will undertake for commonwealth agencies to bolster the effort. Furthermore, over the coming weeks, agencies will announce additional initiatives. The governor was joined by mental health advocates, social workers, educators, military veterans, and cabinet secretaries in making the announcement.

“For those struggling with their mental health, we have one message: Your mental health matters and it’s okay to reach out for help,” Gov. Wolf said. “We are stepping up our efforts to ensure every Pennsylvanian can access mental health care and more agencies can respond to the challenges facing Pennsylvanians struggling with their mental health. The act of reaching out for help – or to help – can make a huge difference for someone struggling.”

According to a 2017 study from the University of Southern California, approximately 1 million adult Pennsylvanians struggled with serious psychological distress at least once in 2015. Of those adults, more than 27 percent had an unmet need for mental health care. That population includes 42 percent who did not receive mental health care because they could not afford it.

Strengthening Mental Health Care Access

The Department of Human Services will take steps to incentivize the integration of physical and behavioral health services to remove barriers to coordinating care and treatment. DHS will create financial incentives to encourage managed care organizations that provide Medical Assistance benefits to create, maintain, and continuously improve collaboration between the entities and providers that coordinate and deliver physical health benefits and mental health benefits.

These steps will mark the beginning of a large-scale effort to combat mental health issues in Pennsylvania. Reach Out PA, the Suicide Prevention Task Force, and other Wolf Administration focuses will continue to bust the stigma surrounding mental health, and work together in a multi-pronged push.

The Family First Transition Act (FFTA), which was signed into law on December 20, 2019, aids states in implementing the Family First Prevention Services Act of 2018 (FFPSA). The FFPSA is landmark legislation, so implementing its changes at the state level have and will continue to be a heavy lift for administrators. With the magnitude of those changes in mind, the recently passed FFTA provides new reforms to promote services for children at imminent risk of out-of-home placement and family-based placement for those children who do enter foster care. It helps states, tribes and territories take advantage of the opportunities contained in FFPSA, so that every child has the opportunity to grow up in a safe and loving family. PPC is proud to have joined other local and national organizations in support of this legislation.

FFTA also provides transition funding to states for the implementation of the FFPSA in three very important ways:

1. Provide one-time, flexible funding to support implementation and reduce adverse fiscal impacts.
2. Delay the phase-in of the FFPSA’s 50 percent “well-supported requirement” for prevention services funding.
3. Provide short-term funding for states with expiring waivers.

The FFTA also contains funding for kinship navigator programs, like Pennsylvania’s Kin Connector Program. As the commonwealth plans to opt-in to the FFPSA by October 2020, PPC continues to take an active role in Pennsylvania’s implementation of the federal law and will continue to provide updates.

Harrisburg, PA – Governor Tom Wolf announced in December 2019 that eight more hospitals and one additional payer have agreed to participate in the Pennsylvania Rural Health Model, aimed at ensuring the financial viability of hospitals in rural areas across Pennsylvania, and the latest step in transforming health care delivery in the commonwealth. The model is the first of its kind in the nation.  “I am especially pleased to see more hospitals joining this important initiative to improve their financial viability so that every Pennsylvanian has access to quality health care within a reasonable distance from home,” said Gov. Wolf.

The governor recently signed Senate Bill 314, which establishes the Rural Health Redesign Center Authority and the Pennsylvania Rural Health Redesign Center Fund. The authority and fund will administer the Pennsylvania Rural Health Model once established.  “The Rural Health Model is a transformative step that changes the financial model for hospitals in rural areas,” Secretary of Health Dr. Rachel Levine said. “This is a step that will help achieve financial stability for these facilities and aims to improve the overall health of the community.”

The model will help ensure that rural hospitals, which are often an economic driver in rural areas, stay open, that jobs stay local and that sustainable access to health care is available to residents living in rural areas.

Nearly half of all rural hospitals in Pennsylvania are operating with negative margins and are at risk of closure. The department has worked closely with the federal Center for Medicare and Medicaid Innovation, the Pennsylvania Department of Human Services, the Pennsylvania Insurance Department, the Hospital and Healthsystem Association of Pennsylvania, the Hospital Council of Western Pennsylvania, the Pennsylvania Office for Rural Health to develop the model and to ensure the success of the mode. The first five participants were announced earlier in 2019. Those hospitals are Barnes Kasson, Endless Mountains, Geisinger Jersey Shore, UPMC Kane and Wayne Memorial.

Now joining those hospitals are the following eight hospitals:

• Armstrong County Memorial Hospital in Kittanning, Armstrong County
• Chan Soon-Shiong Medical Center at Windber in Windber, Somerset County
• Fulton County Medical Center in McConnellsburg, Fulton County
• Greene Hospital in Waynesburg, Greene County
• Monongahela Valley Hospital in Monongahela, Washington County
• Punxsutawney Area Hospital in Punxsutawney, Jefferson County
• Tyrone Hospital in Tyrone, Blair County
• Washington Hospital in Washington, Washington County

A total of 67 hospitals are eligible for participation in the model based on the definition of a rural hospital developed by the Center for Rural Pennsylvania. With the above 13 hospitals involved in the program, nearly 20% of eligible hospitals will be participating in the program in 2020. While this is a credit to the desire of these hospitals to provide transformative care in their area, it also means there is still much work to be done to bring sustainability to rural hospitals in Pennsylvania.

In addition, Aetna will join the five insurance providers previously announced as private insurance payers for the model to make up a total of six participating insurers. In addition to Aetna, Gateway, Geisinger, Highmark, Medicare and UPMC are also participating in the program. Together, the commercial insurers represent nearly half of the individual and small group market insurance population in the state.

The Rural Health Model is an alternative payment model, transitioning hospitals from a fee-for-service model to a global budget payment. Payment for the global budget comes from multiple-payers, including private and public insurers. Instead of hospitals getting paid when someone is admitted to the hospital, they will receive a predictable amount of money at a specified time to provide services in the community.

Through this change in payment model, the hospitals will be able to transform care locally to better meet the health needs of the community. This includes opportunities to assess items that may traditionally fall outside of the role of the hospital, such as transportation, broadband internet access, etc.

The Department of Health has developed three main strategies for improving health in rural communities. Strategies being carried out include: transforming health care delivery in rural communities; improving the population health status in rural communities; and creating health care services that match the needs of the community.

For more information about rural health, visit the Department of Health website at www.health.pa.gov or follow them on Facebook and Twitter.

MEDIA CONTACT: J.J. Abbott, jjabbott@pa.gov
Nate Wardle, Health, 717-787-1783 or ra-dhpressoffice@pa.gov