- Request for Information (RFI): Evolving the Network of the National Library of Medicine
- Dental Therapists, Who Can Fill Cavities and Check Teeth, Get the OK in More States
- Colorectal Cancer Is Rising among Younger Adults. Some States Want to Boost Awareness.
- Rural Hospitals Built During Baby Boom Now Face Baby Bust
- Food Stamps Go Further in Rural Areas — Until You Add Transportation Costs
- CMS Announces Resources and Flexibilities to Assist with the Public Health Emergency in the State of Texas
- CMS Proposes New Payments for Digital Health Under CY2025 PFS Draft Rule
- Improving Public Health by Strengthening Community Infrastructure
- Biden Harris Administration Proposes Policies to Reduce Maternal Mortality, Advance Health Equity, and Support Underserved Communities
- Nearly Half of U.S. Counties Don't Have a Single Cardiologist
- Randolph County, Ill. Turns Unused Part of Nursing Home Into State-Of-The-Art Behavioral Health Center
- Safe and Stable Housing Is a Foundation of Successful Recovery
- Rural RPM Program Is a Lifeline for Pregnant Women
- Expert: Rural Hospitals Are Particularly Vulnerable to Increasing Cyberattacks Targeting Healthcare Facilities
- Biden-Harris Administration Invests Over $200 Million to Help Primary Care Doctors, Nurses, and Other Health Care Providers Improve Care for Older Adults
The 25 Rural Counties with Highest Infection Rates
By Tim Marema and Bill Bishop
Meatpacking plants, prisons, and nursing homes are associated with high Covid-19 infection rates in the hardest-hit counties.
CMS NEWS ALERT May 19, 2020
As part of the ongoing White House Task Force efforts taken in response to coronavirus disease 2019 (COVID-19), following is a summary of recent Centers for Medicare & Medicaid Services (CMS) actions. To keep up with the important Task Force work being done in response to COVID-19, click here www.coronavirus.gov. For information specific to CMS, please visit the CMS News Room and Current Emergencies Website. CMS updates these resources on an ongoing basis throughout the day; the information below is current as of May 19, 2020 at 4:00 pm ET.
Trump Administration Issues Guidance to Ensure States Have a Plan in Place to Safely Reopen Nursing Homes
CMS announced new guidance for state and local officials to ensure the safe reopening of nursing homes across the country. The guidance released today is part of President Trump’s Guidelines for Opening Up America Again. It details critical steps nursing homes and communities should take prior to relaxing restrictions implemented to prevent the spread of COVID-19, including rigorous infection prevention and control, adequate testing, and surveillance. The recommendations allow states to make sure nursing homes are continuing to take the appropriate and necessary steps to ensure resident safety and are opening their doors when the time is right.
CMS Releases Additional Waivers for Hospitals and Ground Ambulance Organizations
CMS continues to release waivers for the healthcare community that provide the flexibilities needed to take care of patients during the COVID-19 public health emergency (PHE). CMS recently provided additional blanket waivers for the duration of the PHE that:
- Modify existing physical environment waivers to allow for increased flexibilities for surge capacity and patient quarantine at hospitals, psychiatric hospitals, and critical access hospitals as a result of COVID-19; and
- Modify the data collection period and data reporting period for ground ambulance organizations.
Emergency Declaration Blanket Waivers
Medicare Payment for COVID-19 Diagnostic Tests
Earlier this year, CMS took action to ensure America’s patients, health care facilities, and clinical laboratories were prepared to respond to COVID-19. To help increase testing, CMS developed two codes that laboratories can use to bill for certain COVID-19 lab tests, including serology tests. CMS has updated its guidance to include payment details for additional CPT codes created by the American Medical Association. There is no cost-sharing for Medicare patients.
CMS Gives States Additional Flexibility to Address Coronavirus Pandemic
CMS has approved over 200 requests for state relief in response to the COVID-19 pandemic, including recent approvals for Alaska, Iowa, Hawaii, New Jersey, North Carolina, Pennsylvania, Rhode Island, Utah, and Virginia. These approvals help to ensure that states have the tools they need to combat COVID-19. This is done through a wide variety of waivers, amendments, and Medicaid state plan flexibilities, including support for programs that care for the elderly and people with disabilities. CMS also developed a toolkit to expedite the application and review of each request and has approved these requests in record time. These approved flexibilities support President Trump’s commitment to a COVID-19 response that is locally executed, state managed, and federally supported.
1915(c) Waiver Appendix K Amendments
Medicaid State Plan Amendments
Pennsylvania Governor’s Administration to Distribute $255,000 in ‘Farm to Food Banks’ Funding, Redirect Agricultural Surplus to Address Food Insecurity
Pennsylvania Agriculture Secretary Russell Redding today announced that Pennsylvania has been awarded $255,373, from the U.S. Department of Agriculture’s Farm to Food Bank Program, which the Pennsylvania Department of Agriculture will distribute to the Central Pennsylvania Food Bank to reimburse farmers for costs associated with harvesting, packing, processing, and distributing donated agricultural surplus.
Farm to Food Bank is a product of the 2018 federal Farm Bill – based on legislation introduced by Senator Bob Casey and championed by Congressman Glenn Thompson – and was modeled after the Pennsylvania Agricultural Surplus System (PASS), which was enacted into law in 2010 and first funded by Governor Tom Wolf in 2015. Pennsylvania’s funds are equitably distributed through the Central Pennsylvania Food Bank, a Feeding Pennsylvania member, and their 13 subcontractors to procure surplus agricultural products from Pennsylvania farmers and food processors, he department’s $1.5 million Pennsylvania Agricultural Surplus System serves as a match for the federal Farm to Food Bank Program.
States with the Fewest Coronavirus Restrictions – Updated WalletHub Study
With most states partially reopened after closing down non-essential businesses earlier in the COVID-19 pandemic, the personal-finance website WalletHub today released updated rankings for the States with the Fewest Coronavirus Restrictions, as well as accompanying videos.
To identify which states have the fewest coronavirus restrictions, WalletHub compared the 50 states and the District of Columbia across 11 key metrics. Our data set ranges from whether child-care programs and restaurants have reopened to the presence or absence of a “shelter-in-place” order. Below, you can see highlights from the report, along with a WalletHub Q&A.
|
States with the Fewest Restrictions |
States with the Most Restrictions |
| 1. South Dakota | T-41. Connecticut / Michigan |
| 2. Wisconsin | T-41. New York |
| 3. Idaho | T-44. New Mexico |
| 4. Missouri | T-44. Washington |
| 5. Utah | 46. Hawaii |
| 6. Wyoming | 47. Vermont |
| 7. Montana | 48. Massachusetts |
| 8. Arizona | 49. District of Columbia |
| 9. North Dakota | 50. Rhode Island |
| 10. Iowa | 51. Illinois |
Note: Rankings are based on data available as of 12:30 p.m. ET on Monday, May 18, 2020.
Biggest Changes in Rank from the Previous Report
- Wisconsin moved from 34 to 2, up 32 positions. This is due in part to the fact that the state has lifted all restrictions on large gatherings, had closed but fully re-opened restaurants and bars, has child care programs open and has fully reopened all non-essential businesses.
- Arizona moved from 32 to 8, up 24 positions. This is due in part to the fact that the state has lifted all restrictions on large gatherings and has lifted all stay-at-home mandatory restrictions.
- Georgia moved from 11 to 28, down 17 positions. This is due in part to the fact that the state requires wearing a face mask in public and that the state still has its legislative sessions postponed.
To view the full report and your state’s rank, please visit:
https://wallethub.com/edu/states-with-the-fewest-coronavirus-restrictions/73818/
CMS COVID-19 Stakeholder Engagement Calls – Week of 5/18/20
CMS hosts varied recurring stakeholder engagement sessions to share information related to the agency’s response to COVID-19. These sessions are open to members of the healthcare community and are intended to provide updates, share best practices among peers, and offer attendees an opportunity to ask questions of CMS and other subject matter experts.
Call details are below. Conference lines are limited so we highly encourage you to join via audio webcast, either on your computer or smartphone web browser. You are welcome to share this invitation with your colleagues and professional networks. These calls are not intended for the press.
Calls recordings and transcripts are posted on the CMS podcast page at: https://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/PodcastAndTranscripts
CMS COVID-19 Office Hours Calls (Tuesdays and Thursdays at 5:00 – 6:00 PM Eastern)
Office Hour Calls provide an opportunity for hospitals, health systems, and providers to ask questions of agency officials regarding CMS’s temporary actions that empower local hospitals and healthcare systems to:
- Increase Hospital Capacity – CMS Hospitals Without Walls;
- Rapidly Expand the Healthcare Workforce;
- Put Patients Over Paperwork; and
- Further Promote Telehealth in Medicare
This week’s Office Hours:
Tuesday, May 19th at 5:00 – 6:00 PM Eastern
Toll Free Attendee Dial In: 833-614-0820;
Access Passcode: 1908409
Thursday, May 21st at 5:00 – 6:00 PM Eastern
Toll Free Attendee Dial In: 833-614-0820;
Access Passcode: 9984433
Lessons from the Front Lines: COVID-19 (Fridays at 12:30 – 2:00 PM Eastern)
Lessons from the Front Lines calls are a joint effort between CMS Administrator Seema Verma, FDA Commissioner Stephen Hahn, MD, and the White House Coronavirus Task Force. Physicians and other clinicians are invited to share their experience, ideas, strategies, and insights with one another related to their COVID-19 response. There is an opportunity to ask questions of presenters.
This week’s Lessons from the Front Lines:
Friday, May 22nd at 12:30 – 2:00 PM Eastern
Toll Free Attendee Dial-In: 877-251-0301;
Access Code: 6086125
Weekly COVID-19 Care Site-Specific Calls
CMS hosts weekly calls for certain types of organizations to provide targeted updates on the agency’s latest COVID-19 guidance. One to two leaders in the field also share best practices with their peers. There is an opportunity to ask questions of presenters if time allows.
Home Health and Hospice (Tuesdays at 3:00 PM Eastern)
Tuesday, May 19th at 3:00 – 3:30 PM Eastern
Toll Free Attendee Dial-In: 833-614-0820;
Access Passcode: 6477704
Nursing Homes (Wednesdays at 4:30 PM Eastern)
Wednesday, May 20th at 4:30 – 5:00 PM Eastern
Toll Free Attendee Dial-In: 833-614-0820;
Access Passcode: 4879622
Dialysis Organizations (Wednesdays at 5:30 PM Eastern)
Wednesday, May 20th at 5:30 – 6:00 PM Eastern
Toll Free Attendee Dial-In: 833-614-0820;
Access Passcode: 3287645
Nurses (Thursdays at 3:00 PM Eastern)
Thursday, May 21st at 3:00 – 3:30 PM Eastern
Toll Free Attendee Dial-In: 833-614-0820;
Access Passcode: 2874976
To keep up with the important work the White House Task Force is doing in response to COVID-19 click here: http://www.coronavirus.gov/. For information specific to CMS, please visit the Current Emergencies Website.
Institute Looks at Impact of COVID-19 Pandemic on Employment in Pennsylvania
Continuing its analysis on the impact of the COVID-19 pandemic on Pennsylvania, the Institute of State and Regional Affairs (ISRA) at Penn State Harrisburg has released a report comparing the economic impact of the pandemic on business sectors in Pennsylvania. The report — which is one tool that may be used to inform decision-making by local officials — found that unemployment claims grew at an alarming rate from the week of March 21 through the week of April 11, totaling nearly 1.7 million cases, and that cases may continue to grow past 2 million.
“As the commonwealth reopens, statewide leaders have many factors to consider. It is important that tools being used to support decision-making related to economic impacts pay attention to the job sectors that were hardest hit,” said Philip Sirinides, director of ISRA.
Using employment data from the Bureau of Labor Statistics and Pennsylvania Gov. Tom Wolf’s definition of essential businesses paired with data on establishments, employment, and unemployment claims, the new report assesses the economic impact of the pandemic in Pennsylvania. The report found that at least 1.2 million employees worked in industries impacted by business establishment closures.
APHA and NAM: COVID-19 Conversations
The American Public Health Association (APHA) and the National Academy of Medicine (NAM) hosted a webinar series over the last seven weeks with experts from the fields of public health, infectious disease, risk communication, and crisis standards of care. The recordings of past sessions are available here.
CMS Issues Final Rule for the 2021 Annual Notice of Benefit and Payment Parameters
On May 7, 2020, CMS released the final annual Notice of Benefit and Payment Parameters and Letter to Issuers for the 2021 benefit year. This final rule and Letter set forth payment parameters and instructions to insurers participating in the Health Insurance Exchanges or “Marketplaces”. Among the changes for 2021 are counting drug manufactures coupon toward the annual limitation on cost sharing and promoting the adoption of Value-based Insurance Designs (VBID). CMS also announced a one-week extension of the Qualified Health Plan (QHP) certification and rate review timelines to help issuers and states to better collect and assess data around the effects of COVID-19 and thereby establish more accurate premium rates. Find more information on the notice here. Generally, more information on rural health insurance issues is available from the RHIhub.
Comments Requested: Proposed Updates for FY2021 Medicare Inpatient and Long-term Care Hospital Payments – July 10
On May 11, 2020, CMS released proposed policies and payment updates for acute care and long-term care hospitals for the 2021 Federal fiscal year. In recognition of the significant impact of the COVID-19 public health emergency, CMS has limited annual rulemaking required by statute to focus primarily on essential policies. Of note to rural hospitals, CMS has decided to delay a proposed update to the Overall Hospital Quality Star Rating methodology in recognition of the significant impact of the COVID-19 public health emergency. CMS noted its intention to return to this topic in future rulemaking. CMS is also proposing to expand the definition of displaced resident under the Graduate Medical Education policy to provide greater flexibility. Find more information here.
Most Rural Hospitals Have Little Cash Going into COVID
Days cash on hand is an estimate of the number of days an organization could operate if no cash were collected or received. Many rural hospitals have a history of low cash levels and other short-term assets and are therefore ill-prepared for the loss of revenue during the pandemic. Read more here.