Rural Health Information Hub Latest News

The FDA Approves Oral Antiviral Treatment for COVID-19

The Food and Drug Administration (FDA) approved the oral antiviral Paxlovid for the treatment of mild to moderate COVID-19 in adults who are at high risk for progression to severe COVID-19 on May 25. Paxlovid packaged under the emergency use authorization (EUA) will continue to be available to ensure access for adults and treatment of eligible children ages 12-18 who are not covered under new FDA approval. Because of the importance of reducing the risk of significant drug-drug interactions with Paxlovid, the approved label and authorized Fact Fact Sheet for Health Care Providers for the Paxlovid EUA come with a boxed warning with instructions for prescribers. Prescribers should review all patient medications prior to prescribing.

Read About Recent News on the American Cancer Society Colorectal Cancer Screening Interventions Project Here!

The American Cancer Society (ACS) is recruiting health centers with colorectal cancer screening rates less than 40% for the 2023-2024 Screening Interventions Project. This project leverages quality improvement (QI) strategies and resources to support public health agencies, healthcare providers, and screening advocates across the nation to promote and deliver cancer screening appropriately, safely, and equitably. Quality improvement projects are based on previous structured intervention projects done through shared learning. Healthcare systems will have the opportunity to engage with national partners to share best practices, challenges, and celebrations. ACS staff will provide strategy, materials, training and technical assistance, data and measurement tools, and the latest research to maximize project outcomes. Depending on availability, funding may be available to support health centers participating in this project. Please join PACHC and ACS for a project preview on July 18, 12:00 pm – 12:30 pm; register here. If you are unable to attend and would like to learn more, contact Kacie Jankoski at ACS.

Fentanyl Treatment Guidelines Have Been Released 

Providers Clinical Support System (PCSS), a Substance Abuse and Mental Health Services Administration-funded grant initiative has released Practice-Based Guidelines: Buprenorphine in the Age of Fentanyl. The guide gives practitioners a blueprint for treating fentanyl use disorder based on available research combined with emerging clinical experience on the use of buprenorphine in the treatment of individuals using fentanyl and other highly potent synthetic opioids.

LGBTQ Youth at High Risk for Attempted Suicide

Over 40% of U.S. LGBTQ young people ages 13 to 24 seriously considered attempting suicide in the past year, according to the 2023 U.S. National Survey on the Mental Health of LGBTQ Young People by The Trevor Project, a nonprofit organization focused on suicide prevention among LGBTQ youth. The survey, which took place between Sept. 1 and Dec. 12, 2022, also found that while 81% of all LGBTQ young people wanted mental health care, 56% of them were not able to get it in the past year.

A New Advisory Warns of Social Media Impact on Youth Mental Health

U.S. Surgeon General Dr. Vivek Murthy released a new Surgeon General’s Advisory on Social Media and Youth Mental Health. While social media may offer some benefits, there are ample indicators that social media can also pose a risk of harm to the mental health and well-being of children and adolescents. Social media use by young people is nearly universal, with up to 95% of young people ages 13-17 reporting using a social media platform and more than a third saying they use social media “almost constantly.” With adolescence and childhood representing a critical stage in brain development that can make young people more vulnerable to harm from social media, the Surgeon General is issuing a call for urgent action by policymakers, technology companies, researchers, families, and young people alike to gain a better understanding of the full impact of social media use, maximize the benefits and minimize the harms of social media platforms, and create safer, healthier online environments to protect children. Learn more.

Kaiser Permanente Announces Latest Healthcare Organization to Face Litigation Over Data Sharing

A proposed class-action lawsuit alleges that it allowed tech companies to access private patient data for advertising purposes. The complaint, filed by a California patient known as John Doe, claims that the health system’s website and patient portal contained code that granted companies—including Google, Bing, Twitter, Adobe, and Quantum Metric—access to personal information. Kaiser joins a growing list of health systems being sued over their alleged sharing of patient information with tech companies via consumer-tracking technology. The complaint asks for damages and injunctive and declaratory relief. Kaiser Permanente is the health system awaiting approval of an acquisition of Pennsylvania’s Geisinger Health System.

You Can Read About the School-Based Services Medicaid Announcement Here!

The Centers for Medicare and Medicaid Services (CMS) has released a comprehensive guide on Medicaid School-Based Services. The guide offers new flexibilities and consolidates existing guidance, making it easier for all schools, no matter their size or the resources available to them, to deliver Medicaid-covered services. The CMCS informational bulletin provides an overview of the new flexibilities that are immediately available regarding school-based Medicaid billing, documentation, and claiming.

State-Based Marketplaces Are Play a Significant Role in Medicaid Unwinding

Nationwide, state-based marketplaces have been partnering with Medicaid agencies to prevent gaps in coverage if consumers no longer qualify for Medicaid. Developing effective communication strategies is key for Medicaid recipients, health center patients, and other vulnerable communities. The PA Department of Human Services (DHS) has worked with Pennie, Pennsylvania’s state-based marketplace, to ensure messaging and outreach strategies align during the Medicaid continuous coverage unwinding period which began April 1. This includes co-branded mailers for those not replying to their renewal packet. Pennie also meets with DHS on a weekly basis to share data, coordinate press tours and update partner toolkits. Other states have created a year-round Special Enrollment Period for individuals with income up to 250% of the Federal Poverty LevelCovered California has implemented a program that automatically enrolls individuals in a marketplace plan when they lose Medicaid coverage, while Pennie has an automated eligibility system that provides individuals losing Medicaid who are account-transferred with an eligibility determination and automatic special enrollment period. However, consumers must claim their account and select a plan to enroll. Since April 1, Pennie’s key focus has been operational activities associated with the unwinding. Thousands of applications have been received for consumers who exceed the income qualifications for Medicaid. Individuals in the initial unwinding group with Medicaid coverage ending at the end of April are now in their 60-day window where they can select a plan and have continuous coverage through retroactive coverage dates to May 1, 2023. The Pennie Community Workgroup meets the second Friday of each month to provide updates, enrollment activity, processes, and procedures specific to the transition of consumers from Medicaid to marketplace coverage.

Pennsylvania Department of Human Services (DHS) Publishes Unwinding Numbers

The DHS Unwinding Renewal Tracker records 1,322,553 individuals listed as the Total Maintained Population during the COVID-19 Public Health Emergency continuous coverage period. This is the total number of individuals who would have been ineligible or did not return a renewal and had their Medicaid coverage maintained between March 2020 and March 2023. The Tracker also breaks down information by zip code, age group, and county. As of April, for the Maintained Population, 77,129 completed renewal packets with 1,245,424 yet to have a renewal completed. Of the 77,129 renewals, 7,908 were closed and 69,221 remained eligible for Medical Assistance. Closures were due to consumers being determined ineligible based on information provided, failure to return documentation, and enrolling in Pennie. For the entire Medicaid population, 3,708,405 recipients were enrolled in Medicaid, 28,366 were newly enrolled and 15,560 were closed, indicating enrollment increased despite closures. The number of individuals who were eligible for Medicaid in the previous month and maintained coverage in the current month was 3,680,039.