Register for HRSA Patient-Centered Medical Home Health Equity Symposium

Registration is now open for this annual symposium, which the Health Resources and Services Administration (HRSA) hosts in partnership with The Joint Commission. Join your peers and experts to hear about and discuss best practices and lessons learned in health equity, quality improvement, and accreditation and recognition. Visit the event to learn more and register for the Tuesday, July 16, and Wednesday, July 17, 12:00 – 4:00 pm symposium.

Text Reminders Help with Employee Burn Out

Healthcare workers everywhere are struggling with burn out, a problem that has only intensified since the COVID-19 pandemic. To combat burn out and improve employee mental health, institutions like Penn Medicine have adopted a mental health platform that sends regular, automated text messages connecting employees to resources specifically designed for healthcare workers. A recent study by JAMA Network Open showed that employees receiving text message reminders saw a dramatic improvement in their depression symptoms. Read more about the mental health platform and the study here.

Pennsylvania Distributes Funding to Dentists Providing Services to Medicaid Patients

As part of the FY 2023-24 state budget, the Pennsylvania state legislature allocated $12 million to be used for the purpose of making one-time payments to dentists enrolled in the Medical Assistance (MA) program based on an enrolled dentist’s utilization from calendar year 2022 billing of 31 dental codes as compared to the total claims billed. Per the legislation, this program is only for dentists that submitted bills for the eligible services using Provider Type 27 (Dentist). That means that care provided by FQHC dentists is not eligible for this funding as FQHCs are enrolled as Provider Type 8 and the FQHC is both billing and rendering provider.

Employers Now Have Employee Health Insurance Coverage Options

Employers offering an Individual Coverage Health Reimbursement Arrangement (ICHRA) can reimburse employees with pretax dollars to cover the cost of individual health insurance premiums and qualified medical expenses. ICHRAs first became available in 2020, preceded by qualified small employer health reimbursement arrangements (HRAs) in 2017. Until then, the Affordable Care Act (ACA) prohibited employers from reimbursing employees for individual market premiums. Employers determine how much they will reimburse employees via an ICHRA health insurance plan. The same terms must apply to all workers within a given class, though reimbursements may be increased for older employees and those with more dependents. Some ICHRAs may be more affordable options because employers set how much they’re willing to spend and because they provide flexibility for employers who don’t or can’t offer healthcare insurance due to the cost. Unfortunately, not all employees can purchase individual coverage through marketplaces or receive premium tax credits. The coverage employers offer must not meet the Affordable Care Act Affordability standards and ensure enough employees participate or it may become cost prohibitive. Depending on the marketplace offerings, employers will have to determine if the risk or change is worth it.

Prime Pennie Contractor Acquired by Accenture Federal Services

Accenture Federal Services has completed its acquisition of Cognosante, a Falls Church, Virginia-based provider of digital transformation and cloud modernization solutions for federal health, defense, intelligence, and civilian agencies. Accenture Federal Services announced its intent to acquire Cognosante on April 15, 2024. Cognosante is the prime contractor under the current enrollment assistance contract for the Pennsylvania Health Insurance Exchange (Pennie). Founded in 2008 by Michele Kang, Cognosante has grown rapidly and is providing technology solutions to federal government clients, including healthcare programs supporting veterans, active-duty military, patients, beneficiaries, providers, and payors. Through CMS’s Center for Consumer Information and Insurance Oversight (CCIIO), Cognosante assisted with an Enrollment Assistance Program to ensure continuity of coverage for individuals and families impacted by the Medicaid Unwinding.

Pennsylvania House Insurance Committee Prepares to Vote on Senate-Passed Telemedicine Bill

The House Insurance Committee unanimously passed a telemedicine bill that passed the state Senate last month. Senate Bill 739 would require that health insurance policies cover medically necessary and otherwise covered healthcare services delivered through telemedicine. The bill was approved by the Senate by a 47-1 vote. The bill does allow telemedicine services to be provided by FQHCs. The bill now goes to the House for a vote. Since the bill was amended in the House Insurance Committee, it would need to go to the Senate for final approval.

Pennsylvania 2024 LGBTQ+ Health Needs Assessment Unveiled

The Bradbury-Sullivan LGBT Community Center is collecting responses for the 2024 Pennsylvania LGBTQ+ Health Needs Assessment. This survey is designed to better understand LGBTQ+ patients’ health and better understand the wellbeing and health care experiences of the community. The survey is available in English and Spanish. Please spread the word and share the survey with your networks.

Click here for the English survey.
Click here for the Spanish survey.

New Strategic Plan for Aging in Pennsylvania Launched: Aging Our Way, PA

Pennsylvania Governor Josh Shapiro and the Department of Aging Secretary Jason Kavulich unveiled a new blueprint for enhancing services targeted at the state’s elderly population. The plan, “Aging Our Way, PA,” is a ten-year strategic plan aimed to transform how state, regional, and local agencies work together to meet the needs of Pennsylvania’s fast-growing senior population and improve their quality of life.

Click here to learn more.

Pennsylvania Announces Medicaid Program Dental Fee Schedule Changes

The Pennsylvania Department of Human Services (DHS) announced updates to the Medical Assistance (MA) Program Fee Schedule based upon the 2024 Healthcare Common Procedure Coding System (HCPCS) updates and based on clinical review. MAB 99-24-03 issued on May 28th can be reviewed in full on the Office of Medical Assistance Program website. See below for dental procedure codes that have been added.

  • D2991 – refers to the application of hydroxyapatite
  • D0190 – refers to screening of a patient
  • D0191 – refers to assessment of a patient

Click here to view the updates.