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.

Healthiest Cities	Unhealthiest Cities
1. San Francisco, CA	165. Detroit, MI
2. Seattle, WA	166. Fort Smith, AR
3. San Diego, CA	167. Augusta, GA
4. Portland, OR	168. Huntington, WV
5. Washington, DC	169. Montgomery, AL
6. New York, NY	170. Memphis, TN
7. Denver, CO	171. Shreveport, LA
8. Irvine, CA	172. Gulfport, MS
9. Scottsdale, AZ	173. Laredo, TX
10. Chicago, IL	174. Brownsville, TX

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.  

Beginning January 1, 2020, Medicare will pay opioid treatment programs (OTPs) a bundled payment for providing treatment to Medicare beneficiaries and beneficiaries who are dually eligible for Medicare and Medicaid.  This Guidance to State Medicaid Agencies clarifies that OTPs must enroll with Medicare in order for Medicare to become the primary payer for services provided to dually-eligible beneficiaries and offers interim reimbursement solutions while providers go through the Medicare enrollment process.  There are few OTPs in rural areas, yet rural health providers are hopeful that increased access to medication-assisted therapy, such as that provided in OTPs, can have a positive impact on rural opioid use. Read more here.