Lance's Corner

AHRQ Highlights AcademyHealth Meeting

Jul 15, 2024

Per the notice below, the Agency for Healthcare Research and Quality (AHRQ) is highlighting the annual AcademyHealth research meeting.

Feeling Energized After Another Successful AcademyHealth Annual Research Meeting

I have been contemplating the 2024 AcademyHealth Annual Research Meeting (ARM), held this year in Baltimore, since its conclusion ten days ago.  I hope all attendees had as enjoyable and thought-provoking experience as I had. Congratulations to AcademyHealth for hosting a well-organized meeting with stimulating, informative presentations.  For the first time, AHRQ’s National Advisory Council (NAC) held its summer meeting in conjunction with the ARM.  This fortuitous overlap provided synergy in our organizations’ shared goal of improving healthcare by advancing healthcare progress through the scientific enterprise of health services research.  Department of Health and Human Services Secretary Xavier Becerra underscored that theme in videotaped remarks during ARM's opening plenary session.  He also noted AHRQ’s 35th anniversary and welcomed Dr. Aaron Carroll as the new president and CEO of AcademyHealth.  At a time when AHRQ celebrates its anniversary as an independent science agency, my message for the NAC and ARM participants was fundamental: We must not be content to do health services research that identifies problems in our healthcare delivery systems, but rather engage in health services research that offers actionable solutions to challenges facing healthcare executives, clinicians, and policymakers.  I was gratified to confirm that many of our peers agreed with that objective.  I thank Dr. Carroll for sharing his vision for AcademyHealth and the future of health services research with the NAC.  The discussion was robust, and in a future blog post, Dr. Carroll and I hope to share ideas on how our organizations will collaborate to improve healthcare quality.  AHRQ’s participation in this year’s ARM included two special sessions:

  • Innovations and Actions for Addressing Emergency Department Crowding addressed the consequences of this global phenomenon, including draining health system resources, causing workforce burnout, and creating risks for patient and workforce safety.  Speakers articulated the problem’s scope and the inequity of its impact.  They also presented current efforts to address the issue, shared implications for diverse populations, and called for continued engagement, action, and systematic change.  The discussion provided fodder for future considerations and potential strategies to address this critical issue.
  • The Modernization of the Medical Expenditure Panel Survey (MEPS) outlined AHRQ’s efforts to enhance one of our nation’s most valuable data resources.  Established in 1996, MEPS data analysis offers the nation’s most complete information on how Americans use health services, how frequently they use them, the cost of these services, and how they are paid for.  Panelists provided valuable suggestions to improve MEPS design, increase engagement among survey respondents, and focus on collecting data deemed most important to MEPS users in “real-time.”

As we have come to expect from ARM audiences, we received excellent questions and suggestions during both sessions.  I want to thank AHRQ staff members who produced these outstanding sessions, additional sessions, and poster presentations.  AcademyHealth’s annual meeting is always invigorating—an exciting opportunity to learn about the newest innovations in health services research, engage in hallway discussions, and contemplate prospects for improving healthcare delivery for all Americans.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc