Lance's Corner

HRSA Issues Health Newsletter

Nov 13, 2024

The United States Health Resources and Services Administration (HRSA) has issued its latest health newsletter, which you can read below.

October in Brief

In October 2024, HRSA took part in a ceremony honoring health care workers with a new postal stamp, participated in the National Residency Matching Program’s Transition to Residency conference, released new data from the National Survey of Children’s Health, announced new awards to address the maternal health crisis as part of the Enhancing Maternal Health Initiative, and shared the retirement announcement of HIV/AIDS Bureau Associate Administrator Dr. Laura Cheever.

Recent HRSA Highlights

HRSA Takes Historic Steps to Modernize the Nation’s Organ Transplant System

BHW Acting Associate Administrator, Dr. Candice Chen, at a dedication ceremony for a new Forever® postal stamp. On October 3, Bureau of Health Workforce Acting Associate Administrator, Dr. Candice Chen, took part in a dedication ceremony to honor the health care community with a new Forever® postal stamp. The ceremony was held at the Department of Health and Human Services’ (HHS) headquarters in Washington, DC.
HRSA Joins in Ceremony for New Postal Stamp Honoring Health Care Community The unveiling of the new stamp was an opportunity for HHS and the U.S. Postal Service to pay tribute to the nation’s nearly 16 million health care workers. These essential workers dedicate their lives to protect people’s health, safety, and well-being.

HRSA Delivers Remarks at Medical Residency Conference

Principal Deputy Administrator Diana Espinosa at the National Residency Matching Program’s Transition to Residency conference Principal Deputy Administrator Diana Espinosa delivered remarks at the National Residency Matching Program’s Transition to Residency conference in Louisville, Kentucky, on October 4. This year’s conference focused on ways to strengthen the transition to residency, fellowship, and medical practice. The Principal Deputy Administrator spoke about HRSA’s mission and the agency’s efforts to grow, support, and strengthen the health workforce. She also highlighted the importance of building a resilient, capable physician workforce through support for graduate medical education and other training programs.

New Data From the National Survey of Children’s Health Shed Light on Child Health

doctor and a child patientOn October 7—Child Health Day—HRSA released the results of the 2023 National Survey of Children’s Health (NSCH). The yearly survey is the largest national- and state-level survey on the health and health care needs of children under the age of 18, their families, and their communities. New datasets are released each year on Child Health Day. HRSA’s Maternal and Child Health Bureau funds and directs the survey, and the U.S. Census Bureau conducts it. This video provides more details about the survey. In 2023, parents or guardians completed questionnaires for more than 55,000 children. The survey data add to our understanding of the health status and health service needs of children across the nation by providing information on topics such as:
  • Health conditions and functional difficulties
  • Social and emotional well-being
  • Health-related behaviors
  • Access to and use of health care services
  • School environment and engagement
Key findings of the 2023 survey include:
  • About one in five adolescents have a current, diagnosed mental or behavioral health condition.
  • About 8 in 10 adolescents 12 – 17 years who needed mental health treatment received it.

HRSA Announces New Grants To Address Maternal Health Crisis at Illinois Convening

HRSA Announces New Grants To Address Maternal Health Crisis at Illinois ConveningOn October 9, HRSA announced nearly $19 million in grant awards to 15 states to identify and implement innovative strategies to address the maternal health crisis. HRSA Deputy Administrator Jordan Grossman, joined by Representative Robin Kelly (IL-02), Chair of the Congressional Black Caucus Health Braintrust and Co-chair of the bipartisan Maternity Care Caucus, announced these awards in Chicago, Illinois, as part of HRSA’s latest Enhancing Maternal Health Initiative state convening.
TCA Health, Inc., a HRSA-funded health centerHRSA announced the availability of this funding in December 2023 at a White House roundtable on innovation in maternal health convened by the Office of the Vice President Kamala Harris and the Domestic Policy Council in support of the White House Blueprint for Addressing the Maternal Health Crisis. During the convening, Deputy Administrator Grossman emphasized the importance of listening to women and mothers with lived experience in developing community-based solutions. He noted that HRSA’s state maternal health task forces across the country are working to innovate and deploy community-driven strategies to support pregnant women and new moms. As part of the Illinois convening, Deputy Administrator Grossman and Bureau of Primary Health Care Deputy Associate Administrator Onyekachukwu Anaedozie visited TCA Health, Inc., a HRSA-funded health center, and heard from health care providers and patients about their experiences and ideas to address maternal health issues.

HRSA’s Illinois Enhancing Maternal Health Initiative state convening

HRSA Associate Administrator Dr. Laura Cheever, National Leader in HIV Care and Treatment, To Retire

Dr. Laura Cheever, Associate Administrator of HRSA’s HIV/AIDS Bureau (HAB)On October 17, Dr. Laura Cheever, Associate Administrator of HRSA’s HIV/AIDS Bureau (HAB), announced that she will be retiring at the end of 2024 after 25 years of federal service. As HAB Associate Administrator, she led the successful launch of the Ryan White HIV/AIDS Program and oversaw a $2.6 billion investment to expand HIV care and treatment to more than half of all people with HIV in the United States. Under Dr. Cheever’s leadership, HIV viral suppression rates for people treated for HIV under the program jumped from 70% in 2010 to 90% in 2022. Viral suppression means people with HIV taking their medication cannot sexually transmit HIV and can live longer and healthier lives. Dr. Cheever championed community engagement to identify gaps and address needs to improve the program. Her leadership contributed to the 2020 rollout of the Ending the HIV Epidemic in the U.S. Initiative. Dr. Cheever leaves a strong organization that is taking on the challenges of ending the HIV epidemic in the United States. Heather Hauck, the current Deputy Associate Administrator of HAB, is stepping in as HAB’s Acting Associate Administrator.

News From the Regions

HRSA Presents and Exhibits at the American Public Health Association Meeting and Expo

HRSA Presents and Exhibits at the American Public Health Association Meeting and ExpoStaff from across HRSA presented and exhibited at the American Public Health Association Annual Meeting and Expo in Minneapolis, Minnesota. Presenters shared information about HRSA programs, including:
  • The positive impact of health centers on health outcomes
  • The role of community engagement to reduce HIV disparities
  • Support for the maternal health workforce
  • Prevention and response to intimate partner violence
It was inspiring to see our grantees and talk with them about the impact HRSA investments make in their communities.

See News & Announcements on HRSA.gov.

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