Lance's Corner

AHRQ Issues Regulatory Update

Aug 27, 2025

The Agency for Healthcare Research and Quality (AHRQ) has issued its weekly regulatory update, which can be read below.

August 27, 2025 | Issue #972

In This Week's Issue: medical office survey data submission; Breastfeeding Awareness Month; funding tips for primary care research; broader benefits of Medicare bundled payments
Note: Next week’s issue of AHRQ News Now will be delivered on Wednesday, September 3.

SOPS® Medical Office Survey Data Submission Is Open September 2–19

Medical offices that have administered AHRQ's Surveys on Patient Safety Culture (SOPS) Medical Office Survey since October 2023 or plan to do so by September 2025 are invited to submit their data to the SOPS Medical Office Survey Database during the upcoming submission window: September 2–19, 2025.  If your medical office also administered the Diagnostic Safety or Value and Efficiency supplemental items along with the core survey, you may include that data as well.  Medical offices submitting data will receive customized feedback reports, comparing their results with aggregated, deidentified data from all participating organizations.  Learn more about database submission.

August Is Breastfeeding Awareness Month: Report Links Breastfeeding to Multiple Health Benefits for Children

Breastfeeding is linked to better health outcomes for infants and children and may lower the risk of ear infections, asthma, obesity, and childhood leukemia, according to an AHRQ systematic review.  The report synthesizes findings from more than 750 studies on the relationship between breastfeeding and infant and child health outcomes.  Longer durations of breastfeeding offer more protection compared with shorter durations or no breastfeeding, although the evidence review did not find a specific duration of breastfeeding to be clearly more beneficial across all health outcomes.  There is limited research on how the mode of feeding—breast versus bottle—and the source of human milk—mother versus donor—may affect health outcomes.  The report notes the importance of providing educational opportunities for parents so they can make informed decisions for feeding their children.  Access the report to learn more for Breastfeeding Awareness Month.

Resource Presents Insights on Obtaining Primary Care Research Funding

Finding sustainable funding is a critical step toward funding primary care research to improve care delivery.  "Tips for Obtaining Funding for Primary Care Research," developed by AHRQ’s National Center for Excellence in Primary Care Research, provides expert guidance and resources for locating funding for primary care projects.  The result of virtual conversations with stakeholders that occurred in March 2025, the publication includes lists of funding sources and other tips for obtaining financial support.  If you're seeking funding for a primary care research project, explore these tips from AHRQ to help you get started.

Bundled Payment Model Benefits Patients Beyond Medicare

In recognition of National Senior Citizens Day (August 21), AHRQ highlights recent research showing that Medicare’s Comprehensive Care for Joint Replacement (CJR) model improved outcomes not only for Medicare patients, but also for those with Medicare Advantage or no Medicare coverage.  In an AHRQ-funded study published in PLOS ONE, researchers analyzed more than 312,000 hip and knee replacements at California hospitals between 2014 and 2017 to assess the spillover effects of CJR.  After the model was implemented, the average hospital stay decreased for all patient groups, and more patients were discharged directly to their homes rather than to a rehab facility.  For example, home discharges increased by 4.7 percent among Medicare Advantage patients and by 2.3 percent among non-Medicare patients.  These results suggest that bundled payment models may drive broader improvements in care delivery—even among those not directly targeted by the program—and may inform future payment and policy reforms.  Access the article.

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AHRQ Stats: Changes in High Blood Pressure Treatment

From 2018–19 to 2021–22, the percentage of adults with diagnosed or treated high blood pressure who both received medications and had medical visits declined from 60.2 percent to 56.5 percent.  At the same time, those who received medications without visits increased from 15.9 percent to 18.0 percent.  (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #563, Recent Changes in Treatment Patterns for Diagnosed or Treated Hypertension, 2018–19 to 2021–22, 2025.)

New Research and Evidence

AHRQ in the Professional Literature

Feasibility and acceptability of an adapted evidence-based team training approach from health care to the early intervention context: a brief report.  Albright J, Rushworth S, Kuriyan A, et al. J Early Interv. 2025 Sep;47(3):361-73. Epub 2025 May 29.  Access the abstract on PubMed®.

Association between delayed broad-spectrum gram-negative antibiotics and clinical outcomes: how much does getting it right with empiric antibiotics matter?  Baghdadi JD, Goodman KE, Magder LS, et al. Clin Infect Dis. 2025 Jun 4;80(5):949-58.  Access the abstract on PubMed®.

Revisions to the Safety Assurance Factors for Electronic Health Record Resilience (SAFER) guides to update national recommendations for safe use of electronic health records.  Sittig DF, Flanagan T, Sengstack P, et al. J Am Med Inform Assoc. 2025 Apr;32(4):755-60.  Access the abstract on PubMed®.

Association of Medicare eligibility with access to and affordability of care among older cancer survivors.  Kwon Y, Roberts ET, Degenholtz HB, et al. J Cancer Surviv. 2025 Aug;19(4):1431-41. Epub 2024 Mar 23.  Access the abstract on PubMed®.

Annual medication use and costs among children.  Begum A, Hosokawa P, Orth LE, et al. JAMA Netw Open. 2025 Mar 3;8(3):e251529.  Access the abstract on PubMed®.

Banding together to lower the cost of health care?  An empirical study of the Peak Health Alliance in Colorado.  Meiselbach MK, Eisenberg MD. Journal of Risk and Insurance. 2025 Jun;92(2):472-504. Epub 2025 Feb 28.  Access the abstract on PubMed®.

Drivers of bronchodilator use in bronchiolitis: analyzing treatment trends from pediatric emergency department practices.  Rivera-Sepulveda A, Maul T, Jurlina A, et al. Pediatr Emerg Care. 2025 Jun;41(6):448-55. Epub 2025 Feb 28.  Access the abstract on PubMed®.

Emergency medical services-led outreach following opioid-associated overdose: frequency, modality, and treatment linkage.  Ulintz A, Gage CB, Powell JR, et al. Prehosp Emerg Care. 2025;29(4):550-5. Epub 2025 Feb 21.  Access the abstract on PubMed®.

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