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End of PHE Could Cut Kids From PA Medicaid Rolls

When the formal COVID-19 public health emergency ends, as many as one out of every four Pennsylvania children enrolled in Medicaid could lose their state-sponsored health insurance, according to new research by the Pennsylvania Partnership for Children.

During the PHE, the number of uninsured children in the state fell from 4.6 percent to 4.4 percent, but some of that improvement could be reversed as the state begins to redetermine the eligibility of more than 3.5 million people currently on the state’s Medicaid rolls after a more than two-year hiatus in eligibility reviews.  Today, more than 1.4 million children in Pennsylvania are enrolled in Medicaid or CHIP.

Even with the PHE-inspired improvements, 5.5 percent of children in the state who qualify for some kind of free or subsidized health insurance remain uninsured, according to the research.

Uninsured children, like the uninsured population at large, are far more likely than not to be treated by Pennsylvania’s safety-net hospitals such as those that belong to the Safety-Net Association of Pennsylvania (SNAP).  As a result, any reduction in the rate of uninsured children would have a correspondingly damaging effect on the financial health of those safety-net hospitals – and potentially, on the residents of the medically vulnerable communities those hospitals serve.

Learn more about how the end of the PHE may affect health care coverage for Pennsylvania children in the Pennsylvania Capital-Star article “Report:  Ranks of uninsured Pa. kids dropped during pandemic.”

2022-12-14T15:26:58+00:00December 14th, 2022|COVID-19, Pennsylvania Medicaid, Pennsylvania Medicaid coronavirus|Comments Off on End of PHE Could Cut Kids From PA Medicaid Rolls

SNAP Hospitals Benefit From New PA Health Care Funding

While a recent Pennsylvania law will result in all hospitals receiving supplemental funding to help with employee recruitment and retention, SNAP member hospitals will receive a little something extra.

Safety-Net Association of Pennsylvania logoPennsylvania Act 2, passed earlier this year, appropriates $225 million in federal money and the state has earmarked a portion of that money for hospitals based on how many beds they have.  Hospitals that serve especially high proportions of Medicaid patients, however, will receive funding over and above the amount targeted to them based on bed count alone.

All Safety-Net Association of Pennsylvania members – hospitals distinguished by their service to especially large numbers of low-income Pennsylvanians – will receive a portion of these additional resources.

All hospitals and other selected providers will share $100 million of the $225 million total; this portion will be distributed on a per-bed basis.  Pennsylvania safety-net hospitals, along with critical access hospitals and inpatient and residential behavioral health facilities, also will receive part of a separate, larger pool of $110 million.

Over the years, SNAP has consistently urged state officials to provide additional funding to Pennsylvania safety-net hospitals that care for especially high proportions of Medicaid and uninsured patients.  In this situation, state officials did exactly that.

Learn more about the $225 million appropriation and how it will be distributed from this Wolf administration news release and this list of funding recipients, which includes all SNAP members.

 

2022-03-25T13:10:50+00:00March 25th, 2022|Pennsylvania safety-net hospitals, Safety-Net Association of Pennsylvania|Comments Off on SNAP Hospitals Benefit From New PA Health Care Funding

SNAP Asks PA Delegation to Co-Sponsor, Support 340B Bill

SNAP has asked members of Pennsylvania’s congressional delegation to co-sponsor and support bills (H.R. 3203 and S. 773) that would temporarily enable Pennsylvania safety-net hospitals and others already eligible for the 340B prescription drug discount program to remain eligible for the program despite short-term changes in their admissions patterns brought about by the COVID-19 pandemic.

Because of the manner in which the COVID-19 pandemic affected hospital admissions, some hospitals that have been eligible to participate in the 340B program could lose that eligibility for what is, in effect, a one-year anomaly.  The proposed bills would temporarily enable current 340B participants to retain their eligibility for the program until hospitals’ inpatient volume returns to normal and they can demonstrate whether they still meet the criteria to continue participating in the program.

340B has long been a vital tool through which Pennsylvania safety-net hospitals receive significant discounts on the prescription drugs their low-income patients need, enabling these hospitals and other eligible providers to stretch scarce resources in services to the communities that depend on them.

Learn more from SNAP’s letter to members of Pennsylvania’s congressional delegation.

2021-06-15T17:52:15+00:00June 15th, 2021|340b, Pennsylvania safety-net hospitals, Safety-Net Association of Pennsylvania|Comments Off on SNAP Asks PA Delegation to Co-Sponsor, Support 340B Bill

Change Atop PA’s Department of Human Services

Teresa Miller is out and Meg Snead will be in as Pennsylvania’s new Secretary of the Department of Human Services.

In separate news releases the Wolf administration announced that Miller, who has led DHS since 2015, “will be moving on to a new opportunity outside Pennsylvania” and leave her job at the end of April and that she will be replaced by Meg Snead, who currently serves as the governor’s Secretary of Policy and Planning.

Snead’s nomination is subject to confirmation by the state Senate.

The Secretary of the Department of Human Services is important to SNAP members and Pennsylvania safety-net hospitals because the state’s Medicaid program is administered by that department’s Office of Medical Assistance Programs.

Learn more about Miller’s departure here and about Snead’s nomination here.

2021-03-25T06:00:37+00:00March 25th, 2021|Pennsylvania Medicaid, Pennsylvania safety-net hospitals, Safety-Net Association of Pennsylvania|Comments Off on Change Atop PA’s Department of Human Services

House to Consider Extending Medicare Sequester Delay

The moratorium on the two percent sequestration of Medicare payments could be extended under a bill the U.S. House of Representatives may consider this week.

If adopted, the bill would extend the sequester delay for nine months, providing financial relief that many health care providers seek as they continue to deal with the financial challenges posed by COVID-19.

The sequester delay was implemented early in the pandemic as a means of providing additional Medicare revenue to hospitals and other health care providers at a time when many people were delaying seeking medical attention out of fear of contracting COVID-19.

Without action by Congress, the current delay of the Medicare sequester will expire at the end of March.

Safety-Net Association of Pennsylvania logoSNAP has urged Congress to extend the Medicare sequestration delay on a number of occasions, doing so most recently in this February 5 letter to members of Pennsylvania’s congressional delegation.

Learn more about the latest effort to extend the Medicare sequester delay in the Fierce Healthcare article “House to vote later this week on bill to delay Medicare sequestration payment cuts.”

2021-03-18T06:00:32+00:00March 18th, 2021|Medicare, Safety-Net Association of Pennsylvania|Comments Off on House to Consider Extending Medicare Sequester Delay

SNAP Asks PA Delegation for Help From COVID-19 Relief Bill

The next federal COVID-19 relief bill should include more resources for the Provider Relief Fund, SNAP has told members of Pennsylvania’s congressional delegation.

Safety-Net Association of Pennsylvania logoThe bill also should include additional targeted funding for safety-net hospitals, help with staffing, an extension of the current moratorium on the Medicare sequestration, and forgiveness for safety-net hospitals for loans they received under the Medicare Accelerated and Advance Payment Program.

This was the message the Safety-Net Association of Pennsylvania conveyed last week in a letter to members of Pennsylvania’s congressional delegation.  See that letter here.

2021-02-05T17:20:29+00:00February 5th, 2021|Coronavirus, COVID-19, Federal Medicaid issues, Medicare|Comments Off on SNAP Asks PA Delegation for Help From COVID-19 Relief Bill

SNAP Asks Congress to Help Hospitals Keep Provider Relief Fund Grants

Pennsylvania’s safety-net hospitals could lose some or all of their CARES Act Provider Relief Fund grant money and the Safety-Net Association of Pennsylvania is asking members of the state’s congressional delegation to intervene on their behalf to prevent it.

Safety-Net Association of Pennsylvania logoAt issue are financial reporting requirements that at first directed hospitals to estimate their anticipated revenue losses and extra expenses associated with the COVID-19 pandemic in one way and then shifted to a new approach.  The first grant distribution was based on the original reporting requirements, and now, hospitals fear that the change in reporting requirements could leave them vulnerable to a demand that they return some, much, or all of that grant money.

The Department of Health and Human Services announced one set of reporting requirement in June and then proposed modifying them in September.  In response to widespread expressions of concern, including from SNAP, HHS revised those proposed changes – but not enough, according to many stakeholders, leaving them concerned that HHS would ask them to return some of their grant money.  Now, SNAP is asking the same members of the Pennsylvania congressional delegation who asked HHS to reconsider the reporting requirements to do so again.

See SNAP’s letter to the delegation asking its members to sign onto a bipartisan letter asking HHS to revise its reporting requirements once again.  Go here to see the letter members of Congress are being asked to sign.

 

2020-12-14T10:20:08+00:00December 14th, 2020|Coronavirus, COVID-19|Comments Off on SNAP Asks Congress to Help Hospitals Keep Provider Relief Fund Grants

SNAP Asks PA Delegation for COVID-19 Aid

SNAP has written to Pennsylvania’s congressional delegation to request additional COVID-19 legislation between now and the end of the year to help Pennsylvania safety-net hospitals respond to the health care and financial challenges posed by the pandemic.

Safety-Net Association of Pennsylvania logoIn its letter, SNAP asked Congress for:

  • additional funding for the Provider Relief Fund for assistance to hospitals;
  • extension of the temporary moratorium on continued implementation of the 2011 Budget Control Act’s Medicare sequestration; and
  • the suspension of any other federal cuts for health care providers, such as the scheduled reduction of Medicaid disproportionate share (Medicaid DSH) allocations to the states.

Read SNAP’s message to Congress.

 

2020-12-08T06:00:24+00:00December 8th, 2020|Coronavirus, COVID-19, DSH hospitals, Federal Medicaid issues, Medicaid supplemental payments, Pennsylvania Medicaid, Pennsylvania safety-net hospitals|Comments Off on SNAP Asks PA Delegation for COVID-19 Aid

COVID-19 Update: Friday, December 4

The following is the latest COVID-19 information from the state and federal governments as of 2:45 p.m. on Friday, December 4.

SNAP Advocacy

Safety-Net Association of Pennsylvania logoSNAP has written to Congress to request additional COVID-19 legislation between now and the end of the year.  SNAP asked Congress for additional funding for the Provider Relief Fund; extension of the temporary moratorium on continued implementation of the 2011 Budget Control Act’s Medicare sequestration; and the suspension of any other federal cuts for health care providers, such as the scheduled reduction of Medicaid disproportionate share (Medicaid DSH) allocations to the states.  Read SNAP’s message to Congress.

Pennsylvania Update

Department of Health

The Department of Health recognizes the need to protect the patients and residents in healthcare facilities by ensuring that visitors (including Department of Health employees) follow guidance and requirements issued by the Department of Health and CMS regarding visitation to healthcare facilities.  Surveyors from the Department of Health are required to follow these requirements and guidance.  The Department of Health also has its own testing program for our surveyors.  Because of HIPPA we cannot share medical results of our employees, but again we can assure you that all employees who are on site at facilities are compliant with all Department of Health and CMS guidance and requirements.

Department of Health – by the numbers

  • For the second consecutive day, Pennsylvania set a new high for new COVID-19 cases in a single day.
  • More than 11,000 Pennsylvanians have now died from COVID-19.  Daily death figures are now the highest they have been since the pandemic began.
  • Nearly 38,000 residents of long-term-care facilities and more than 7100 people who work in those facilities have contracted COVID-19.  Those figures encompass 1316 facilities in 65 of Pennsylvania’s 67 counties.
  • More than 15,000 health care workers in the state have contracted COVID-19.
  • More than 1000 Pennsylvanians are currently in hospital intensive care units being treated for COVID-19.
  • Nearly 600 Pennsylvanians are currently breathing with the help of a ventilator because they have COVID-19.
  • 16 percent of hospital adult ICU beds are currently unoccupied, as are 15 percent of medical/surgical beds, 40 percent of pediatric beds, 17 percent of pediatric ICU beds, and 34 percent of airborne isolation unit beds.

Around the State

  • The Pittsburgh Tribune-Review reports that “More than one-third of hospitals in Southwestern Pennsylvania anticipate staffing shortages in the coming week.”
  • It also notes that “In Allegheny County, just over 11% of adult ICU beds in the county remain available – about 91 beds in total.”
  • ICU beds are a major concern, the Tribune-Review adds, explaining that “Intensive care units already are at capacity in two Western Pennsylvania hospitals.  Officials with Butler Health System said in a release Wednesday units at Butler Memorial and Clarion hospitals are full, and the health system has activated phase one of its surge plan.”
  • That plan “…includes converting Butler Memorial’s post-anesthesia care unit into an intensive care unit, which will add 15 more critical care beds in the hospital.”
  • In addition, the Tribune-Review adds, “The health system will suspend all nonemergency elective surgeries and procedures that would require an in-patient stay, a move officials hope will free up as many beds as possible.”
  • In addition, the Pittsburgh Business Times reports that the state’s Keystone region also is expected to see staffing shortages in the coming week.  That region consists of Adams, Bedford, Blair, Centre, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Juniata, Lancaster, Lebanon, Mifflin, Perry, Snyder, and York counties.
  • The Harrisburg Patriot-News explains that “WellSpan York Hospital has put up a tent outside its emergency room and plans to add trailers.  A spokesman said the space is for isolating ER patients awaiting results of COVID-19 tests.  It’s not being used to house hospitalized patients, nor is the ER housing hospitalized patients.”
  • The Philadelphia Business Journal notes that on Wednesday, Philadelphia’s Health Department “…reported 859 patients with Covid are now being treated in city hospitals, nearing the 1,000 Covid admissions level Philadelphia medical centers experienced during the spring.”
  • Finally, the Philadelphia Inquirer reported that “The counties whose hospital ICUs were completely filled with coronavirus patients, according to state data, included Lycoming, Schuylkill, and Washington.  Most have small capacities, with some having fewer than five or 10 ICU beds in total, according to state data.”

Department of Human Services

DHS’s Office of Developmental Programs has posted guidance to community and life-sharing home providers about how to apply updated COVID-19 testing guidance and infection control procedure guidance issued by the state’s Department of Health.

Federal Update

Centers for Medicare & Medicaid Services

  • CMS has updated its FAQs on Medicare fee-for-service billing with 14 new questions that address administration and billing for monoclonal antibody therapy.  The new questions can be found on pages 33-34, p. 34, pp. 120-121, p. 121, pp. 121-124, pp. 124-125, p. 125 (four questions), p. 126, pp. 126-127, p. 127, and pp. 127-128.
  • CMS covers much the same ground in an updated version of its document “Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction.”
  • CMS has published a statement on its intended use of its enforcement discretion on skilled nursing facility consolidated billing for COVID-19 vaccines and monoclonal antibody infusions.  Through the exercise of this discretion, CMS will permit Medicare-enrolled immunizers to bill directly and receive direct reimbursement from the Medicare program.  Go here to see the complete statement.

Coronavirus (COVID-19) Stakeholder Calls 

CMS hosts recurring stakeholder engagement sessions to share information about the agency’s response to COVID-19.  These sessions are open to members of the health care community and are intended to provide updates, share best practices among peers, and offer participants an opportunity to ask questions of CMS and other subject matter experts.

COVID-19 Office Hours Call

Tuesday, December 8 at 5:00 (eastern)

Toll Free Dial-In:  833-614-0820; Access Passcode:  3129517

Audio Webcast link:  go here.

Tuesday, December 22 at 5:00 (eastern)

Toll Free Dial In:  833-614-0820; Access Passcode:  3968359

Audio Webcast link:  go here.

Conference lines are limited so CMS encourages interested parties to join via audio webcast.

To listen to the audio files and read the transcripts for past stakeholder calls, go here.

Department of Health and Human Services

  • HHS has issued a fourth amendment to the Declaration under the Public Readiness and Emergency Preparedness Act (PREP Act) to increase access to critical countermeasures against COVID-19, including greater use of telehealth.  Go here for a more detailed description of what the amendment authorizes.

Food and Drug Administration

  • On Tuesday, December 8 at noon (eastern) the FDA will host a webinar on its enforcement policy for sterilizers, disinfectant devices, and air purifiers during the COVID-19 pandemic as part of its series on respirators and other personal protective equipment for health care personnel use during the pandemic.  Go here for further information about the webinar and how to participate.
  • The FDA has issued emergency use authorization for a bioburden-reduced N95 respirator.  See the FDA’s letter of authorization and its fact sheet for health care providers.

Centers for Disease Control and Prevention

Resources to Consult

Pennsylvania Department of Human Services

Main COVID-19 Page

COVID-19 Provider Resources

Press Releases

Pennsylvania Department of Health

Main COVID-19 Page

PA Health Alert Network

Centers for Disease Control and Prevention

Main COVID-19 Page

FAQ

 

2020-12-07T09:59:52+00:00December 7th, 2020|Coronavirus, COVID-19, Safety-Net Association of Pennsylvania|Comments Off on COVID-19 Update: Friday, December 4

SNAP Asks PA Congressional Delegation to Help Preserve Federal COVID-19 Aid for Hospitals

Protect the COVID-19 aid the federal government has given to Pennsylvania safety-net hospitals and others, SNAP has asked in a letter to members of Pennsylvania’s congressional delegation.

Safety-Net Association of Pennsylvania logoThe letter refers to changes in how the federal Department of Health and Human Services wants hospitals to calculate the revenue they lost as a result of COVID-19 – the justification in part for the Provider Relief Fund payments hospitals have received through the CARES Act.  In June, HHS told hospitals how to make that calculation but late last month it changed those directions in ways that could force many Pennsylvania safety-net hospitals to return some or even much of the federal aid they received.

In the letter, SNAP asks members of Pennsylvania’s congressional delegation to join a bipartisan letter asking HHS Secretary Alex Azar to restore the June instructions for calculating COVID-19-related lost hospital revenue.

Go here to read SNAP’s message to Congress.

2020-10-14T11:43:19+00:00October 14th, 2020|Coronavirus, COVID-19, Pennsylvania safety-net hospitals, Safety-Net Association of Pennsylvania|Comments Off on SNAP Asks PA Congressional Delegation to Help Preserve Federal COVID-19 Aid for Hospitals
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