Lance's Corner

NYSDOH Highlights Oral Cancer Awareness Month

Apr 20, 2024

Per the notice  below, the New York State Department of Health (NYSDOH) is highlighting Oral and Oropharyngeal Cancer Awareness Month.

New York State Department of Health Recognizes Oral and Oropharyngeal Cancer Awareness Month

Department Encourages People to Avoid Tobacco and Excess Alcohol Use and to Receive the HPV Vaccine

The New York State Department of Health recognizes April as Oral and Oropharyngeal Cancer Awareness Month and encourages people to take preventive steps to reduce their risk.  Cancers of the oral cavity and oropharynx include cancers of the lips, tongue, gums, tonsils, mouth, and upper throat.

"Tobacco use and excessive drinking should be avoided as these actions cause as many as 80 percent of all oral cavity cancers," State Health Commissioner Dr. James McDonald said.  "People should also get the HPV vaccine series as it is the best protection against preventable cancers caused by human papillomavirus infection including Oropharyngeal Cancer."

Each year in New York State, more than 1,800 men and 800 women are diagnosed with cancer of the oral cavity.  Roughly 375 men and 175 women in New York die of the disease each year.  Cancer of the oral cavity is two to three times more common among men than among women.  Black men are more likely to get oral cavity cancer than white men and are almost twice as likely to die from the disease.  Most oral cavity cancers occur among people over the age of 60, but they can occur in young people.  Cancer of the oral cavity is rare in children.

People who use tobacco and drink alcoholic beverages in excess have a much greater risk of oral cavity cancer than people who do either one alone (or people who do neither).  Using tobacco of any kind, including cigarettes, cigars, pipes, and smokeless tobacco is the most frequent cause of cancer of the oral cavity.  Drinking alcoholic beverages in excess can also cause cancer of the oral cavity, pharynx, and larynx.  Research indicates the more alcohol a person drinks regularly over time, the higher their risk of developing an alcohol-associated cancer.  Other risk factors include eating a diet low in fruits and vegetables and having a personal or family history of an oral cavity cancer.  In addition, certain parts of the oral cavity have their own risk factors:

  • Lip - Cancer of the lip is associated with outdoor occupations, such as farming and fishing.  This may be due to excess exposure to sunlight.
  • Salivary gland - Cancer of the salivary gland has been associated with exposure to ionizing radiation, such as X-rays.  It is also associated with working in the rubber-making industry.
  • Oropharynx - 70 percent of mouth and upper throat, or oropharyngeal, cancers are caused by the human papillomavirus (HPV).

HPV is the most common sexually transmitted infection in the United States.  The Department recommends starting HPV vaccination for children at age 9 to prevent HPV-related cancer.  Information on HPV-related cancer incidence and vaccination rates can be found here.  The HPV vaccine can prevent more than 90 percent of cancers caused by HPV from developing later in life.  New York State Department of Health's Community Cancer Prevention in Action (CPiA) program provides education about the importance of HPV vaccination in communities across the state and among a variety of health care providers.  The Department is an active member of the New York State Cancer Consortium, a network of more than 300 organizations working together to reduce the burden of cancer through strategies that promote cancer prevention, education, and screening.  The Department participates in the Consortium's HPV Coalition, a group dedicated to increasing HPV vaccination and the prevention of HPV-related cancers.  In addition the Department helps to facilitate the development and evaluation of the New York State Comprehensive Cancer Control Plan, in which there are goals and strategies related to decreasing the use of alcohol and tobacco among New Yorkers to lower the risk for associated cancers such as those of the oral cavity.  An updated plan will be released in 2024.

New York State participates in the Centers for Disease Control and Prevention's National Program of Cancer Registries and the National Cancer Institute's Surveillance, End Results and Epidemiology program to collect standardized information on all cancer cases in New York.  This information allows researchers, doctors, policy makers, public health professionals, and members of the public to monitor the burden of cancer, evaluate cancer prevention and control programs, and identify focus areas for research and policy development.  The New York State Cancer Registry also actively collaborates on research studies with a goal of improving cancer outcomes and reducing health disparities.  In addition, the New York State Cancer Registry participates in the Virtual Pooled Registry- Cancer Linkage System (VPR-CLS) that allows researchers to conduct minimal risk linkage studies with multiple central cancer registries.  The New York State Cancer Registry and cancer statistics can be found here.

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