Lance's Corner

AHRQ Issues Regulatory Update

Mar 4, 2025

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

March 4, 2025, Issue #948

 

AHRQ Stats: Insurance Types Associated With Transportation Issues

In 2021, 7.9 percent of adults on Medicare and 20.4 percent of adults on Medicaid faced challenges with daily living due to unreliable transportation. By comparison, just 3.4 percent of adults using private insurance reported similar issues. (Source: AHRQ Medical Expenditure Panel Survey Statistical Brief #558, Lack of Reliable Transportation for Daily Living Among Adults: United States, 2021.)

Today's Headlines:

Use of Copper-Infused Surfaces Reduces Clostridioides difficile Spores

An AHRQ-funded study published in Infection Control & Hospital Epidemiology found that the use of copper-infused antimicrobial surfaces reduces Clostridioides difficile (C. diff) spores and may help control the transmission of this important healthcare-associated infection. Elimination of C. difficile spores is difficult because they are resistant to common hospital-grade disinfectants. Researchers tested copper-infused surfaces that were molded to bedrails and patient tray tables. Different dilutions of C.diff spores and soiled solutions to simulate organic material were used. Spore reduction after four hours of exposure was recorded. For the average initial spore burden, unsoiled copper-infused surfaces reduced C. diff spores by 97.3 percent and 96.8 percent for bedrail and table samples, respectively. Soiled bedrail and table samples showed a spore reduction of 91.8 percent and 91.7 percent, respectively. Access the abstract.

Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet’s current issue, including recent cases and commentaries and AHRQ’s WebM&M (Morbidity and Mortality Rounds on the Web).

Number of Short Interpregnancy Interval Births Remained Stable From 2016 to 2022

The number of “short interpregnancy interval births”—the period between a live birth and conception of the next pregnancy­—remained stable between 2016 and 2022, according to an AHRQ-funded study published in Obstetrics & Gynecology. The American College of Obstetricians and Gynecologists recommends that women wait more than 6 months after a live birth before getting pregnant to prevent adverse outcomes such as preterm birth and infant mortality. Researchers examined the data of 14,770,411 single live births to individuals with at least one prior live birth and found that nearly 30 percent had a period of less than 8 months, 5 percent had less than 6 months, and 11 percent had a gap lasting 6 to 11 months between the first birth and the next pregnancy. Researchers hypothesized that improvements in postpartum contraceptive access may help reduce the prevalence of short interpregnancy intervals. Access the abstract.

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New Research and Evidence From AHRQ

AHRQ in the Professional Literature

Identification of postpartum symptom informedness and preparedness typologies and their associations with psychological health: a latent class analysis. Scroggins JK, Bruce KE, Stuebe AM, et al. Midwifery. 2024 Oct;137:104115. Epub 2024 Jul 24. Access the abstract on PubMed®.

FAIRS - A Framework for Evaluating the Inclusion of Sex in Clinical Algorithms. Goodman KE, Blumenthal-Barby J, Redberg RF, et al. N Engl J Med. 2025 Jan 23;392(4):404-11. Epub 2025 Jan 8. Access the abstract on PubMed®.

A unified approach to health data exchange: a report from the US DHHS. Abbasi AB, Layden J, Gordon W, et al. JAMA. 2025 Jan 18. [Epub ahead of print.] Access the abstract on PubMed®.

Occupational therapists enhance comprehensive health assessments for children in foster care. Fortin K, Egbe T, Briskin N, et al. Phys Occup Ther Pediatr. 2025 Jan 2:1-12. [Epub ahead of print.] Access the abstract on PubMed®.

High-intensity home-based rehabilitation in a Medicare accountable care organization. Johnson JK, Rothberg MB, Dalton JE, et al. Am J Manag Care. 2025 Jan;31(1):12-8. Access the abstract on PubMed®.

Implementation of patient-reported outcome dashboards within the electronic health record to support shared decision-making in serious chronic illness. Perry LM, Mohindra NA, Coughlin A, et al. BMJ Open Qual. 2025 Jan 11;14(1). Access the abstract on PubMed®.

Estimating financial and health burden by initial Medicare plan choice and history of cancer. Jazowski SA, Achola EM, Nicholas LH, et al. Health Aff Sch. 2025 Jan 21;3(1):qxaf001. Access the abstract on PubMed®.

Application of a digital quality measure for cancer diagnosis in Epic Cosmos. Zimolzak AJ, Khan SP, Singh H, et al. J Am Med Inform Assoc. 2025 Jan;32(1):227-9. Access the abstract on PubMed®.

Contact Information
For comments or questions about AHRQ News Now, contact Bruce Seeman, (301) 427-1998 or Bruce.Seeman@ahrq.hhs.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