Lance's Corner

AHRQ Issues Regulatory Update

Mar 18, 2025

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

March 18, 2025, Issue #950

 

AHRQ Stats: MRSA Rates Among Patients From Rural Areas

In rural areas, adult inpatient hospital stays with MRSA diagnoses on admission dropped from a rate of 106 per 10,000 stays in 2019 to 97 per 10,000 stays in 2021. In large metropolitan areas during the same period, adult hospital stays with MRSA diagnoses on admission dropped from a rate of 84 per 10,000 stays to 75 per 10,000 stays. (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #315, Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Inpatient Stays, 2016-2021.)

Today's Headlines:

Study Finds More Health Risks for Children With Intellectual and Developmental Disabilities

Children with intellectual and developmental disabilities face significantly higher risks for serious health conditions, such as heart disease, an AHRQ-funded study in American Journal of Preventive Medicine concluded. The authors analyzed 33,192 patients, ages 6 to 17, from 44 clinics in a rural Midwestern health system. They found that 1,206 children (3.6 percent) had been diagnosed with an intellectual or developmental disability. These patients were 6.8 times as likely to have prediabetes, 2.67 times as likely to have diabetes, and 6.4 times as likely to have high blood pressure, compared with children without that diagnosis. Obesity, smoking and high lipid counts were also more prevalent among children with the disabilities. The authors emphasized the need for targeted research and early interventions to improve lifelong health outcomes for these children. Access the article.

Behavioral Therapies May Help Prevent Migraines

An AHRQ-funded evidence review found that multicomponent interventions that include cognitive behavioral therapy, relaxation training or mindfulness may reduce migraine frequency in adults. Education alone that targets behavior might help with migraine-related disability. Researchers analyzed 50 studies with more than 6,000 adults and 13 studies with about 1,400 children to examine whether behavioral therapies can help prevent migraines. In children, a mix of cognitive behavioral therapy, biofeedback and relaxation training seemed to work better than behavior-targeting education alone. Researchers recommended more studies using digital and telehealth approaches to confirm these findings and guide treatment decisions. Access the abstract in the journal Headache and the associated AHRQ systematic review.

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).

Register Now for April 3 Webinar on Consolidation of Primary Care Practices

An AHRQ webinar on April 3 from 2 to 3:15 p.m. ET will highlight research on how health system ownership of primary care practices impacts primary care and patient health, including for Medicare beneficiaries and medically complex patients. The event will be sponsored by AHRQ’s National Center for Excellence in Primary Care Research. Access more information, including how to register for the event and access recordings of previous AHRQ webinars on strengthening the delivery of primary care.

New Research and Evidence From AHRQ

AHRQ in the Professional Literature

Influence of psychological safety and safety climate perceptions on nurses' infection prevention and occupational safety practices and environment. Thurman Johnson C, Owen NS, Hessels AJ. Nurs Rep. 2025 Jan 24;15(2):37. Access the abstract on PubMed®.

Teaching data science through an interactive, hands-on workshop with clinically relevant case studies. Jeffery AD, Sengstack P. Appl Clin Inform. 2024 Oct;15(5):1074-9. Epub 2024 Aug 30. Access the abstract on PubMed®.

Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system. Simcoe K, Stainbrook JA, Chazin KT, et al. Autism. 2025 Jan;29(1):207-21. Epub 2024 Oct 9. Access the abstract on PubMed®.

Identifying the unique determinants influencing rural families' engagement with an existing tele-assessment approach for autism identification: a qualitative study. Wagner L, Foster T, Bonnet K, et al. Autism. 2024 Dec 20. [Epub ahead of print.] Access the abstract on PubMed®.

Individual and system-level factors contributing to guideline nonadherent surgical antibiotic prophylaxis at a tertiary health care system: a qualitative analysis. Bardia A, Melnick ER, McCall T, et al. Anesthesiology. 2025 Mar;142(3):489-99. Epub 2024 Nov 18. Access the abstract on PubMed®.

Development of an electronic clinical surveillance measure for unnecessary rapid antibiotic administration in suspected sepsis. Taylor SP, Palakshappa JA, Chou SH, et al. Clin Infect Dis. 2025 Feb 5;80(1):14-23. Access the abstract on PubMed®.

Hospital-physician integration and Medicare spending: evidence from stable angina. Post B, Kitsakos A, Alinezhad F, et al. Health Serv Res. 2025 Feb;60(1):e14383. Epub 2024 Sep 22. Access the abstract on PubMed®.

Severe maternal morbidity among pregnant people with opioid use disorder enrolled in Medicaid. Auty SG, Frakt AB, Shafer PR, et al. JAMA Netw Open. 2025 Jan 2;8(1):e2453303. 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