“This is an opportunity for us to speak directly with families and answer any questions they may have,” says Nickert. “But, to accommodate everyone, we encourage families to schedule their appointments with us sooner rather than later.”
The new rules apply to non-medical waivers, or those requested based on religious, philosophical or other objections to receiving required vaccines. Waivers are only reviewed at the grade levels and conditions specified above. The new rules do not change the existing process for children who have a medical reason for not receiving a vaccine (a medical contraindication or precaution).
LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) has released the Practices to Reduce Infant Mortality through Equity (PRIME): Guide for Public Health Professionals. This is an informational resource for transforming public health through equity education and action.
“Achieving health equity for all residents is a goal of public health work within Michigan and across the country,” said Sue Moran, deputy director for the Public Health Administration at MDHHS. “This guide provides valuable strategies for developing a training model and resources that promote the understanding of the root causes of health inequities, as well as methods for creating changes in policy going forward.”
Health disparities are the metric used to measure progress toward ensuring that all residents have a fair opportunity to reach their potential. In Michigan, black and white infants died at a rate of 13.1 and 5.7 respectively in 2013, and these gaps in infant mortality rates between whites and blacks and whites and American Indians have persisted for decades.
The PRIME guide includes methods used by the department since 2010 to create a public health training model. These methods include consideration of the overall goals and design of the training components used, a description of specific content and concepts covered, the processes used, a description of the evaluation tools, lessons learned, and copies of existing tools and resources about health equity.
Additionally, the primary focus of PRIME has been to assist practitioners in the maternal child health arena, however, this guide will be a valuable resource for state and local public health systems interested in addressing racial and ethnic inequities related to other health outcomes.
The PRIME initiative is led by the Bureau of Maternal and Child Health within the department and a steering team that includes internal partners from the Health Disparities Reduction and Minority Health Section and the Lifecourse Epidemiology and Genomics Division of MDHHS. External partners that assisted with the development of this guide include the University of Michigan School of Public Health, Vanderbilt University, Michigan Public Health Institute, Inter-Tribal Council of Michigan, Ingham County Health Department, and Wayne County Department of Public Health.
To view the full report and accompanying documents, visit www.michigan.gov/dchprime. The PRIME initiative and publications were supported through a grant from the W.K. Kellogg Foundation.
|Payment adjustments for eligible professionals that did not successfully participate in the Medicare EHR Incentive Program in 2014 will begin on January 1, 2016. Medicare eligible professionals can avoid the 2016 payment adjustment by taking action by July 1 and applying for a 2016 hardship exception.
The hardship exception applications and instructions for an individual and for multiple Medicare eligible professionals are available on the EHR Incentive Programs website, and outline the specific types of circumstances that CMS considers to be barriers to achieving meaningful use, and how to apply.
To file a hardship exception, you must:
You do not need to submit a hardship application if you:
Apply by July 1
As a reminder, the application must be submitted electronically or postmarked no later than 11:59 p.m. ET on July 1, 2015 to be considered.
If approved, the exception is valid for the 2016 payment adjustment only. If you intend to claim a hardship exception for a subsequent payment adjustment year, a new application must be submitted for the appropriate year.
In addition, providers who are not considered eligible professionals under the Medicare program are not subject to payment adjustments and do not need to submit an application. Those types of providers include:
Want more information about the EHR Incentive Programs?
Visit the EHR Incentive Programs website for the latest news and updates on the programs.
The Supreme Court of the United States delivered an historic decision Thursday morning, June 25, in King v. Burwell.
In a 6-3 decision, the justices ruled that subsidies should remain available for lower-income people who purchase their health insurance through the Affordable Care Act (ACA) marketplaces, regardless of whether their marketplace is maintained by the federal or state government.
This ruling affects physicians in three ways I’d like to highlight:
1. The decision supports our chief goal of helping patients stay healthy.
The Supreme Court’s ruling means that about 6.4 million people in the 34 states that did not create their own marketplaces will retain their ability to purchase coverage going forward. This is particularly important for low-income patients in states that did not expand their Medicaid programs. Without the subsidies, many of them could never afford health insurance.
As an emergency physician, I regularly see how important insurance coverage is to facilitate patients getting the medical care they need to recover from unexpected injury or illness. It also enables them to lead healthier, happier lives through better care of chronic diseases that can be devastating for them and their families.
The decision also means that insurance premiums will remain more affordable for most patients than would have otherwise been the case. A recent RAND study estimated that eliminating subsidies for patients who purchase their insurance through the federally run marketplace would result in a 47 percent increase in premiums. In such a scenario, a 40-year-old nonsmoker who purchased an unsubsidized silver-level plan would have needed to pay $1,610 more next year.
2. The decision lets us move forward.
With this case behind us, we as a profession and as a nation now must focus on the issue at the heart of health care reform: Ensuring every American has access to high-quality, affordable health care.
Regardless of differing opinions, access to high-quality, affordable health care is an issue we can all support. And by continuing to work together toward this end—whether through refining individual elements of the ACA, such as repealing the Independent Payment Advisory Board, or making changes to the current health care system—we can improve the health of all Americans.
3. The decision means we can turn our attention to improving the practice environment.
In moving forward, we must also devote our attention to transforming the practice environment so that both patients and physicians are healthier and more satisfied.
At the AMA, we’re working to enhance professional satisfaction and practice sustainability by pressing for relief from the tsunami of regulatory burdens that gets in the way of providing the highest-quality care for our patients. Among those burdens are the electronic health record meaningful use program, implementation of ICD-10 and the value-based payment modifier. Lawmakers, too, are now able to turn their attention to these pressing topics.
We’re also providing the tools physicians need to minimize professional stress and overcome barriers to providing the best possible care. Our newly launched STEPS Forward website offers a free online series of proven solutions that are developed by physicians to make practices thrive. We’ll be adding more modules over the coming months, so be sure to explore the website often.
Also, on the STEPS Forward website, we invite you to submit your own innovative solutions to clinical challenges to win $10,000 and help us create more modules to help physicians.
Even in these early years of health care reform, implementation of the ACA has affected much of the health care system. To examine this issue further, I encourage you to check out the July issue of the AMA Journal of Ethics, which takes a look at how patient care has changed in the era of health care reform.