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Quick Fix
— Telehealth: door delivery and never going back?: New dispatches from telehealth, with new delivery schemes and bold comments from CMS administrator Seema Verma.
— More HHS provider aid going out: The department is going to deploy $25 billion in aid to hard-hit and safety-net providers.
— Prepping for next pandemic: The Senate HELP chair floats plans, some tech-centric, to prepare for the next pandemic.
And more. But first, the jump.
eHealth tweet of the day: Jim Waterson @jimwaterson “… Soon after we published a story about Microsoft's misfiring artificial intelligence editor, the robot journalist copied the story about itself from the Guardian onto MSN's system. Human staff have now intervened to override the software and delete the article.”
WEDNESDAY: Your correspondent can’t wait — well, he definitely can, he’s being sarcastic — for the collision of “hot, humid heat” and “work-from-home.” Share cool tips at [email protected]. Throw shade socially at @dariustahir, @ravindranize, @POLITICOPro and @Morning_eHealth.
Driving the Day
TELEHEALTH: DOOR DELIVERY AND NEVER GOING BACK? — Delivering care from afar continues to gather steam, with more interesting experimentation:
— Door delivery: Gotham is going to home-deliver condoms and HIV self-test kits, our colleague Amanda Eisenberg reports. New York City typically distributes 30 million male condoms, internal condoms and lubricant packs to residents each year.
The health department does not encourage New Yorkers to go in-person for regularly scheduled testing for HIV or other sexually transmitted infections, but recommends people seek care through telemedicine, according to the city’s website.
The health department isn’t the only NYC institution increasing its distance care. New York City Health + Hospitals, the city's public hospitals and clinics, is adjusting to coronavirus by making long-term changes to prevent infections, the organization’s CEO Mitchell Katz said Tuesday.
The system is installing video cameras in patient rooms for virtual monitoring, and conducting more virtual calls and visits. The system conducted 500 “billable virtual visits in the month prior to the Covid-19 pandemic” and scaled up to nearly 57,000 telehealth visits in the first three weeks of the pandemic, according to a City Hall announcement on June 4.
— Never going back?: Medicare-covered virtual visits have skyrocketed since the Trump administration rolled back restrictions on payment, licensing and privacy enforcement during the pandemic. In a conversation with Stat’s Casey Ross on Tuesday, CMS head Seema Verma said virtual visits had grown from 11,000 to 12,000 a week to about a million.
Asked whether any of these changes would be permanent, Verma said the agency was currently re-examining the regulations. "It seems like it would be not a great thing for our beneficiaries to force them to go back to having in-person visits," she said.
HHS PROVIDER AID GOING OUT — HHS is planning on paying out $25 billion in coronavirus aid to safety-net and hard-hit providers, our colleagues Adam Cancryn and Rachel Roubein report.
The department said Tuesday it’s expecting to allocate an estimated $15 billion to Medicaid and Children's Health Insurance Program providers that have yet to receive any federal aid during the pandemic — a group that could include dentists, pediatricians and opioid treatment clinics. $10 billion would go to safety-net hospitals.
PLANNING FOR THE NEXT PANDEMIC — Senate health committee chair Lamar Alexander is keeping his eye on the future, releasing a pandemic preparedness white paper that recommends beefing up disease surveillance and testing development before the next outbreak.
“Outdated technology at the local, state, and federal levels” is interfering with the development of a close-to-real-time surveillance system to detect and model infectious diseases, the paper says.
ONC UPDATES — A pair of updates from ONC:
— EHR reporting feedback: Draft criteria for a product comparison program for health IT software are available for comment until early August, according to ONC, which contracted with the Urban Institute. The 21st Century Cures Act had directed HHS to establish the Electronic Health Record Reporting Program, which eventually aims to help health systems decide which software to buy.
— Mark your calendars: ONC’s planning its all-virtual Tech Forum for Aug. 10 to 11, continuing the tradition of its annual Interoperability Forum.
MERRIE OLDE ENGLAND — Across the pond, some tech updates:
— Palantir getting data access: Controversial Silicon Valley startup Palantir is getting access to National Health Service data, our Europe colleague Vincent Manancourt reports, based on a data protection impact assessment.
According to the impact assessment, Palantir “will have access to the data which is aggregated to required level or data which has been de-identified to mitigate the risk of identification of the individual in the data mart.”
As well as Palantir, the NHS is working with Google, Microsoft, Faculty and McKinsey “under strict contractual controls” as part of its coronavirus data project.
— Prime minister frustrated at contact tracing app delays: British Prime Minister Boris Johnson is frustrated by his government’s delays in rolling out a contact tracing app, the Financial Times reports, and is pushing for consideration of the Google/Apple approach to the apps — which enables Bluetooth tech, but doesn’t allow for centralized data-collection, which the National Health Service would like.
CONTACT TRACING FRAUD? — California Attorney General Xavier Becerra is warning on contact tracing fraud, our Golden State colleague Victoria Colliver reports.
Local health departments rely on contact tracing as a primary tool to identify individuals who may have been exposed to the virus, and encourage them to quarantine themselves to help curb the spread of the disease — particularly as businesses continue to open and more people come in contact with one another.
Becerra emphasized that legitimate contact tracers who are trained and authorized to do this work would never ask for personal information such as Social Security numbers, health insurance or financial information, nor would they try to charge someone money.
BIZ NOTES — Startup PatientPing secured $60 million in funding, the company announced … Health plan alliance CAQH has hired Roger Mermelstein as its senior vice president of business development. Mermelstein was previously at Innovation Health, Hanger Inc., and Aetna.
What We're Reading
Top privacy lawyers explain the change to 42 CFR Part 2 in the CARES Act in a Health Affairs blog post.
Science does more digging in the Surgisphere affair.
And Wired examines what happens to patients being left behind in the shift to telehealth.
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June 10, 2020 at 09:00PM
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