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Off the Cuff March 30, 2020
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Off the Cuff: CVH Clinical and Community Connections for State & Local Public Health Departments
Information from state and national partners
Facilitated by the Cardiovascular Health Network of NACDD
Issue 189, March 30, 2020
Contact us at healthsystems@chronicdisease.org

For other NACDD CVH projects, go to www.chronicdisease.org/page/CardiovascularHealth




From the NACDD CVH Team




Miriam Patanian, Lead CVH Consultant

We realize that we are all impacted by this pandemic both in our personal and professional lives. We will do our best to continue to send out pertinent information via this newsletter.  If we can provide any assistance to you or help you network with other states, please email me mpatanian@chronicdisease.org


In addition, NACDD has a new resource for State Health Department Staff on COVID-19. Please check it often as we are adding to it continuously.  

Stay safe, isolated, and healthy!


Calls and Webinars Worth Your Time


Census Bureau’s New Differential Privacy Methodology & Potential Health Data Implications
Tuesday, March 31, 2020, 2:00 - 3:30 p.m. ET

Sponsor: CDC
 
Changes to Census 2020 Methodology: What Are They and How Will They Impact Your Work?
Starting in 2020, the Census Bureau will be implementing a new stringent disclosure avoidance measure called differential privacy. This procedure, which introduces noise into enumerated population counts, will have important implications for two of the most widely used scientific data sources in the world (decennial census and American Community Survey). Though state population counts will remain unaltered, all other geographic levels could be subjected to noise injection, which will impact many sectors, including public health. It is important for public health practitioners to understand the implications of this change and to develop a set of best practices. In this webinar, speakers will discuss the details of differential privacy, the underlying policy rationale, and provide examples of its potential public health implications.
  • Dave Van Riper (IPUMS): Differential Privacy and the 2020 Decennial Census: Implications for Health Scientists
  • Lance Waller (Emory): Differential Privacy, Synthetic Data, and Spatial Statistics:  Can They Fit Together?
  • Karyn Backus (CT Department of Health): Impact of Differential Privacy on Public Health Indicators
Join Zoom Meeting or call 1-877 853 5247 or 1-888 788 0099, Meeting ID: 896 929 872 


News and Resources from CDC, NACDD and National Partners

From NACDD and Million Hearts®  
Analysis of Coverage and Reimbursement for SMBP 

 
Despite the strong evidence base for self-monitoring blood pressure (SMBP) and its endorsement from national healthcare leaders, uptake of SMBP in the United States remains low with lack of third-party reimbursement cited as a key barrier to its use. A national analysis of SMBP coverage was conducted from January to August 2019 by George Washington University’s Milken Institute School of Public Health, on behalf of NACDD, with funding from Million Hearts® CDC. Using publicly available issuer documentation, researchers analyzed current coverage and reimbursement of SMBP among:
  • 20 private insurers
  • 10 state Medicaid fee-for-service (FFS) programs
  • 7 Medicaid Managed Care Organizations (MCOs)
  • 5 Medicare Advantage providers
This analysis confirmed that coverage of home blood pressure monitors and SMBP clinical support services was extremely limited across payers. Stakeholder interviews were conducted to further define coverage availability for SMBP. A detailed description of the methodology, findings, and opportunities for establishing or expanding upon existing coverage is available here. In addition, a Topline Findings document summarizes the national analysis across payers with notes explaining which devices and/or services are covered and for whom.
 

From NACDD Government Affairs
Summary of CARES Act

 
On Wednesday, the Senate passed S. 3548, The Coronavirus Aid, Relief, and Economic Security (CARES) Act. Today, the House passed by voice vote the same legislation, and President Trump signed the bill this afternoon. Text of funding provisions and authorizations are both available. The bill totals over $2 trillion, and the highlights include $260 billion for unemployment insurance benefits; $150 billion for a Marshall Plan for the health system; $377 billion for a Small Business Rescue Plan; and $150 billion in initial funds for a State and Local Coronavirus Expenditures Fund. We anticipate there will be additional supplemental appropriations in the coming weeks. 

The total in appropriations includes: 
  • $4.3 billion for CDC, available until FY2024
    • $1.5 billion is for grants to state, local, territorial, and tribal public health departments to carry out surveillance, epidemiology and laboratory capacity, infection control, mitigation, communications, and other preparedness and response activities. Specifics of the distribution of funds remain to be defined.
    • $500 million for data modernization
    • $300 million for Infectious Disease Rapid Response Reserve Fund   
  • $27 billion for the Public Health Social Services Emergency Fund at the Assistant Secretary for Preparedness and Response, including
    • Purchase of vaccines once available
    • $16 billion for Strategic National Stockpile for personal protective equipment, other medical countermeasures, diagnostics, treatment and vaccines
    • $250 million for Hospital Preparedness Program
    • $3.5 billion for the Biomedical Advanced Research and Development Authority for manufacturing, production and purchase of medical countermeasures
    • Additional treatment money, including through Ryan White and rural health centers. 
    • $100 billion for healthcare providers for expenses or lost revenues
    • Can pay for construction/temporary medical structures and equipment 
  • $425 million for SAMHSA, including $250 million for Community Behavioral Health Clinics
  • $706 million for National Institute of Allergy and Infectious Diseases
  • $30.75 billion for Department of Education, including mental health services
  • $955 million for Aging and Disability Services Programs at the Administration for Community Living, including programs authorized under Older Americans Act, like nutrition services
  • $3.5 billion for Childcare Development Block Grant
  • Authorizes a Geriatrics Workforce & Training Program
  • $45 billion for Disaster Relief Fund







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