HUNTINGTON BEACH, Calif.--(BUSINESS WIRE)--Landmark Health and its affiliated medical groups (Landmark), an industry leader of in-home medical care, has been recognized as a Best Place to Work in Healthcare, by Modern Healthcare for the 4th consecutive year. The award identifies Landmark as an outstanding employer in the healthcare industry nationwide, empowering employees to provide patients with the best possible care. Landmark is among 150 winners for creating a flexible and responsive work environment among a pandemic, as seen on Modern Healthcares website.

We celebrate ranking on Modern Healthcares Best Places to Work list - the same way we earned it - as a team, shares Anna Gill, Landmarks Chief Human Resources Officer. Our employees, who gave us high marks on the survey, once again demonstrated their engagement and commitment to doing the hard, yet rewarding, work of serving our chronically ill patients. Our successful growth story continues, fueled by the efforts of all our employees.

Landmarks comprehensive in-home medical care and care coordination helps patients stay well in the comfort of their homes, while remaining connected to doctors, specialists and community resources.

Landmarks Chief Business Officer and Co-founder, Eric Van Horn notes, Landmark continues to experience significant growth. In part, this is due to the growing healthcare needs of our countrys aging population. Additionally, the current pandemic has highlighted the importance of new care delivery models needed to safely care for seniors. By the end of 2020, we expect to manage and serve over 130,000 lives in 16 states.

This recognition is all thanks to our front-line providers and those working behind the scenes in a business capacity who remain united in our passion to revolutionize care delivery for our valued patients, says Gill.

If you have an interest in joining our Landmark team, please apply to one of our exciting career opportunities.

About Landmark

Since 2014, Landmark Health and its affiliated medical groups (Landmark) have delivered comprehensive in-home medical care to older adults, 24/7 365 days a year. Specialized in complex chronic care, Landmarks physician-led multidisciplinary teams work with patients existing healthcare networks to bring medical, behavioral and palliative care, along with social services, to individuals where they reside. As one of the nation's largest value-based healthcare companies, more than 114,000 people across 15 states and 48 metropolitan communities can access Landmarks care. Most critically, Landmark is bending the cost curve in health care by reducing avoidable ER visits and hospital admissions, while extending lives of patients. http://www.landmarkhealth.org

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Landmark Health Named a 2020 Best Place to Work in Healthcare - Business Wire

By Brett Copeland, Executive Director for Veterans Healthcare Policy Institute

As the world closes its borders to the United States due to the recent spike in Coronavirus cases, Americans are facing challenges from multiple directions in the fight against COVID-19.

In early July, it was reported that up to 10 million Americans have lost their employer-provided health insurance due to COVID-19 related job losses. It is estimated that 12 percent of veterans have lost their jobs more than one million in total. More than 48 million Americans live in a household where at least one person has lost their job during the global pandemic. The costs of caring for an extreme bout of COVID-19, as in the case of one miracle patient, can easily exceed $1 million.

These tremendous losses impact not only veterans, their families, and the health and well-being of millions of Americans, but also for-profit health care systems. Despite the incredible need for healthcare providers across the country, for-profit and not-for-profit healthcare providers continue to furlough employees as revenue plummets. So far, 29 hospitals have declared bankruptcy in the first half of 2020 more than the total number of hospitals that folded in the entire 2019 calendar year. The stress is also putting increased pressure on rural hospitals, which already face a national crisis with 128 disappearing from their communities over the last 10 years.

The healthcare crisis hits Americans with a double punch. Millions with Americans are losing their insurance and even if they have it, itll be more difficult to find care in their communities. For veterans, having access to their dedicated health care system the VAs Veterans Health Administration is critical.

Social isolation due to social distancing practices, job loss, and a tough financial situation at home can negatively impact a veterans mental and physical health. Because of the impact of COVID-19 on veterans and their families, the Veterans Healthcare Policy Institute (VHPI) has issued a call for Congress and the Trump Administration to expand VA healthcare to both groups under the VAs fourth mission as Americas backup healthcare system in times of crisis.

In caring for veterans and during the execution of its fourth mission, the VA has helped communities cope with the pressure COVID-19 has put on non-VA facilities. In Phoenix, for example, early action helped contain an outbreak at the VA hospital, as well as allow its beds to remain open for critical COVID-19 patients. While for- profit and not-for-profit healthcare systems have furloughed employees, the VA healthcare system is rapidly hiring healthcare providers.

VHPI Senior Policy Analyst Suzanne Gordon said that veterans could lead the nation in coping with the global pandemic both in how their dedicated healthcare system has responded to COVID-19 and through taking preventive measures like wearing masks.

Veterans know real sacrifice and know what it means to sacrifice for the well-being of others, said Gordon. They know the meaning of Got your Six, a lesson that can help us all understand in our current situation.

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The Coronavirus' Impact on Veterans, Families, and America's for-profit healthcare systems | The Crusader Newspaper Group - The Chicago Cusader

TAMPA, Fla., Aug. 5, 2020 /PRNewswire/ --Five hundred and nine managers offrontlineproviders confirm the lack of general interoperability across the entire U.S. health care system has detracted from COVID-19 patient care, led to poor health outcomes and higher expenditures, and left population health data muddy and deficient.

The Centers for Medicare and Medicaid Services announced in April it would delay the enforcement of its Interoperability and Patient Access Final Rules until 2021, allowing health organizations and practices a few more months to install an infrastructure that supports true interoperability to ensure the effective transmission and exchange of patient data.

Ninety percent of health system leaders surveyed confirmed that the delay removed any incentive for their organizations to prioritize true interoperability through the coming year, despite the benefits it would provide dealing with the pandemic.

"Portability of data in the middle of this pandemic is vital," said Doug Brown, President of the survey organization Black Book Research. "But resolving systemic data blocking and platforms interfering with the exchange of patient data are not on the industry's front burner."

"The enforcement of interoperability standards put forth by HHS, because of the COVID-19 crisis, has greatly slowed," said Brown. "But vendors have continued to introduce and roll out a wide variety of possibilities to support providers and health care systems in meeting the requirements."

Ninety-three percent of survey participants report that complete patient health pictures have not been reaching the downstream COVID-19 clinicians upon admission.

According to 79% of respondents, manual processes are failing to gather and submit COVID-19 information with public health agencies consistently.

In a separate Black Book survey of 2,517 health care consumers across all 50 states. 324 COVID-19-diagnosed patients reported they were treated in new care environments in 2020, yet not one consumer stated their full patient record was available to their COVID treatment provider electronically.

Twenty-two percent of surveyed health care consumers stated they had difficulty or were unable to access their normalproviders to obtain records electronically, via fax or in person in 2020.

Closed clinics and practices hampered ability to fax or retrieve records according to 11% of consumers polled.

"Interoperability will obviously affect and enable consumer behavior in the years ahead as a result of the lack of data sharing and troubles with data blocking during this pandemic," said Brown.

Ninety-three percent of consumers polled in July 2020 expressed their disappointment in the lack of data sharing during COVID 19 across separate vendor systems. 55% placed blame on their provider. 31% placed blame on the EHR their provider chose to utilize.

Sixty-seven percent of consumers revealed they will consider changing their physician and hospital providers in the coming year after learning how their health record was not shareable or available or was blocked in the past year.

"The greatest constraint of the health care industry is not the capabilities of technology to share data seamlessly, but rather the intricate and complex conundrum of data and system integration, big data, multiple information exchanges, and federal regulations," said Brown.

The market comprises a wide array of interoperability segments that cumulatively support information sharing including application programming interface integration,appintegration, data cleansing, data integration, EMPI, data analytics, and connectivity.

"Recognizing the electronic health records and revenue cycle management IT market places are highly fragmented, it will be critical for developers to identify best practices across disparate platforms to ensure the consistency of adoption to meet the expectations of health care consumers," said Brown. "The regulatory drive to command greater interoperability is also advancing new opportunities in health care technology including privacy and data security."

About Black Book

Black Book Market Research LLC, its founder, management and staff do not own or hold any financial interest in any of the coding solutions vendors covered and encompassed in the surveys it conducts. Black Book reports the results of the collected satisfaction and client experience rankings in publication and to media before firm notification of rating results and does not solicit survey participation fees, review fees, inclusion or briefing charges, or involve consultant firm collaboration with Black Book before the announcement of the polling outcomes.

Black Book rankings are based on client experience scores obtained from the 660,000crowdsourcedballots cast and available through mobileapps, web surveys, remote polling instruments, interview calls, and on-site trade shows and user groups throughout the year. They represent the opinions of health care professionals and clinicians from more than 4,600 hospitals, 600IDNs, 2,800 clinics, 23,000 physician practices, 250 health plans, and nearly 505,000 health care industry consumers, and account for 6,000 products and services from more than 1,700 vendors.

For Black Book vendor satisfaction rating methodology, auditing, resources, comprehensive research, and ranking data, seewww.blackbookmarketresearch.comor contact [emailprotected].

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SOURCE Black Book Research

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Pandemic Stresses National Need for Seamless Information Sharing Between Healthcare Providers, Black Book 2020 Interoperability Surveys - PRNewswire

But also, that $295,000 doesn't account for all of your costs. While it includes Medicare premiums, copayments, and deductibles, it does not include most dental services and long-term care. As such, your total tab could actually be much higher, and that's something you'll need to prepare for.

If the idea of having to spend $295,000 -- or more -- on healthcare in retirement is throwing you for a serious loop, there are a few things you can do to prepare. First, boost your retirement savings. If you're 50 or older, you can contribute up to $26,000 a year to a 401(k), or up to $7,000 a year to an IRA. Save another $200 a month for the next 15 years on top of your current savings rate, and you'll add $60,000 to your retirement plan balance, assume you invest your 401(k) or IRA at an average annual 7% return, which is just below the stock market's average.

Another option is to fund a health savings account, or HSA. Not everyone is eligible for one of these accounts, but if you're enrolled in a high-deductible health insurance plan -- defined in 2020 as a deductible of $1,400 or more for self-only coverage, or $2,800 or more for family coverage -- then you may have the option to contribute.

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What Will Healthcare in Retirement Cost You? Try $295000. - Independent Tribune

Kindred Healthcare and Dignity Health have announced plans to build the companies' second inpatient rehabilitation hospital in Phoenix, Arizona.

The hospital will be located in Gilbert, Arizona, and will focus on acute rehabilitation for patients who suffer from stroke, traumatic brain injury, spinal cord injury, complex neurological disorders, orthopedic conditions, multiple trauma, amputation and other injuries or disorders.

The building itself will be 50,000 square-feet, two stories high and have all private rooms, with a 40-bed patient capacity. It will offer therapeutic technologies such as augmented reality balance training, therapy bionics and a full-body exoskeleton.

Amenities will include multifunctional therapy gymnasiums and a therapeutic courtyard with exterior amenities, such as a golf chipping range and pickleball.

Kindred and Dignity expect the hospital to open by the end of 2021.

WHAT'S THE IMPACT?

This is the second inpatient rehabilitation hospital that Kindred and Dignity have opened in the Phoenix area. The first, Dignity Health East Valley Rehabilitation Hospital in Chandler, Arizona, began serving patients in 2016.

The two companies decided to build this second hospital to address increasing demand for the services they were providing.

THE LARGER TREND

Kindred believes that inpatient rehabilitation facilities could be used to drive cost savings in a value-based payment model, according to a report.

If the inpatient rehabilitation facility is able to efficiently lower mortality rates, shorten inpatient stays, lower readmission rates, create fewer emergency room visitsand create better patient outcomes, it will see better outcomes and realize savings.

Recently, the Centers for Medicare and Medicaid Services provided another method of creating cost savings for IRFs. In a proposed rule from April, these facilities will get a payment increase of 2.9% for 2021 because of the COVID-19 public health emergency.

CMS also recently waived the 60% rule that requires each IRF to discharge at least 60% of its patients with one of 13 qualifying conditions, and allowed for telehealth visits in response to the pandemic.

ON THE RECORD

"We are excited to grow our relationship with Dignity Health one of the nation's leading health care providers to offer the Phoenix community increased access to high-quality inpatient rehabilitation services," said Russ Bailey, the COO of Kindred Rehabilitation Hospitals. "As with Dignity Health East Valley Rehabilitation Hospital, this new hospital will be dedicated to passionately advocating for and providing hope, healing and recovery to patients in its care."

"We are delighted to partner with Kindred to provide services that help patients function as independently as possible while safely returning to the activities they love," said Linda Hunt, the Dignity Health Arizona division president. "Dignity Health continues to address the growing health care needs of our East Valley and the Gilbert community."

Twitter:@HackettMalloryEmail the writer:mhackett@himss.org

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Kindred Healthcare and Dignity Health to open new inpatient rehabilitation hospital in Arizona - Healthcare Finance News

A question of necessity

The departments priorities often diverge from those of the women and men in its care. Common, debilitating ailments go unaddressed because treatment, by the prisons standards, is not medically necessary.

One inmate with a hernia that caused him daily pain could not get surgery because treating his injury was not necessary in the departments calculus. In a court declaration, he recounted crying as he tried to push the hernia back in during a visit with his wife; he worried the visit would be cut short if he called for help. Another described medical staff denying surgery to remove objects embedded in his temple even though he struggled to eat, sleep or walk, while a man who struggled to breathe after his nose was badly broken said the department refused to pay for a specialist to examine him.

In a deposition filed with U.S. District Court, a physician treating one prisoner with ulcerative colitis, an inflammatory bowel disease, recounted asking to conduct a biopsy to confirm the diagnosis. The doctors request was denied and, as he feared, the mans colon ruptured through his abdominal wall and nearly killed him.

This is not how you treat human beings, said Allen, who led the failed class action lawsuit in which those stories were collected.

A lot of this stuff has life or death implications, he continued. If you're not taking it seriously, if you're treating folks as other, that's going to result in unnecessary and preventable death.

If not death, then pain.

Incarcerated since 2007, Michael Sublett has served nearly all his time in grinding pain. A decades-old motorcycle injury that flared not long after he arrived at Washington Corrections Center in Shelton has left him unable to walk. A marathon 8 hour back surgery performed in 2016 left him worse off than ever, Sublett said. Spacers placed between his vertebrae attached to two, 10-inch metal rods near his spine began to painfully fail almost immediately.

I lay in bed and screamed for more than three hours before anyone came to my aid, said Sublett, describing the night seven months after surgery that the screws failed.

Its been a nightmare of pain and anguish, he continued in a 14-page handwritten letter detailing his treatment.

Sublett said he spent years begging prison medical providers to allow him to have his back examined. When the scans were ultimately conducted, Sublett said by letter, doctors at Providence St. Marys Medical Center in Walla Walla found that his spine had collapsed, and that four of 10 screws had failed.

Currently receiving bone strengthening treatment at UW Medical Center, Sublett said he expects to undergo three surgeries to correct the failed attempt to fix his back. The 61-year-old credited Dr. Sara Kariko, the departments chief medical officer, with personally intervening in his case to get him the corrective surgery he has needed for nearly four years.

In a recent interview, Kariko said there is always room for improvement within the departments medical system. But, she argued, many prison care providers see themselves as advocates for underserved and vulnerable populations and pursue the work passionately.

Sublett relies on a wheelchair, a device that prison staff can take away from him at any time. He may never walk again, he said, and faces the prospect of becoming quadriplegic in prison.

I am incarcerated to pay for crimes against society, said Sublett, who was sentenced to life without parole under Washingtons three strikes law after being convicted of murdering aThurston County man. I was not sentenced to be physically and mentally punished for over a decade with debilitating pain.

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Health care in WA prisons leaves inmates waiting months or years for help - Crosscut

As the COVID-19 pandemic continues to change healthcare operations in the world, foundational systems are being adapted to meet these new demands. Sometimes it takes extreme circumstances to see the cracks in a system. COVID-19 has exposed areas with more room for improvement in the healthcare system, such as optimizing operational efficiency. Organizations and individuals have changed their interactions, processes, ways of working, treatment plans, and even foundational technology. As the United States is beginning to reopen, many questions arise namely, are these changes temporary fixes during the pandemic, or are they here to stay?

Physicians have been inundated during this time of crisis, and their ongoing main priorities amplified: saving as many lives as possible and providing the best patient care. Recent estimates from the beginning of July say, worldwide there have been more than 10.7 million COVID-19 cases and at least 516,000 deaths from the disease, according to Johns Hopkins University (JHU). JHU also revealed that in the United States, there have been 128,000 deaths out of a total of over 2.6 million cases. To say this has been a time of great stress and pressure for physicians who are on the frontlines is an understatement.

This pandemic has increased providers already heavy workload, amplifying where physicians need support. Patients need to remain the top priority, even in the first generations of the digital age where the list of backend administrative tasks and paperwork can feel endless, thus reducing the number of patients physicians can see each day. Finding a way to streamline administrative tasks with advanced technology can bring physicians back to why they went to medical school in the first place: to help patients.

One example of an important, and time-sensitive task is communicating with payers around treatment plans and reimbursement. Using technology to streamline this process to get the patient the optimal treatment and maximize use of their insurance coverage is essential, especially in this time of crisis where there is an increased number of patients in need and a depressed economy. Whether processing prior authorizations or checking eligibility, hospitals and health systems need technology to keep operations efficient, including smooth payer-provider communication to ease physicians workload, help to ensure providers will be reimbursed for care, and optimize business operations, ultimately providing an improved patient experience.

Three foundational ways in which payer-provider information exchange technology provides immense value to healthcare organizations are:

Creating Administrative Efficiency: To help physicians stay focused on patients, administrative efficiency is key. Solutions can come in many shapes and sizes technology can help to automate workflows and avoid care delays. Modernizing the prior authorization workflow can shorten average time to care, reduce the risk of treatment abandonment, and improve the quality of care. With changing legislation, updated laws encourage the use of technology to increase efficiency while keeping data secure in near real-time exchanges.

Streamlining Exchange of Information: Interoperability and the technology standards needed to achieve it is an ongoing discussion in healthcare. Technologies that provide efficient, secure, and near real-time and even automated exchange of information are in high demand and will bring about the next era of healthcare. For example, technology has the power to align providers and payers efficiently and consistently, create an open exchange of information, centralize information, provide rapid and organized data transfer, ensure appropriate reimbursement by treatment plan, show pre-authorized treatment plans for the most successful and affordable care and aid health plans adaptability in health crises, like COVID-19.

Increasing Value-Based Care: Optimizing the quality and cost of patient care is a leading principle of healthcare. The COVID-19 pandemic has exposed areas of healthcare where improvements in patient experience and provider reimbursement desperately need to be accelerated. Using technology with built-in normative databases of accepted treatment paths allows for evidence-based treatment decisions, which in conjunction with efficient payer-provider communication to ensure reimbursement, allows for optimal patient outcomes creating value for all stakeholders.

Adopting technology to provide administrative efficiency, streamline information exchange and increase the value of all aspects of care will continue to be a fundamental pillar of healthcare; the pandemic has ignited a critical need for even faster change. COVID-19 has brought with it increased stress and uncertainty across the healthcare industry, amplifying the burden on physicians and their staff. Organizations have moved quickly to adopt technologies, such as those that provide a more efficient way to organize and analyze massive amounts of treatment plan decision inputs and aid communication between stakeholders, in order to better support physicians, and ultimately patients.

Tools and technology that automate processes, streamline communications and provide dynamic solutions have proven their value and are now need to have rather than nice to have for providers. These technologies are foundational to the healthcare system, providing the base from which all stakeholders operate. The pandemic has helped to realize the true value of efficiency technologies, galvanizing the adoption of these tools. Ultimately, more operational efficiency can bring the focus of care back to the patient.

About Christina Perkins

Christina Perkins is VP of Product Management and Strategy for NaviNet at NantHealth.She joined NaviNet in 2003 and has spent the last 17 years expanding the companys products and services. Prior to joining NaviNet Christina spent seven years designing and building web-based solutions for Partners Healthcare and other hospitals in the Northeast U.S. and Ontario, Canada. Christina on LinkedIn.

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How Times of Crisis Spur Needed Change in Healthcare Delivery - HIT Consultant

NAC Architecture has merged with an Ohio-based health care analytics, planning and design firm, the company announced Monday.

Under the merger with Trinity: Planning, Design, Architecture, existing NAC Architecture offices in Spokane, Seattle and Los Angeles will operate under NAC. Trinitys Columbus office and NACs health care studio will become Trinity: NAC, according to a news release.

Trinitys leadership team will join NACs executive team and board of directors, according to the release.

The merger allows both firms to expand design work in the health care and higher education sectors.

This merger is not about getting bigger, Dana Harbaugh, NAC president and CEO, said in a statement. Trinity and NAC share a common cultural commitment to personal service, quality, and design innovation. Trinitys strength in analytics complements our focus on research.

Financial details of the merger were not disclosed.

NAC and Trinity have a decadelong relationship and previously partnered on the Kootenai Health medical office expansion in Coeur dAlene.

The combined firm employs more than 230 people.

NAC, founded in 1960, has designed numerous projects in the Spokane area, some of which include Joel E. Ferris and Shadle Park high schools as well as the Riverfront Park Looff Carrousel facility and Pavilion. The firm also renovated the Martin Woldson Theater at The Fox and redeveloped a former Macys building into The M building in downtown Spokane.

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NAC Architecture merges with Ohio-based health care, analytics, design firm - The Spokesman-Review

A health care provider has terminated its multimillion-dollar relationship with the Mississippi Department of Corrections. The provider, Centurion, faces aclass-action lawsuit, and allegations of negligence along with the department itself.

The announcement comes after Team ROC, the philanthropic arm of Jay Z's company, Roc Nation, and rapper Yo Gotti teamed up to hire lawyers for 227 Mississippi inmates over conditions in the prison.

Centurion, part of the Centene Corporation, said in a July 7 letter to the department, obtained byCBS affiliate WJTV, that it was terminating its relationship, effective October 5, 2020.

"As we previously shared, we do not believe we can further improve the effectiveness of our level of care without additional investment from the Department in correctional staffing and infrastructure along the lines of what we have already recommended," wrote Steven H. Wheeler, CEO of Centurion.

Marcy Croft, the lead attorney for Team ROC, said she hopes Centurion's decision to end the relationship "sends a clear message to Governor Tate Reeves it's time to invest in the health and well-being of the people in your prisons."

"There is no excuse for the 53 deaths across the Mississippi prison system over the past several months, many of which were preventable," Croft said in a statement. "We will not stop until the incarcerated receive consistent and competent medical care, especially now with the COVID-19 crisis. This must be a priority."

Violence, understaffing and a deteriorating infrastructure have plagued Mississippi's prison system. Over 50 people have died in state facilities since December 29, a figure that includes suicides, homicides and cases that were classified as "natural deaths." The suit claims the plaintiffs' lives are in peril while inside.

A doctor hired by lawyers suing Mississippi said the conditions at the state penitentiary are the worst he's seen at any jail. Dr. Marc Stern, who specializes in correctional health care and has evaluated dozens of similar facilities across the country, said he witnessed exposed electrical wiring inside Parchman one of the state's prisons some of it near standing water.

"The conditions under which residents exist in Parchman are sub-human and deplorable in a civilized society," Stern said.

The attorneys also claim there was a lack of COVID-19 testing protocol or medical attention for the inmates, as well as a lack of social distancing protocols and personal protection equipment.

According to Centene'swebsite, the company "provides correctional healthcare and staffing services to government agencies" in 17 states. "By combining sound financial discipline with the delivery of appropriate care, Centurion is gaining recognition among states as a top correctional healthcare provider," reads the website.

Justin Carissimo contributed to this report.

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Health care provider severs ties with Mississippi prisons after Jay Z and Yo Gotti lawsuit - CBS News

The American Heart Association (AHA) has named Lynn Hundley, director of clinical effectiveness and stroke care at Norton Neuroscience Institute, as its 2020 Volunteer of the Year.

Lynn hopes to be able to accept the award in person in Texas this October.

Lynn began volunteering for the heart association over a decade ago and cant even guess the number of hours shes contributed.

Its not something I do for recognition; I do it for the sole passion I have to help, she said.

Lynn volunteers in part by speaking at boot camps for stroke coordinators each year. The camps provide training for new coordinators and advance the skills of veteran coordinators. These coordinators help to provide patient and community education on symptoms and treatment of strokes.

Held in person in pre-pandemic times, theyve moved to webinars to help prevent the spread of the coronavirus/COVID-19. The webinars are live on the AHAs site and are open for registration and available for continuing medical education credit.

I believe that no matter where you are you should receive the best care possible, Lynn said, adding that the boot camps/webinars are a step in that direction.

AHA has had a dramatic impact on her work at Norton Neuroscience Institute, giving her access to a growing network of providers who can offer best practices advice and consultations on a range of issues.

Lynn founded a stroke survivors dinner, which invites stroke patients to celebrate with those who helped them. For the annual event, Lynn and her staff sometimes can find the emergency medical technician who helped save a patient.

It is my favorite night of the entire year by far. I simply cannot get enough! Lynn said.

While the coronavirus pandemic forced cancellation of this years dinner, shes looking forward to the next one that can be held.

Congratulations to Lynn for all of her hard-work, dedication and efforts she has put into volunteering for the AHA. Norton Healthcare is beyond thankful for employees like her!

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Lynn Hundley named American Heart Association Volunteer of the Year - Norton Healthcare

The planned introduction of a wide-ranging bill granting certain businesses enhanced immunity from COVID-19 related death or illness lawsuits has drawn the ire of officials from hospitals and other health care facilities, who say it unfairly opens them up to the threat of lawsuits.

Although a bill has not yet been formally introduced in the special session, a draft copy of its language obtained by The Nevada Independent indicates that the enhanced liability protections envisioned in the bill would be granted to casino resorts, government agencies, nonprofits and other kinds of business while explicitly carving out health care facilities. The bill is expected to be introduced in the Senate on Monday.

That exemption which includes hospitals, nursing homes, intermediate care facilities, hospice care, skilled nursing facilities and emergency medical care centers has drawn a sharp rebuke from the Nevada Hospital Association and other health care providers, who say it would prohibit them from transferring patients between facilities or prohibit visitors from coming to visit patients.

Nevada hospitals are the backbone of Nevada communities in the response to COVID-19 pandemic and should have the same protections as any other business as it relates to patient visitors, students, vendors and other guests, Nevada Hospital Association spokeswoman Amy Shogren said in an email. While we have only seen draft language at this point, we believe that by excluding certain health care providers, hospital capacity and ultimately access will be negatively impacted.

A spokeswoman for Dignity Health, which runs three acute-care hospitals in Southern Nevada, said the liability protection scheme created in the bill would also work for hospitals and deter those who will seek to exploit the pandemic for financial gain.

Hospitals are already held to the highest standards, following the stringent guidelines of the CDC, and if those rules are followed, there is no reason hospitals and their staff should be excluded from this protection, Dignity lobbyist Katie Ryan said in a message. Hospitals and our health care professionals have delivered when our state needed us most and we need the Legislature and governors office to do the same now.

As the Legislatures special session stretches into its fourth day and all other proposals outlined in Gov. Steve Sisolaks proclamation have been drafted and are moving through the legislative process, the last remaining puzzle piece for lawmakers remains the business liability and worker protection legislation.

The bill and behind-the-scenes negotiations have drawn in some of the states most powerful players: business groups including the Nevada Resort Association and various chambers of commerce, who have pushed for the bill; opposition from trial lawyers and progressive groups; and a push by the politically powerful Culinary Union to enshrine protections for resort casino employees into law.

But trial attorneys have largely played down the threat of a rush to the courthouse to file COVID-19 related litigation, saying that in many cases it would be difficult to prove where a person contracted the virus.

Matthew Sharp, a board member of trial attorney trade association Nevada Justice Association, said in an interview that the concerns listed by hospitals and other health care facilities were a veiled threat. He said that medical malpractice suits already require a higher burden of proof than whats in the under-consideration liability protection bill, and that concerns over liability generally didnt make sense as hospitals should be equipped to follow all necessary safety precautions.

Hospitals already have massive protections under the law that no other business gets, he said. So, if we believe in public safety, then hospitals should be willing to be held accountable as it exists under existing law. And this idea that they won't do that unless they're given immunity is, frankly, outrageous.

Data tracked by the law firm of Hunton Andrews Kurth shows that more than 3,900 lawsuits related to COVID-19 have been filed nationwide since the start of the year, but relatively few deal with personal injury or other employment law issues.

Per that tracker, nationwide there have been 74 lawsuits related to conditions of employment, such as lack of PPE, COVID-19 exposure at work or wrongful death.

Sharp also said that he believed the bill would include tighter language on whats called controlling health standards, which initially referred to businesses making a good faith effort to comply with state, federal and local health directives related to COVID-19.

Instead, he said the bill is expected to now only include mandatory health requirements issued by the state or federal government, which at this point only includes mask-wearing requirements and a prohibition on gatherings of more than 50 people.

If you're in the middle of a snowstorm, and you're driving 75 miles an hour, you're not violating any mandatory requirements, but you should not be driving 75 because you should be reasonably prudent to protect yourself and others from harm, he said. That's the problem with limiting it to mandatory.

But many businesses have said that litigation protection enshrined in law will help them get back to operations without the threat of pending litigation. Its a push that Senate Republicans in Congress have requested as part of another bailout deal, and, according to the National Law Review at least 12 other states have begun enacting similar liability shields related to the virus.

Other advocates of the bill have also publicly supported removing exclusion of hospitals and healthcare facilities. Mary Beth Sewald, the head of the Las Vegas Chamber of Commerce, said in a tweet on Sunday that she cant imagine the unintended consequences of excluding hospitals and healthcare facilities from limited liability protection.

The Vegas Chamber echoed her remarks in another tweet, writing on Sunday that without expanded liability for medical facilities, patient transfers from hospitals to lower levels of care, such as rehabilitation, skilled nursing, long term care & home care services, may not be possible.

On Sunday afternoon, the Clark County Education Association said in a press release that lawmakers should adopt legislation creating a rebuttable presumption that teachers who contract COVID-19 while working in-person at a school or place of employment shall be eligible for workers compensation.

The teachers union also requested that additional remedies in tort must be made available for school district employees who contract COVID-19 at a school site where the school did not implement reasonable safety and testing standards to prevent spread of the disease.

Link:

Hospitals, health care facilities cry foul at exclusion from proposed COVID liability bill - The Nevada Independent

Welcome to Monday's Overnight Health Care.

President TrumpDonald John TrumpWhite House sued over lack of sign language interpreters at coronavirus briefings Wife blames Trump, lack of masks for husband's coronavirus death in obit: 'May Karma find you all' Trump authorizes reduced funding for National Guard coronavirus response through 2020 MORE attacked coronavirus task force coordinator Deborah Birx, and continued to hype hydroxychloroquine. Governors don't want the National Guard to leave the pandemic front lines, and the WHO is warning there won't be a miracle cure for coronavirus

We'll start with Trump drama:

Trump criticizes Birx over Pelosi, COVID-19 remarks: 'Pathetic'

President Trump on Monday publicly criticized Deborah Birx, the doctor who is coordinating the White Houses coronavirus response, suggesting she hurthim when she bluntly acknowledged that the pandemic is widespread across the United States.

Trump suggested Birx's warning was in response to criticismfrom Speaker Nancy PelosiNancy PelosiHillicon Valley: Trump backs potential Microsoft, TikTok deal, sets September deadline | House Republicans request classified TikTok briefing | Facebook labels manipulated Pelosi video Trump says he's considering executive action to suspend evictions, payroll tax Trump won't say if he disagrees with Birx that virus is widespread MORE (D-Calif.), who questioned Birxs credibility in responding to the pandemic. He appeared to call Birxs response to Pelosis criticism pathetic.

So Crazy Nancy Pelosi said horrible things about Dr. Deborah Birx, going after her because she was too positive on the very good job we are doing on combatting the China Virus, including Vaccines & Therapeutics, Trump tweeted. In order to counter Nancy, Deborah took the bait & hit us. Pathetic!

Why it matters: The tweet marks the latest instance of Trump undercutting one of his administrations top health officials in the middle of a pandemic, but it is the first time he has publicly criticized Birx. The tweet was even more jarring given White House officials had just spent the weekend praising Birx and defending her in the wake of Pelosis sniping.

Context: Pelosi said she doesnt have confidence in Birx because she is Trumps appointee. Birx said Sunday on CNN COVID-19 is extraordinarily widespread than it was in March and April. While Trump tried to tie Birx comments on the pandemic to Pelosis criticism, she has sounded the alarm on increases in cases across the country over the past several weeks.

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Trump still hyping hydroxychloroquine

Trump continued to hype hydroxychloroquine to reporters on Monday, despite scientific evidence to the contrary and many of his administration's top health officials advising the public to move on because the drug does not work against COVID-19.

Hydroxy has tremendous support, but politically its toxic because I supported it, Trump told reporters at the White House. If I would have said, Do not use hydroxychloroquine under any circumstances, they would have come out and they would have said, Its a great, its a great thing.

When Trump was asked about the differing opinions of leading health experts, including Anthony FauciAnthony FauciWhite House sued over lack of sign language interpreters at coronavirus briefings Fauci warns of 'really bad situation' if daily coronavirus cases don't drop to 10K by September Overnight Health Care: Trump criticizes Birx over Pelosi, COVID-19 remarks: 'Pathetic' | Democratic leaders report 'some progress' in talks with White House | WHO chief: There may never be 'silver bullet' for coronavirus MORE, the nations top infectious-disease official, Trump doubled down.

I dont agree with Fauci on everything, Trump said

It's not just Fauci: White House coronavirus testing czar Adm. Brett Giroir said on "Meet the Press" Sunday that he can't recommend hydroxychloroquine to treat COVID-19, and said the public should "move on."

At this point in time, there's been five randomized-controlled, placebo-controlled trials that do not show any benefit to hydroxychloroquine, so at this point in time, we don't recommend that as a treatment, Giroir said.

Lessons: Trump almost hit upon an important lesson for politicians: let the scientists be scientists. When politicians wade into science and medicine, it muddies the whole process. Hydroxychloroquine would likely not have become such a political controversy if Trump had not been so fixated on it.

Related: Experts fear political pressure on COVID-19 vaccine

Democratic leaders report 'some progress' in talks with White House

Lawmakers are still struggling to come to an agreement on a coronavirus relief package, even after the enhanced unemployment benefits expired at the end of last week.

Democratic leaders announced slow progress with White House negotiators Monday after meeting for nearly two hours in SpeakerNancy Pelosis (D-Calif.) office on Capitol Hill.

At this rate, no deal is expected before the end of the week, even after millions of unemployed Americans saw the $600-a-week federal boost to state unemployment benefits expire last week.

Pelosi told reporters Monday that negotiators are still trying to map out possible common ground, while Senate Democratic LeaderCharles SchumerChuck SchumerMeadows: 'I'm not optimistic there will be a solution in the very near term' on coronavirus package Biden calls on Trump, Congress to enact an emergency housing program Senators press Postal Service over complaints of slow delivery MORE(D-N.Y.) said he thinks an agreement is still possible.

The Democratic relief proposal would increase the Supplemental Nutrition Assistance Programs maximum benefit by 15 percent. It would also provide a new 12-month moratorium on evictions for renters who do not pay.

The proposal from the White House and Senate GOP does not include an increase in food stamp benefits or an eviction moratorium, but it does provide $105 billion to help colleges and schools resume classes in the fall. More money in the proposal would go to schools that resume in-person classes.

Read more here.

Governors call for Trump to extend funding for National Guard coronavirus response

The National Governors Association (NGA) on Monday called on President Trump to extend federal funding for National Guard forces being used to respond to the coronavirus, warning that they need certainty on the issue.

The federal funding and benefits for the National Guard members helping states across the country operate testing sites, distribute food and medical supplies, and other tasks, is set to expire on Aug. 21.

Governors are warning that they have to start transitioning the forces to state control and funding well ahead of that deadline, though, disrupting planning for the coronavirus response.

While we appreciate the Administrations support over the past few months, short-term extensions and last-minute authorizations are adversely impacting and disrupting state plans and operations, the NGA, which represents governors in both parties, said in a press release on Monday.

The NGA called on Trump to extend the federal funding and benefits, known as Title 32 authority, without delay.

Read more here.

WHO chief: There may never be 'silver bullet' for coronavirus

The leader of the World Health Organization (WHO) warned Monday there may never be a "silver bullet" for defeating COVID-19.

"A number of vaccines are now in phase three clinical trials and we all hope to have a number of effective vaccines that can help prevent people from infection," WHO Director-General Tedros Adhanom Ghebreyesus said at a media briefing. "However, theres no silver bullet at the moment and there might never be."

He urged countries to continue testing, isolating and treating COVID-19 patients and tracing and quarantining their contacts as a means of stopping the pandemic.

Individuals should keep physical distance when in public, wear masks and regularly wash their hands, he added.

Why it matters: There are six potential COVID-19 vaccines in phase three trials the final phase that will determine whether a vaccine is safe and effective. Dr. Anthony Fauci, the nations top infectious disease expert, told Congress last week he is cautiously optimistic a vaccine will be approved by the end of the year given the favorability of existing data.

Read more here.

What were reading:How the pandemic defeated America (The Atlantic)

A coronavirus vaccine wont change the world right away (The Washington Post)

The biggest monster is spreading. And its not coronavirus. (The New York Times)

Fauci unfazed as scientists rely on unproven methods to create COVID vaccines (Kaiser Health News)

State by state:

Some people are COVID-19 test shopping for a negative result (Sun Sentinel)

On the first day of school, an Indiana student tests positive for coronavirus (The New York Times)

Thousands of Texans are getting rapid-result COVID tests. The state isnt counting them. (Houston Chronicle)

Op-eds in The Hill

Congress must act to preserve independent primary care practices

Generating legal cohesion across US responses to COVID-19

Trump's junk medicine puts his own supporters at deadly risk

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Overnight Health Care: Trump criticizes Birx over Pelosi, COVID-19 remarks: 'Pathetic' | Democratic leaders report 'some progress' in talks with White...

Medicare for All is one of the most hotly debated topics in the 2020 election. But what is it? And how will it work? We explain. USA TODAY

This is onein a series of fact checks the Detroit Free Press is doing on public issues in conjunction with PolitiFact, a nonprofit national news organization. Suggest a fact-check here.

Republican Eric Esshaki, a former nurse, is vying to unseat incumbent Rep. Haley Stevens, D-Rochester Hills, in Michigan's 11th Congressional District, which she flipped from red to blue in 2018. In an ad, Esshaki attacks Stevens on health care, promising to stop her plan for socialized medicine.

Shed eliminate 100,000 doctors and nurses, the ad says.

Birmingham attorney Eric Esshaki is running in the Aug. 4, 2020 Republican primary to face U.S. Rep. Haley Stevens, D-Rochester Hills, in November's general election.(Photo: Taylor Hooper, Esshaki for Congress)

The evidence Esshaki's campaign cites comes from a report funded by a group lobbying against Medicare for All that makes problematic assumptions to support its analysis.

While some progressive Democrats are pushing for a single-payer system to replace private insurance, others are calling for a public option, a government-sponsored program that would be available alongside private plans through the Affordable Care Acts exchanges.

Stevens has publicly been on both sides of this divide, but her latest position is in favor of the public option.

At the time Esshakis campaign produced the ad, Stevens had already moved away from Medicare for All, campaigning instead on a public option. Although her stance on Medicare for All has shifted over time, she told PolitiFact Michigan she does not support Medicare for All.

Medicare for All would create a single, national health insurance plan supported by payroll taxes that would cover every American, mostly eliminating private health insurance.

Under public option proposals, by contrast, Americans would have the choice of a government health plan in addition to private insurance options.

Some critics argue this would inevitably lead to a single-payer national system if private insurers arent able to compete with the governments prices and quality.

But advocates of a public option have differing ideas of the role it would play in the health care system. Those who support a modest version envision the public plan as a kind of last resort for those who cannot find affordable private insurance, while others see it as a transitional step toward Medicare for All.

More: Michigan's August primary election is critical. Here's how to cast an informed vote.

More: FACT CHECK: Ad claiming congressional candidate supports forced vaccinations is false

Esshaki bases his claim that Stevens health care plan would eliminate 100,000 doctors and nurses on a report published this year by FTI Consulting, a global consulting firm with offices around the world, that projects a loss of nearly 45,000 physicians and 1.2 million nurses by 2050 under Medicare for All.

The report was funded by Partnership for Americas Health Care Future (PAHCF), a group of medical professionals, hospitals, health insurers and pharmaceutical companies lobbying against Medicare for All and public option proposals.

The report notes that countries where physicians are paid more have more physicians. The FTI analysis then assumes that Medicare payment rates would remain constant under Medicare for All, and looks at how a decline in incomes would affect the supply of physicians in the U.S.

But the relationship between physician salaries and physician supply is an association and not necessarily causal, warns Joelle Abramowitz, a University of Michigan economist. Meanwhile, the calculation assumes that all other components of Medicare as it is currently implemented for seniors will remain the same under Medicare for All, which is likely not the case, Abramowitz said.

Esshakis campaign shared another report with PolitiFact Michigan that found that a public option would eliminate the jobs of 420,000 health care employees. This report was also funded by PAHCF and assumes that a public option would reimburse health care providers at current Medicare rates. It does not specify how many doctors and nurses are included in this figure.

Robert Pollin, an economist at the Political Economy Research Institute of the University of Massachusetts-Amherst,told Kaiser Health News that Medicare for All would entail significant job losses. Every proponent of Medicare for All including myself has to recognize that the biggest source of cost-saving is layoffs, he said.

But experts predict most of the job losses under Medicare for All would be in the health insurance industry, such as insurance brokers, medical billing workers and other administrative roles. Some argue that Medicare for All, by decreasing the number of uninsured Americans, would increase demand for health care providers, including doctors, physician assistants and nurses.

During her 2018 campaign, Stevens advocated for Medicare for All. In a June 2018 tweet she wrote, Medicare for all. NOW. That same month, during a candidate forum, the former Obama administration official said, We absolutely need to propose legislation to provide Medicare for All.

U.S. Rep. Haley Stevens, D-Rochester Hills(Photo: Submitted, Haley Stevens)

This did not remain her position for long. A month before she won her seat, BuzzFeed reported Stevens supports a voluntary public option instead of Medicare for All. In a debate days before she was elected, Stevens said, I think that Medicare for All is a place where we can grow and go into, but for right now we need to focus on the cost of prescription drugs.

A Medium article written by a member of Michigan for Single Payer in early 2019 notedStevens has said in private that she supports a Medicare for All bill but has not done so publicly. Stevens has not co-sponsored Medicare for All bills introduced in the current Congress.

Back on the campaign trail, Stevens has said she supports a public option instead of Medicare for All. We need to work together to fix the Affordable Care Act (ACA), not dismantle it, her website reads.

When asked to clarify her stance on Medicare for All, Stevens told PolitiFact Michigan: I do not support Medicare for All. I believe we can expand and improve on the Affordable Care Act to achieve the goal I have spent my life fighting for: the right for every American to have health care.

Esshaki claims that 100,000 nurses and doctors would disappear under Stevens plan for socialized medicine.

The studies Esshakis campaign shared make problematic assumptions and were from a group lobbying against Medicare for All.

While Stevens has supported Medicare for All in the past, her current position is for a public option, and she told PolitiFact Michigan that she does not support Medicare for All.

The ad comes up short in offering a fair characterization of Stevens views and a credible assessment of the impact of her health care policies.

We rate its claims Mostly False.

The Free Press asked candidates up and down the ballot for their positions on a host of issues. Enter your address to see what the candidates on your Aug. 4 ballot had to say. Because the districts that these candidates run in can be very specific, you will only see an accurate ballot if you enter your full address. Your information, address and e-mail address if you enter one, will not be shared.

Clara Hendrickson fact-checks Michigan issues and politics as a corps member with Report for America, an initiative of The GroundTruth Project. Contact Clara at chendrickson@freepress.com or 313-296-5743 for comments or to suggest a fact-check.

Read or Share this story: https://www.freep.com/story/news/local/michigan/detroit/2020/08/03/esshaki-stevens-medicare-all-fact-check/5548467002/

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Rep. Haley Stevens comes under attack on health care. We fact-checked the claim. - Detroit Free Press

Wareham Healthcare, the nursing home at 50 Indian Neck Road, was identified today by MassHealth as having failed to meet the standards and requirements set by the state during the pandemic and a historic record of poor performance.

The facility has been sent a termination notice, which is the first step in eliminating it from the MassHealth program -- which could lead to the facilitys closure. MassHealth is the name for Medicaid and the Childrens Health and Insurance Program in Massachusetts.

As of June 29, the facility had between one and ten coronavirus cases and zero deaths.

The facility, which was listed as being chronically low-occupancy and low quality by the Nursing Facility Task Force in January 2020, was only 59 percent occupied as of April 1, 2019. And 81 percent of the occupants were there through MassHealth.

In 2017 and 2019, the facility was ranked at one star out of a possible five by Medicare, which bases its ratings on health inspections, staffing, and quality of resident care measures.

MassHealth stated that Wareham Healthcare has demonstrated poor adherence to the most basic infection control practices, including a failure to properly use personal protective equipment and properly group patients who had tested positive for coronavirus. MassHealth also cited inadequate staffing ratios.

MassHealth said that the facility had poor coronavirus testing and reporting, inadequate staffing, and that it communicated poorly with the state and refused infection control assistance from the state.

Wareham Healthcare, along with the other facilities named -- Town and Country in Lowell and Hermitage Healthcare in Worcester -- will have the opportunity to dispute MassHealths findings.

MassHealth members and families can contact MassHealth with any questions by calling 800-841-2900, then pressing option 3 and then option 2.

MassHealth will help members wishing to transfer out of the facility during and after the termination process. Wareham Healthcare may also face an admissions freeze or other enforcement actions.

Officials at Wareham Healthcare, or its parent company Next Step Healthcare, could not immediately be reached for comment.

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Wareham Healthcare sent termination notice by MassHealth - Wareham Week

In recent years, entire industries have popped up that rely on the delicate interplay between human workers and automated software. Companies like Facebook work to keep hateful and violent content off their platforms usinga combination of automated filtering and human moderators. In the medical field, researchers at MIT and elsewhere have used machine learning to help radiologistsbetter detect different forms of cancer.

What can be tricky about these hybrid approaches is understanding when to rely on the expertise of people versus programs. This isnt always merely a question of who does a task better; indeed, if a person has limited bandwidth, the system may have to be trained to minimize how often it asks for help.

To tackle this complex issue, researchers from MITs Computer Science and Artificial Intelligence Lab (CSAIL) have developed a machine learning system that can either make a prediction about a task, or defer the decision to an expert. Most importantly, it can adapt when and how often it defers to its human collaborator, based on factors such as its teammates availability and level of experience.

The team trained the system on multiple tasks, including looking at chest X-rays to diagnose specific conditions such as atelectasis (lung collapse) and cardiomegaly (an enlarged heart). In the case of cardiomegaly, they found that their human-AI hybrid model performed 8 percent better than either could on their own (based on AU-ROC scores).

In medical environments where doctors dont have many extra cycles, its not the best use of their time to have them look at every single data point from a given patients file, says PhD student Hussein Mozannar, lead author with David Sontag, the Von Helmholtz Associate Professor of Medical Engineering in the Department of Electrical Engineering and Computer Science, of a new paper about the system that was recently presented at the International Conference of Machine Learning. In that sort of scenario, its important for the system to be especially sensitive to their time and only ask for their help when absolutely necessary.

The system has two parts: a classifier that can predict a certain subset of tasks, and a rejector that decides whether a given task should be handled by either its own classifier or the human expert.

Through experiments on tasks in medical diagnosis and text/image classification, the team showed that their approach not only achieves better accuracy than baselines, but does so with a lower computational cost and with far fewer training data samples.

Our algorithms allow you to optimize for whatever choice you want, whether thats the specific prediction accuracy or the cost of the experts time and effort, says Sontag, who is also a member of MITs Institute for Medical Engineering and Science. Moreover, by interpreting the learned rejector, the system provides insights into how experts make decisions, and in which settings AI may be more appropriate, or vice-versa.

The systems particular ability to help detect offensive text and images could also have interesting implications for content moderation. Mozanner suggests that it could be used at companies like Facebook in conjunction with a team of human moderators. (He is hopeful that such systems could minimize the amount of hateful or traumatic posts that human moderators have to review every day.)

Sontag clarified that the team has not yet tested the system with human experts, but instead developed a series of synthetic experts so that they could tweak parameters such as experience and availability. In order to work with a new expert its never seen before, the system would need some minimal onboarding to get trained on the persons particular strengths and weaknesses.

In future work, the team plans to test their approach with real human experts, such as radiologists for X-ray diagnosis. They will also explore how to develop systems that can learn from biased expert data, as well as systems that can work with and defer to several experts at once.For example, Sontag imagines a hospital scenario where the system could collaborate with different radiologists who are more experienced with different patient populations.

There are many obstacles that understandably prohibit full automation in clinical settings, including issues of trust and accountability, says Sontag. We hope that our method will inspire machine learning practitioners to get more creative in integrating real-time human expertise into their algorithms.

Mozanner is affiliated with both CSAIL and the MIT Institute for Data, Systems and Society (IDSS). The teams work was supported, in part, by the National Science Foundation.

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An automated health care system that understands when to step in - MIT News

By CHARLES OWENS

Bluefield Daily Telegraph

PRINCETON Sixteenindividuals at the Princeton Health Care Center were hospitalized Sunday night as a result of COVID-19, Bill Crouch, cabinet secretary of the West Virginia Department of Health and Human Resources, said Monday.

Overnight there were 16 individuals who were hospitalized at Princeton, Crouch, who spoke during Gov. Jim Justices daily COVID-19 briefing, said. So we have some real concerns. We have been in constant contact with the administration down there, with the CEO.

Crouch said the state is currently attempting to confirm if there have been additional deaths in Mercer County.

We have had three reported deaths, Crouch said of Mercer County. As some of you are aware, the Mercer County Health Department is in disarray. We have been in contact with them over the weekend and Dr. Ayne Amjad (the state health officer and commissioner of DHHRs Bureau for Public Health) has made herself available to provide any assistance that may be needed in Mercer County. We have three reported deaths, but again those deaths are reported through the local health department. We are trying to confirm additional deaths through the health department.

Justice, who spoke earlier, described the Princeton nursing home outbreak as one of three super hot spots in the state for COVID-19.

Another 19 individuals at the Princeton Health Care Center have tested positive for COVID-19, the center said in statement released online.

The latest statement released by the health care center indicated the number of residents and staff members who have tested positive for the virus is now 66.

Thats up from 47 cases on Friday.

State officials have confirmed that two of the three COVID-19 deaths in Mercer County have involved residents of the nursing home.

All current confirmed/suspected residents are being isolated to specific COVID-19 designated care areas, the statement said. Confirmed resident cases are being placed in a separate area and are being cared for by designated/dedicated staff members.

The statement added that the health care center is treating residents with Zinc, Vitamin C, fever reduction medications, as well as medications to help prevent potential blood clots, when indicated.

The statement further adds that West Virginia Department of Health and Human Resources Cabinet Secretary Bill Crouch has been in contact with the health center and has asked that testing from the health center be given priority at the state lab to achieve faster test results.

The statement goes on to say, The list of COVID like symptoms includes but is not limited to; fever, body aches, runny nose, cough, sore throat, pink eye, nausea, vomiting or diarrhea, weakness, loss of taste, loss of smell and in severe cases respiratory distress. Some never display symptoms at all.

Also Monday, the Virginia Department of Health reported six new COVID-19 cases in Tazewell County along with another hospitalization. That brings the cumulative total of virus cases in Tazewell County to date to 98 with six hospitalizations.

All six of those hospitalizations have occurred in recent weeks.

Contact Charles Owens at cowens@bdtonline.com

We are making critical coverage of the coronavirus available for free. Please consider subscribing so we can continue to bring you the latest news and information on this developing story.

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Sixteen individuals at the Princeton Health Care Center hospitalized overnight due to COVID-19 - Bluefield Daily Telegraph

The workers who signed the letter represent 59 counties in the state.

ATLANTA On Friday, a total of 2,169 Georgia healthcare workers sent a letter to Gov. Brian Kemp, copied to public health commissioner Dr. Kathleen Toomey, strongly recommending that he adjust his COVID-19 strategy.

The healthcare workers are employed in 59 counties across the state and include more than 1,200 physicians, 450 nurses, nurse practitioners, physician assistants, as well as other front-line healthcare workers, including pharmacists, social workers, psychologists, respiratory therapists, occupational therapists, physical therapists, laboratory technicians, and many others.

Our letter reiterates that basic public health interventions work, but they need to be forcefully implemented at the state level to be effective, Dr. Carlos del Rio, an infectious diseases physician and Executive Associate Dean for Emory at Grady.

11Alive News has reached out to the governor's office for a response to the letter.

Here is a copy that was provided to 11Alive:

Georgia is setting records for new COVID-19 diagnoses and current hospitalizations, and deaths areclimbing. Georgia healthcare workers are increasingly concerned about the direction of the pandemic inour state. Earlier this month, over 1400 of us wrote you to express our concerns, and today over 2,150of us write to ask again that you revisit your strategy for combatting the virus.

We appreciate that managing the state of Georgia is an enormous task and that you are trying tobalance controlling the virus against damage to the economy and the livelihoods of workers. We shareyour concerns, as economic well being directly impacts the health of our patients. We firmly believe thatif policy decisions are made based on science, economic benefits will follow. Likewise, this pandemicbegan with a new virus about which we knew very little, and we understand that keeping policies in linewith the rapid accumulation of scientific knowledge continues to be a challenge. Now is the time toupdate policies to align with current science.

Although our current strategy is falling short, the good news is that there are concrete steps that youcan take to dramatically curtail the surge without completely shutting down the state. Your actions inApril were effective in flattening the curve of cases and preserving our fragile hospital infrastructure.The recent surge of cases associated with decreased social distancing is placing our hospitals at riskagain, and aggressive actions are urgently needed.

Here are the troubling facts we now must confront.

We reached a new peak of 4,813 COVID-19 cases on July 24, and a peak 7-day average of 3,745on July 24. Prior to your shelter in place order on April 3, the highest number of cases reportedper day was 1,085 on March 31. Also, compared to March-April when most cases were in fewcounties, now cases are occurring in urban, suburban, and rural Georgia.

Our current hospitalizations have increased substantially since June 13, reaching a new record of3,200 on July 30 and more than 3,000 patients hospitalized with COVID-19 every day since July19. Hospitals are increasingly on total or ICU/CCU diversion across the state.

Our ICU capacity statewide is strained, with only 12-16% of beds available statewide, and half ofhospital regions having 15 or fewer ICU beds available on July 20.

Deaths also are moving upward, with 82 reported on 7/24, the second highest daily report ever.We know that deaths lag behind cases and hospitalizations by weeks, and that a strainedhospital system also will increase deaths.

Our percent positivity for tests has risen as high as 17.1% on July 23, when the ideal is below 5%and a level above 10% raises a red flag. This increasing positivity rate underscores that newcases are a result of worsening community transmission, not simply more testing and that casesare being missed and their contacts never traced.

Due to the sheer size of the outbreak encompassing multiple states, our testing infrastructure isstrained and wait time has increased substantially with many individuals reporting that it takesup to two weeks to receive results, effectively eliminating the benefit of contact tracing.

According to the July 14 White House Coronavirus Task Force report that is provided to Governorsweekly, Georgia is now in the Red Zone of states for which more stringent steps are recommended.Disease trends are moving in the wrong direction in Georgia, according to the Task Force. Georgiaqualifies for Red Zone status by having over 100 cases per 100,000 population as well as test positivityabove 10%. The Task Force made the following recommendations for Georgia:

1. Mandate statewide wearing of cloth face coverings outside the home.2. Allow local jurisdictions to implement more restrictive measures.3. In all counties with 7-day average test positivity > 10%, close bars & gyms, require strictsocial distancing within restaurants, limit gatherings to 10 or fewer persons.

In addition, the Task Force recommends specific actions aimed at increasing testing access, decreasingturn around time for tests, intensifying contact tracing, protecting seniors in long-term care facilities,and improving public health messaging about risk of serious disease in all age groups.

We endorse the Task Force recommendations, with modifications, as they mirror those we made inour letter of July 2. We have added some additional caveats to the recommendations cited above, andwe have added some additional recommendations. Our current recommendations and rationale are asfollows:

We recommend a temporary statewide face covering requirement outside the home, and foroutdoor situations in which social distancing of at least 6 feet cannot be maintained.

Governors of 30 states, including those of Texas, Alabama, Arkansas, Ohio, and Indiana, haveimplemented face covering mandates. We applaud you for wearing a mask whenever you are inpublic and for encouraging the use of masks by the public. Unfortunately, this has not beenenough to achieve widespread mask usage in Georgia. CDC recently published an articleentitled, Universal Masking to Prevent SARS-CoV-2 TransmissionThe Time Is Now,emphasizing the importance of universal masking to control the pandemic.1 Evidence shows thatface coverings are effective in preventing virus spread and that mandates are substantially moreeffective than recommendations in decreasing transmission. Projections estimate that newcases would decrease by as much as 40,000 if 95% of Americans wore masks until November 1.A recent survey by the Medical Association of Georgia found that 87% of 1300 physicianscompleting the survey said they believed Georgians/visitors should be required to wear a facemask or covering. Furthermore, CDC Director Dr. Redfield said recently that if everyone wore aface mask we could control this epidemic in 4 8 weeks. Why not mandate face coverings inGeorgia for an 8 week period?

We recommend that you close bars and nightclubs, and prohibit indoor dining as well asgatherings of more than 10 people, including at houses of worship. While we understand yourreluctance to shut down the state due to economic repercussions, the repercussions of notcontrolling the virus will take a heavy toll on our economy, as well as our health. Maintainingphysical distance is nearly impossible in bars and nightclubs which are ripe settings for viralsuper-spreading, especially among younger persons in whom the surge of cases is nowconcentrated. The risks of dining indoors have been well documented, as people cannot bemasked while eating. Numerous outbreaks across the country including in Georgia - havebeen associated with indoor worship services.

We recommend that you empower elected officials around the state to institute morestringent requirements as appropriate for their jurisdictions. As you have pointed out, thepandemic affects different areas of the state differently. There now are local epidemics all overGeorgia, each with different characteristics. Local control of local epidemics is essential, and

We recommend that you greatly expand testing and contact tracing in the state. Lines fortesting are so long that working people cannot devote the hours needed to stand in them.Appointments are booked for days ahead in many locations. In some rural counties, people arebeing referred to sites that are hours away. Turn around time for test results is sometimes overtwo weeks, eliminating the benefit of contact tracing. It is time to consult with local experts onmechanisms for expanding the capacity of academic and hospital labs around the state, and tocollaborate with academic, hospital, and public health labs that have capacity out of state.Testing sites must be rapidly expanded throughout the state, and contact tracing must beexpanded in collaboration with local communities and reported with transparency, as is done bystates such as Oregon.

Finally, we strongly recommend that you take action to eliminate Georgias racial and ethnicdisparities in COVID-19 cases, hospitalizations, and deaths. Resources must be targeted tomost impacted communities, specifically African-American and Hispanic/Latinx communities.Data must be appropriately collected in order to understand our local epidemics. As of today,Georgias most impacted racial group is unknown, and this is unacceptable. While weunderstand the complexities of collecting data on race and ethnicity through large commerciallaboratories, the state must mandate and enforce the collection of these data, and make thedata public.

We also invite you to visit one of the many hospitals currently caring for patients with COVID-19, and weare happy to arrange such a visit. By acting decisively now, you can save thousands of lives and avoidillness for hundreds of thousands of Georgians. Your actions will have immediate impact, although itmay take weeks to see cases decrease substantially. As cases decrease, the strain on testing, contacttracing, and PPE availability also will lessen, improving the efficiency of all of our systems. Decreasedcases will lead to improved economic outcomes and allow us to more safely open schools in the Fall.

Thank you for your thoughtful consideration of this urgent matter.

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Healthcare workers from 59 counties send Gov. Kemp a letter. Here's what it said - 11Alive.com WXIA

The clock is ticking on Joe Biden's decision for a running mate. POLITICO's Laura Barrn-Lpez breaks down why Stacey Abrams, Susan Rice and Gretchen Whitmer are under consideration to be Biden's No. 2.

The pandemic has been an emperor has no clothes moment when it comes to insurance companies, said Josh Orton, a Sanders delegate and member of the platform drafting committee who voted to approve the platform earlier this month. When everyone is getting thrown off of work, it becomes obvious why having your insurance connected to your employer is bonkers.

Biden has maintained his opposition to Medicare for All from the primaries and criticized the plan as too costly and unrealistic at a news conference Tuesday. And the Democratic National Committees platform committee on Monday all but ruled out formally endorsing the system in the partys 2020 plank in a lopsided 36-125 vote. The challenge for Biden will be to continue the work of a unity task force he set up with Sanders while pursuing incremental but decidedly progressive policies like auto-enrolling low-income people in the public option.

Theres no question that the pandemic has peeled back the cover on some real flaws in the American health system and made them much more stark, and it increases momentum towards a universal health care plan, said Kathleen Sebelius, the former secretary of Health and Human Services now advising the Biden campaign.

Bidens positions mark a noticeable shift from before the pandemic, when the discussion was centered more on containing health costs than expanding coverage. President Donald Trumps budgets, for example, proposed cutting billions of dollars from Medicare, despite his campaign pledge to leave the program alone. Bidens policies are also notably more ambitious than the Democrat-controlled House, where there has not been a vote on the public option, much less Medicare for All.

This is health care moonshot time, said Irwin Redlener, the founding director of the National Center for Disaster Preparedness at Columbia University who served on the Biden campaigns public health task force earlier this year. My sense is that were not going to see a moderate, watered down, gradual series of changes. I expect a huge plan that would forever change how Americans get health care.

Still, some inside and outside the campaign would like to see bolder proposals that edge closer to a single-payer health system, believing the countrys grim circumstances will make the public more receptive to progressive ideas than some politicians believe.

Theres been a shift toward more receptivity to bigger solutions to both of our biggest problems: coverage and affordability, said Ezekiel Emanuel, the chair of the Department of Medical Ethics and Health Policy at the University of Pennsylvania and a member of Bidens public health advisory committee. But peoples thinking hasnt caught up with the dire situation were in.

The pandemic accelerated an overdue discussion about the precarious nature of a health care system centered on private coverage tied to work and the need for more government intervention, according to more than a dozen Biden health care advisers, task force members and DNC platform committee members who spoke to Politico.

Its even more clear at a time when a lot of people have lost employer-based coverage and are struggling to get by, said former Surgeon General Vivek Murthy, a leading advisor to Biden.

The unity task force this month recommended several proposals that tack even further to the left. In addition to the beefed-up public option and Medicare at 60, the group called for free Covid-19 testing and treatment, bumping up the federal match for states that expand Medicaid, widening Medicare benefits to include dental, vision and hearing coverage, implementing direct government negotiation of drug prices and allowing undocumented immigrants to buy unsubsidized Obamacare coverage.

We didnt get everything we want. We didnt turn Biden into Bernie Sanders, but we were able to make enormous progress, said Rep. Pramila Jayapal (D-Wash.), lead author of the Houses Medicare for All bill.

But while sentiment among the Democratic voter base may have moved left, the actual delegates and party establishment are more centrist than in 2016 because Sanders performed far worse in the primaries.

Chris Jennings, an Obama White House policy adviser on health care and one of Bidens picks for the task force, said Bidens victory in the primaries showed that Democrats and the general public alike prefer the public option over single-payer health care a view backed up by polling.

In our primary, we had a debate around two bold visions, and one won over the other, he said. But relative to current law, theyre both very bold.

Sarah Bianchi, a top economic and domestic policy aide to Biden when he was vice president, told Politico that Bidens health platform will look even bolder in the general election when compared with Trump and his legislative and legal efforts to kill the Affordable Care Act.

The difference is that we used to compare it to Medicare for All, so people said, Its so moderate! So incremental! she said. Now Im sure well hear about it from the other side that its a slippery slope and its socialism.

The Trump campaign has already sought to paint Biden as a puppet of the left, and the health care industry throughout the primary ran ads slamming the public option as the first step on the path toward single-payer health care.

Bidens campaign acknowledges that even its centrist proposals would be difficult to pass through Congress but is trying to use opposition from moneyed interests to boost its progressive bona fides.

The vice president is very aware that there are pieces of his agenda that certain interests may be opposed to, maybe because it cuts into their profit margins, Murthy said. Hes clear on the fact that its going to require fights, in some cases, and hes prepared to do that. He is not deterred by political pressure or industry opposition.

Arielle Kane, health care director at the Progressive Policy Institute who crafted health policy for Michael Bloombergs campaign and has given advice to the Biden campaign, applauds this new, more aggressive rhetoric.

My critique of Biden [during the primary] was that he was mainly focused on upholding what Obama did instead of moving the needle, she said. But my sense is, that has changed. The combination of a public health crisis, him having secured the nomination and Bernies influence I feel theyre now receptive to hearing really progressive ideas and know that just defending and building on the ACA is not going to meet the moment.

Read the rest here:

This is health care moonshot time: Pandemic pulls Biden, Dems further left - POLITICO

NEW JERSEY - Governor Phil Murphy signed legislation Friday that will increase affordability and expand access to health care, according to officials.

The bill creates state-level subsidies to lower the cost of health insurance for residents purchasing coverage on the Marketplace this fall and restores a provision in the Affordable Care Act.

"As the federal government continues to attack critical provisions of the Affordable Care Act, our Administration remains committed to lowering the cost of coverage, expanding access to care, and improving health equity for our most vulnerable," said Murphy. "This action could not come at a more critical juncture, and will directly benefit our uninsured and underinsured populations at a time when many New Jerseyans have lost health coverage as a result of the COVID-19 pandemic."

The legislation establishes the New Jersey Health Insurer Assessment (HIA), which is a continuation of a federal assessment on health insurance companies that will sunset at the end of the year. Key notes:

"This law builds on the work we are doing to improve access to health insurance and allow more New Jerseyans to obtain affordable quality health coverage," said Department of Banking and Insurance Commissioner Marlene Caride. "These are funds that are going to be used exclusively to make health insurance more affordable. Now when the state launches its own Marketplace in the fall, we will be able to offer more financial help to our residents to improve affordability for those already covered on the Marketplace and families newly enrolling in health insurance."

The subsidy program will be available to New Jerseyans with annual income up to 400 percent of the Federal Poverty Level, which allows an individual earning up to $51,040, and a family of four earning up to $104,800, to qualify for the subsidy program. The estimated average subsidy for an individual would be at least $564 a year, and at least $2,256 a year for a family of four. Actual subsidy amounts will be based on an actuarial simulation study being conducted by the Department of Banking and Insurance in order to maximize the benefit for New Jerseyans.

The law sets the state HIA rate at 2.5 percent of net written premiums and applies it to certain fully insured health insurance markets. The assessment is expected to bring in more than $200 million in revenue starting in calendar year 2021.

"I cannot think of a more important time to help New Jersey residents and families afford coverage and access critical health care services and treatments," said Shabnam Salih, Director of the Office of Health Care Affordability and Transparency. "I want to thank Governor Murphy and Commissioner Caride for their steadfast leadership and our legislative leaders for their continued partnership and commitment to putting health care access for New Jerseyans first."

Under the law, this revenue can only be used to increase affordability in the individual market and providing greater access to the uninsured through a number of means including subsidies, reinsurance, and other efforts. An estimated $77 million will be dedicated to the reinsurance program to address high cost claims and lower premium costs in the individual market.

"This bill will help to ensure that people are able to afford health insurance during this critical time when a global disease is not only threatening their health, but their financial security in unimaginable ways," said Senator Joe Vitale, Chair of the Senate Health, Human Services and Senior Citizens Committee. "Of the many fissures exposed by COVID-19, the deficiencies in a system that relies on employer-based coverage is one that can't be ignored. These subsidies could not come at a more critical time, in the midst of a pandemic, when health insurance is more vital than ever."

In a joint statement, Brandon McKoy, President of New Jersey Policy Perspective, Elise Boddie, of the The Inclusion Project, Rev. Dr. Charles Boyer, Director of Salvation and Social Justice, Rev. Eric Dobson, Deputy Director of the Fair Share Housing Center Jerome Harris, Managing Director of The Harris Organization, Richard T. Smith, President of NAACP New Jersey State Conference, who are members of United Black Agenda, said:

"With a state-level health insurance assessment in place, New Jersey can get to work dismantling the barriers to care faced by Black residents in every corner of the state. For far too long, Black New Jerseyans have been disproportionately represented among the state's uninsured. This is a troubling manifestation of white supremacy and the nation's legacy of slavery. We thank Governor Murphy, Senator (Joe) Vitale, and Assemblyman (John) McKeon for their leadership on this critical measure to expand health coverage and reduce disparities in the health care system."

Murphy's Administration has taken numerous actions to improve access to health coverage, including the creation of a reinsurance program, instituting the shared responsibility requirement, and establishing a State-Based Exchange, among others. These actions have lowered insurance rates in the individual market, and attempted to set the foundation for improved health care outcomes in New Jersey.

"As the Trump administration has worked to dismantle the ACA, in New Jersey we moved to mirror what was available to people at the federal level, largely implementing it within our own state-based exchange," said Assemblyman John McKeon. "By replacing what stood at the federal level, this legislation simply serves as a state level continuation of a soon-to-expire assessment that insurers were already paying. This will allow us to more appropriately and significantly enhance the individual market in New Jersey and provide subsidies to keep rates down so insurance is more affordable for our families and individuals. Ultimately, this bill is a critical piece in our plan to safeguard access to affordable healthcare so that every New Jersey resident is insured."

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New Bill Lowers The Cost Of Healthcare For Some New Jerseyans - Long Valley, NJ Patch

GAITHERSBURG, Md., Aug. 3, 2020 /PRNewswire/ -- According to Stratistics MRC, the Global Veterinary Healthcare Market is accounted for $31.46 billion in 2019 and is expected to reach $66.95 billion by 2027 growing at a CAGR of 9.9% during the forecast period.

Some of the key players profiled in the Veterinary Healthcare Market include Bayer Healthcare, Boehringer Ingelheim International GmbH, Cargill Inc, Ceva Animal Health Inc, Elanco Animal Health, Eli Lilly and Company, IDVet, Koninklijke DSM N.V, Merck Ltd, MSD animal health, Novartis International AG, Nutreco N.V., Phibro Animal Health, Sanofi-Aventis, SeQuent Scientific Ltd and Zoetis Animal Healthcare.

Rise in the concern towards animal healthcare and advanced technology leading to innovations in animal healthcare are the major factors driving the market growth. However, rising regulation on antibiotics and increasing cost regulation related to animal testing are restraining the market growth. Increasing investment in veterinary hospitals to ensure quality service may provide ample opportunities for the market growth.

Request for sample here: https://www.strategymrc.com/report/veterinary-healthcare-market/request-sample

Veterinary medicine can be defined as the science associated with the diagnosis, treatment, and prevention of diseases in animals. The scope of Veterinary medicine is broad covering various animal species both domestic and wild. The increasing importance of the production of livestock animals is generating growth in the animal healthcare market. Ever-increasing population, a stable economy is expected to result in increased demand for protein-rich foods, especially in the developing countries.

Based on animal type, the companion animals segment is likely to have a huge demand due to rising pet ownership along with increased consumer awareness of health issues affecting pets in the developed countries. As indicated by the American Pet Products Association, 68% of U.S. households have a pet. Vaccines for pets provide immunity against diseases, providing a protective barrier for humans from contacting diseases from their animals who are more likely to come into contact with wildlife. New product development acts as a key strategy for the key players.

Access the complete report at: https://www.strategymrc.com/report/veterinary-healthcare-market

By geography, North America is going to have a lucrative growth during the forecast period. Veterinary healthcare is an integral part of the US economy. It is among the most innovative industries in the United States. Mexico and Canada are among the largest export markets for meat and dairy products for the United States, each year. Apart from the economic benefits, the social benefits of the animals are far-reaching and highly recognized by several communities. Thus, with several factors aiding to develop a better environment, the North American region plays a vital role in the growth of the market.

Make an inquiry at: https://www.strategymrc.com/report/veterinary-healthcare-market

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What our report offers:

- Market share assessments for the regional and country-level segments

- Market share analysis of the top industry players

- Strategic recommendations for the new entrants

- Market forecasts for a minimum of 9 years of all the mentioned segments, sub-segments, and the regional markets

- Market Trends (Drivers, Constraints, Opportunities, Threats, Challenges, Investment Opportunities, and recommendations)

- Strategic recommendations in key business segments based on the market estimations

- Competitive landscaping mapping the key common trends

- Company profiling with detailed strategies, financials, and recent developments

- Supply chain trends mapping the latest technological advancements

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We offer a wide spectrum of research and consulting services with in-depth knowledge of different industries. We are known for customized research services, consulting services, and Full-Time Equivalent (FTE) services in the research world. We explore market trends and draw our insights with valid assessments and analytical views. We use advanced techniques and tools among the quantitative and qualitative methodologies to identify the market trends.

Our research reports and publications are routed to help our clients to design their business models and enhance their business growth in the competitive market scenario. We have a strong team with hand-picked consultants including project managers, implementers, industry experts, researchers, research evaluators and analysts with years of experience in delivering the complex projects.

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Global Veterinary Healthcare market is expected to reach $66.95 billion by 2027 - PRNewswire