Today’s NewsStand – September 18, 2019

Featuring hospital and health care headlines from the media and the Web.

Iowa News

What does Medicare for all mean for jobs in Iowa?
While not frequently discussed in the three Democratic debates, some research organizations have written that a critical challenge to implementing a Medicare for All plan will be the economic transition for those employed by the private health-care and insurance industry. Some researchers have predicted a Medicare for All system would cause job losses in hospitals as well. A Navigant study found that if 85 percent of Iowa’s health-insurance market moved from commercial, employer-based options to the public option, then 52 rural hospitals in Iowa would be at risk of closing. (University of Iowa Daily Iowan)

As Iowa begins mental health training in schools, some ask if it’s enough
Youth Mental Health First Aid is an eight-hour crash course focused on how to identify symptoms of mental illnesses, where to get help and even what to say to a student in crisis. Thanks to state funding, Youth Mental Health First Aid is offered in Storm Lake and many other Iowa schools for the first time. According to a survey last year by the Iowa State Education Association and Please Pass the Love of nearly 400 Iowa public and private schools, less than half list mental health resources on their websites. And just 20 percent have a mental health action plan. (Iowa Public Radio)

Put down that e-cigarette: We need to do more to convince young people they are not invincible
When tobacco use peaked in the mid-1960s, more than 40% of American adults smoked cigarettes. Today, only about 14% of American adults smoke cigarettes. The reduction in smoking is a good example of how research and access to information about dangerous behaviors can make Americans safer and healthier. Now we need more information about the short- and long-term consequences of using electronic cigarettes, which are the new face of nicotine addiction in this country. (Des Moines Register)

National News

Repealing Medicaid access rule could vastly lower provider pay, say opponents
Provider and patient advocacy groups urged the CMS to rescind its proposed repeal of the Medicaid access rule, arguing that it would reduce access to care and create financial hardship for both beneficiaries and providers. The current Medicaid access rule requires states to monitor and document fee-for-service Medicaid payments and their impact on beneficiary access to care. The CMS is proposing to repeal that rule to ease the administrative burden for states with 85% or more of their beneficiaries enrolled in Medicaid managed care. (Modern Healthcare)

CMS urged to delay new radiation payment model, make it voluntary
The American Hospital Association is urging CMS to make its proposed radiation oncology alternative payment model voluntary and to delay the model’s start date past April 1, 2020. Hospitals said the federal government should make the model voluntary for providers because “hospitals and health systems that would be required to participate in this model are of many different sizes and types and are at different points in the process of transitioning to value-based care.” CMS should also delay the start date of the model due to the time required of hospitals to ensure compliance. (Becker’s Hospital Review)

Why doctors are increasingly prescribing nature
As rates of chronic disease among children have skyrocketed over the past few decades, pediatricians have increasingly looked for solutions beyond the clinic. Sometimes that means actually prescribing time outside. Special correspondent Cat Wise reports from Oakland on the medical evidence that indicates escaping modern urban life, even temporarily, can yield health dividends. (PBS)