Press Release, Public Health, Results, Substance Use Disorder Harrisburg, PA – Today, Governor Tom Wolf announced several additional steps the commonwealth is taking to help combat the opioid addiction crisis. These steps will help tighten the rules under which medication such as buprenorphine can be prescribed under the Medicaid program.“Success in the fight against opioid crisis requires that we address the issue from all angles,” said Governor Wolf. “Not only must we make sure that quality treatment options are available from Pennsylvanians suffering from an opioid use disorder, we must also make sure that we are doing everything we can to make sure treatment is appropriate and that we keep unscrupulous individuals from taking advantage of those who are fighting the disease of addiction.”In order to help make sure that medication is used appropriately, the Department of Human Services (DHS) will take the following actions for Medicaid providers:Require all ordering, prescribing or referring providers who are identified on claims be enrolled in the Medicaid program. This will prevent current cash providers who are not enrolled in the Medicaid program from having their prescriptions filled at the pharmacy;Work with the Department of Drug and Alcohol Programs (DDAP) to cease allowing providers to accept cash payments from Medicaid recipients;Audit and potentially un-enroll providers who prescribe medication such as buprenorphine without an office visit;Encourage Medicaid Managed Care Organizations (MCOs) to terminate poor providers that do not meet certain quality metrics;Implement standardized prior authorization guidelines similar to those most recently implemented for the Medicaid Fee-For-Service Program; andRefer high-volume providers with poor quality records to DHS Bureau of Program Integrity for review and action.“We are tightening the medication rules to ensure that the Medicaid providers writing these prescriptions are thoroughly treating the individual, coordinating care, and getting folks the counseling services they need while going through this treatment,” said DHS Secretary Ted Dallas. “Our physical health, behavioral health, and pharmaceutical providers need to work together to provide the best care possible.”“If you, or someone you love, is receiving treatment from an Medicaid-enrolled provider, you should not pay out of pocket for that treatment. We ask that you refer the provider to DHS’ tip line at 1-844-DHS-TIPS,” said Governor Wolf.In addition to the latest actions, the commonwealth has:Strengthening the Prescription Drug Monitoring Program (PDMP) so that doctors are required and able to check the system each time they prescribe opioids;Developed nine new prescribing guidelines to help doctors who provide opioid prescriptions to their patients;Created the warm handoff clinical pathway to facilitate referrals from the emergency department to substance abuse treatment;Established a new law limiting the amount of opioids that can be prescribed to a minor to seven days; andDesignated 45 Centers of Excellence, central hubs that provide navigators to assist those with opioid use disorders with behavioral and physical health care, along with medication-assisted treatment, as needed.New investments in battling the opioid epidemic in the 2017-2018 budget include:$10 million to expand access to naloxone for first responders through competitive grant funds will be awarded through the Pennsylvania Commission on Crime and Delinquency (PCCD).$3.4 million to expand specialty drug courts in PCCD to expand treatment strategies to divert offenders into more meaningful treatment and recovery.$26.5 million in federal Cures Act funds beginning in 2017-18 that will be used to expand access to treatment services, particularly for individuals who are uninsured or underinsured.Continued investments in battling the opioid epidemic in the 2017-2018 budget include:$20.4 to continue the 45 Centers of Excellence throughout Pennsylvania which will help coordinate holistic treatment for people suffering from substance use disorder.$45 million to continue to fund services to address heroin and opioid addition through the Single County Authorities.Over $3 million for PDMP, which allows medical practitioners to see what their patients are being prescribed, and to make sure that, what they are prescribing is not at odds with that person’s health. It will also allow a medical practitioner help a person get into treatment if they believe they have identified a patient suffering from a substance use disorder.If an individual needs treatment for substance use disorder, and they are on Medicaid, they should call their MCO to determine a provider that is in their network. If the person is in the fee-for-service program, they can call DHS at 800-692-7462 for assistance in locating a provider.For more information, visit www.pa.gov. Pennsylvania Tightens Medication Rules to Help Combat Opioid Crisis March 06, 2017 SHARE Email Facebook Twitter
RelatedPosts Djokovic clinches fifth Italian Open title Djokovic zooms to 10th Italian Open final Djokovic fined $10,000 for ‘unsportsmanlike conduct’ Novak Djokovic inspired Serbia to win the inaugural ATP Cup title with a 2-1 victory over Spain at the Ken Rosewall Arena in Sydney. The final of the new 24-team competition went down to a deciding-doubles match after Djokovic prevailed over Rafael Nadal in the second singles tie to level proceedings between the teams. Spain, who won the Davis Cup team competition at the end of November, decided not to field Nadal in the final match and instead partnered Pablo Carreno Busta and Feliciano Lopez together. After his loss to Djokovic, and the intensity of the 10 days as a whole, Nadal shared that his energy levels were “a little bit lower than usual” and duly put his faith in his team-mates. In contrast, Djokovic was energised by his singles victory and once out on court for the doubles, dictated the script in the deciding encounter. He said: “I’ll remember this experience for the rest of my life as one of the nicest moments of my career, for sure. I’ve been very fortunate to have had an amazing career but playing for the team and the country can’t be matched. It’s too special.” In the doubles, the world No 2 helped to calm his partner Viktor Troicki, after they were broken in the very first game. He kept his own game on point and gave his compatriot the licence to play with freedom, despite the high stakes. With Troicki’s levels soaring, and the Spanish pairing not able to find a way around the world No 2 either, Serbia went up a set and a break. With a 6-3 3-2 lead, Djokovic faced a potential break point on his serve however on the deciding point, he connected sweetly with a second serve and forced the error on the return. Djokovic and Troicki continued to thrive off the ardent Serbian support in the stands and after the teams exchanged holds, Djokovic served it out to love to secure their maiden ATP Cup title. The 55th singles meeting between Djokovic and Nadal had created the competition’s thrilling finale and highlighted why both players are second and first in the world. The Serbian broke his Nadal in the first game and went on to win his 18th set in a row against him (on hard courts) by 6-2. With a 19-7 head-to-head record against Nadal on the surface, Djokovic had been in such a positive position before but also knew to expect significant retaliation from the world No 1. Nadal started to generate waves of his own as the second set played-out and none more so than the tennis he produced to claw himself back from 15-30 at 5-5 all. Djokovic’s break point opportunities arrived after he outlasted Nadal in a barn-storming rally but from there, he had to applaud the world No 1’s determination and skill-level. Nadal cancelled out the first break point through a jaw-dropping forehand volley, one that graced the line, and then unleashed a world-class 145km backhand winner to claw it back to deuce. He roared as he went on to hold. With the crowd making themselves heard at every opportunity, the second set went to an enthralling tie-break. After sharing the opening eight points, Djokovic unleashed a wicked backhand winner of his own to create a window of opportunity at 5-4. He forced Nadal into an error on the backhand slice to take the next point. Then, on his own serve secured the first of his two match points for the much-needed 6-2 7-6 (7-4) victory. In the first tie of the final, Roberto Bautista Agut had too much for Dusan Lajovic to handle and beat the Serbian 7-5 6-1.Tags: ATP CupKen ROsewell ArenaNovak DjokovicRafael NadalSerbia
Mark Hughes has paid tribute to Everton manager David Moyes, who this week celebrates 10 years in charge at Goodison Park.Moyes is regarded as one of the top managers in the country and Hughes says the Scot can be proud of his achievements.“David’s done a remarkable job. Managing a big club like that comes with big expectations and he’s managed that very well,” said the Welshman.AdChoices广告“He possibly hasn’t got the resources that other clubs have but he still manages what he has very, very well.“It’s difficult to be at a club that long – and being at the same club a long time can bring it’s own problems, because people will have heard the same voice over and over again.“It takes a skilled manager to keep making players aware of what’s required of them and he’s done that really well.”Follow West London Sport on TwitterFind us on Facebook
…Chief Constable admits ranks abusing authority Accusations have been made by the Market Vendors Union of vendors in Georgetown experiencing harassment from City Constables, but M&CC Chief Constable Andrew Foo recently denied that vendors are being harassed.Vendors’ Union president Eon Andrews has said he is concerned about the issue, since it happens to be an ongoing one. He has even alleged that City Constables have been extorting money from vendors.Chief Constable Andrew Foo“A lot of these constables go and shake down the vendors, always seeking to get a raise or to probably get a black bag from these people. They will be collecting these things from a vendor or two, and from the time that vendor stop (giving them anything), they arrest (that vendor),” he told this publication on Saturday.Lack of securityAndrews has also voiced concern that there is inadequate security in the market area, although constables are being paid to do their jobs.“We are concerned that you (City Constables) spend time harassing a set of persons who are trying to get a living, who are trying their best to confirm to the requirements of the City; and then the Constabulary in particular, right in front of them, there are those youngsters who hang around right in front of the parks, robbing people. It means then that people are now afraid to go in those areas and buy,” he complained.When contacted, Foo told Guyana Times he is unaware that vendors are being harassed by City Constables.He noted that it is the constables’ duty to ensure order is maintained in the City. “The Constabulary has a duty to perform in terms of the enforcement of laws. You mentioned some vendors who are making claims of harassment by constables. I, as we speak, have not been, in terms of formally or officially, notified of these claims, and I am saying this based on the fact that the Constabulary is a Policing body,” the Chief Constable explained.He went on to say that the Constabulary has provisions in place for persons who have claims of harassment, which can lead to necessary action being taken against constables.“We will conduct our investigations, which can lead to departmental, in terms of charges, or we can have those ranks placed before the court. Likewise, those persons can, depending on the nature of the matter, they can also make reports to the Police,” Foo said.The Chief Constable went on to note that, in keeping with the law, vending activities should not be done on the streets; and this would most times result in breaches of the law.Abusing authorityFoo admitted that he is aware of the fact that persons within the Constabulary have been abusing their authority, and he is urging vendors to make official reports at the City Constabulary, so that necessary action can be taken.Over the years, vendors have allegedly been facing harassment by City Constables attached to the Mayor and City Council (M&CC).In 2016, several vendors took to the streets in the form of a peaceful protest, as they sought to put an end to Council’s harassment.“I think to myself (that) Mr Royston King (Town Clerk) is overstepping his marks. To me, he is behaving as if he was not a poor person. Why is it that you are only attacking the vendors? There are no other working class persons that you can attack? Maybe because he believe that we are sitting at the road corner selling? We are doing a legitimate job, he should allow us to sell our time,” one vendor told Guyana Times.She said the complaints from City Hall are that vendors sometimes leave the area untidy. While that is true to some extent, she claims that council is receiving fees from vendors, and they must know who vends where. “They must be able to tax them, but Peter mustn’t pay for Paul, and Paul pay for all. He is punishing poor people,” she said.
By Xiaomi by Qingdao Haier Facebook CEO Mark Zuckerberg testifies in Congress in 2018. His company and other tech giants like Google and Amazon are coming under greater scrutiny.Chip Somodevilla—Getty ImagesThis is the web version of Data Sheet, Fortune’s daily newsletter on the top tech news. To get it delivered daily to your in-box, sign up here.The coming battle over tech policy will be at multiple levels, including antitrust, privacy, and regulation. Fortune will convene a town hall meeting at next week’s Brainstorm Tech event in Aspen, Colo., to assess what is likely to happen. (It will be hosted by Marketplace Radio’s Kai Ryssdal.) One specific policy question is whether online platforms like Facebook, Twitter, Google, and YouTube are publishers.By law, the answer in the U.S. has been “no” since 1996, when Congress enacted Section 230 of the Communications Decency Act. It protects companies that provide a digital bulletin board for the posts of their users from being sued for their content. Politicians are suggesting Section 230 be revisited. It seems obvious to me that the platforms are publishers. Historian Margaret O’Mara, writing in The New York Times, argues that “as online platforms become more powerful than all other media, it is time for policymakers to step back in” and regulate them. (Her headline is spot on: “Letting the Internet Regulate Itself Was a Good Idea—In the 1990s.”) Andy Kessler, as gifted an essayist as a stock picker, thinks breaking up Facebook or making it a utility will solve nothing. (Instead he argues vaguely, in The Wall Street Journal, for the elixir of openness, though he isn’t clear if said remedy should be compulsory or voluntary.) Making Technology Accessible to Everyone, Everywhere Sponsored Content Sponsored Content HealthFormer GE CEO Jeff Immelt: To Combat Costs, CEOs Should Run Health Care Like a BusinessHealthFor Edie Falco, an ‘Attitude of Gratitude’ After Surviving Breast CancerLeadershipGhosn Back, Tesla Drop, Boeing Report: CEO Daily for April 4, 2019AutosElon Musk’s Plan to Boost Tesla Sales Is Dealt a SetbackMPWJoe Biden, Netflix Pregnancy Lawsuit, Lesley McSpadden: Broadsheet April 4 The Future of Smart Homes As this debate heats up, I am reminded it isn’t new. Six years ago, I invited journalist George Packer to Aspen because I admired a New Yorker article he wrote, which read as unused material from his National Book Award winning The Unwinding that challenged Silicon Valley’s piousness. I thought it’d be a good idea for the tech industry to hear Packer’s perspective. In our interview—the room got heated, as this article reminded me—Packer accused the tech industry of killing, not creating, jobs. “Stop saying [tech] is going to be good for you and that this is about improving human life across the board,” Packer told a partly hostile audience. “You can have it one way or the other, but you can’t say on the one hand, ‘We’re changing the world’ and on the other hand ‘Why is it our problem if the world is falling into decline?’”This weekend I finished Packer’s outstanding new book, Our Man: Richard Holbrooke and the End of the American Century. It’s a look backward at foreign policy and says nothing about technology. Packer himself was downright prescient about the pressure tech finds itself under now.Adam [email protected][email protected] behind the curtain. Speaking of the coming battles over tech policy, some have clearly arrived. The United Kingdom’s Competition and Markets Authority said on Friday that it is investigating Amazon’s minority investment in food delivery startup Deliveroo. Amazon announced its planned $575 million backing in May. The authority also announced on Wednesday a probe into digital advertising and consumer data practices at Google and Facebook. Separately, the U.K. Information Commissioner’s Office fined British Air $229 million over the theft of personal information of some 500,000 customers. Peeking behind the curtain, part two. The FBI and ICE have been using millions of photos in state drivers license databases as the basis for facial recognition searches, The Washington Post reported. Law enforcers need no special permission to execute a search, sometimes simply making an emailed request, the paper noted.Supply and demand. It’s not a sight you see very often, but avid home PC builders were lining up outside stores on Sunday to buy the latest CPU chips from Advanced Micro Devices, the 3rd generation in its Ryzen line. It look like the PC industry could use a boost, as Samsung on Friday warned its operating profit is falling like a stone due to plunging prices for memory chips sold by the company.Filling the coffers. Before going public later this year, office space supplier WeWork is looking to borrow as much as $4 billion. The cash would bolster the startup’s balance sheet before an initial public offering, at least in theory reducing investors’ concerns about WeWork’s huge losses. But while one company prepares to join the stock market, another may be disappearing soon. Cybersecurity firm Symantec could be acquired by chipmaker Broadcom for $22 billion including debt.Quadrophonic. As T-Mobile and Sprint try to convince antitrust regulators to approve their merger, the fray may have attracted a new player. The two carriers had been negotiating to spin off some assets to Dish Network for the creation of a new wireless service. Now The New York Post reports that Google may be getting involved in the potential new carrier. But…a Google spokesperson was having none of it: “These claims are simply false. Google is not having any conversations with Dish about creating a wireless network.”Making a stand. Employees in Amazon’s Shakopee, Minnesota warehouse are planning a six-hour walkout to protest working conditions during the company’s upcoming Prime Day sales event, Bloomberg reports. The e-commerce giant last week also formally filed with the Federal Communications Commission for permission to launch its satellite Internet service dubbed Project Kuiper. FOOD FOR THOUGHTUsers of the Google traffic app Waze are fastidious about reporting all manner of roadside obstacles and slowdowns, including traffic accidents. Some studies show that “Wazers” actually reports crashes more quickly than callers to emergency services. Aarian Marshall reports for Wired on researchers now seeing if they can combine vast amounts of Waze reports with other data sets to predict crashes before they happen. It’s not an easy problem, as computer apps generally are not good at predicting rare events.“You have to have a lot of data, and diverse types of data, and then be able to analyze it for it to be actionable instead of just piling up,” says Christopher Cherry, an engineering professor with the University of Kentucky who recently completed a study of how traffic data could be used to improve road safety. The traffic data itself is useful, sure. But to predict the risk of crashes, and to prevent them, you should also probably have a sense for where crashes are happening, and what the roads in question look like, and how those roads perform under different weather conditions. And then you have to link all those datasets up and help them “talk” to each other—no small feat.BEFORE YOU GOVillains throughout history have sometimes taken to destroying great works of art that offend them. Think of the nose of the Sphinx on the Giza Plateau or the Temple of Artemis at Ephesus. More recently, the Islamic State group destroyed ancient relics in Iraq. But digital archaeologists are recreating some of the latest victimized works by using photographs and 3D-printers. A replica of the statue known as the Lion of Mosul is on display at London’s Imperial War Museum as part of an exhibit on art lost in wartime.This edition of Data Sheet was curated by Aaron Pressman. Find past issues, and sign up for other Fortune newsletters.You May Like