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The Patient Protection Commission plans to submit two bill draft requests to the 2021 Legislature that would expand access to telehealth services in Nevada and establish a state medical claims database...The two measures, however, are relatively narrow in scope compared to the broad mandate Gov. Steve Sisolak gave the body last year to conduct a top-to-bottom review of the state’s health care system and propose changes to it...The more controversial of the two proposals from the commission, centered around health care cost transparency, was significantly scaled back during the Monday meeting to establish an all-payer claims database, a state database that includes aggregated medical, pharmacy and dental claims from all insurance companies in an effort to better understand what’s driving the costs of health care in the state, in addition to some other transparency provisions...READ MORE

Whether or not the anti-malarial drug hydroxychloroquine helpful in treating patients with COVID-19 has been a topic of debate for months now...“Recommendations of many of the people including doctors. many think it is extremely successful,” the President said...In Reno, one local doctor says the drug has helped several dozen of his patients...“Frankly, everyone that I have treated has gotten better”...Doctor Bruce Fong is Medical Director at Sierra Integrative Medical Center in south Reno. He says when paired with azithromycin and zinc, hydroxychloroquine has been effective...Many of the nation’s top medical experts do not agree, and Fong feels he knows why...“There was nobody bothering us about it and trying to put up regulations about it prior to President Trump saying something about it. It seems like his political enemies try to make him look bad.”...READ MORE

The Southern Nevada Health District released data Monday showing an alarming uptick in deaths in Clark County involving fentanyl — despite opioid deaths falling in the last five years...According to the data, in just half a year, the county nearly tied the number of fentanyl deaths for all of 2019...Between January and July, amid the statewide shutdown triggered by the COVID-19 pandemic, fentanyl killed 63 people in Clark County, a 125 percent increase from the 28 deaths seen last year during the same time, according to the health district...Fentanyl is cheap, easy to find, and, the Drug Enforcement Administration has said, is often added to other drugs to increase potency...“Many users believe that they are purchasing heroin and actually don’t know that they are purchasing fentanyl – which often results in overdose deaths,” according to the DEA...READ MORE

The Patient Protection Commission plans to explore the issue of health care pricing transparency...specifically some sort of a proposal that would enhance “patient health care experience and state outcomes by implementing transparency measures that help understand data trends.” ...the commission’s work plan ...includes three potential suggestions ...required reporting of all medical claims, drug costs and hospital prices to the state; a database that makes that information accessible and digitally searchable; and a provision requiring hospital data to display the finer points of how their charges are negotiated...READ MORE

The medical school at the University of Nevada-Reno will team with the state’s largest non-profit health care organization to boost education and research in northern Nevada, the new partners announced...The planned long-term agreement between UNR’s School of Medicine and Reno-based Renown Health is expected to be formalized later this year...Medical School Dean Dr. Thomas L. Schwenk said the partnership will increase access to care for the public and expand teaching and research opportunities...READ MORE

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...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...That exemption...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...READ MORE

Las Vegas-area hospitals are adding beds and staff to accommodate an increasing number of COVID-19 patients...Hospital occupancy was not high enough to require activation a U.S. Army Corps of Engineers plan developed in April to use the Las Vegas Convention Center for up to 900 patients...Acute-care hospitals in Clark County added 441 staffed beds...according to data from the Nevada Hospital Association. Another 49 were added in other parts of the state...Dan McBride, chief medical officer for the Valley Health System, said medical facilities in the region are not in danger of being overrun...READ MORE

Washington, Oregon, Nevada and Colorado will share best practices for telehealth and remote patient monitoring, and follow their own state policies while also adhering to seven key principles, their governors say...Given their states' "significant individual and collective experience with telehealth," the governors say they'll work together to help "ensure that the nation benefits from our knowledge as changes to federal regulations are contemplated, to support continued application and availability of telehealth in our states, and to ensure that we address the inequities faced in particular by tribal communities and communities of color."...READ MORE
Access
Confidentiality
Equity
Standard-of-care requirements
Stewardship
Patient choice
Payment and reimbursement

Fourteen recent graduates from St. George’s University arrived in Nevada last month to start their residencies, including 11 in the Las Vegas Valley. And all but two are in family medicine or internal medicine, both areas where Nevada is in short supply of physicians...Amid the COVID-19 pandemic, which “really stresses a hospital system, particularly from a manpower standpoint,” having residency training programs is particularly important, said Dr. G. Richard Olds, president of St. George’s University...One big benefit is that graduates of the international medical school...are far more likely to work in low-income, rural and majority-minority geographic areas, Olds said...They’re also more likely than U.S. medical school graduates to go into primary care, an area where there’s a significant shortage of providers nationwide. The situation is particularly bad in Nevada, which ranks 48th nationwide for the number of primary care doctors per 100,000 residents, according to a January UNR report...READ MORE

The Nevada Legislature approved immense cuts to the state’s health and education budgets on Sunday in an effort to rebalance the state budget amid the ongoing coronavirus pandemic and plummeting revenue projections...The revised budget passed through both the state Senate and Assembly after days and nights of deliberation in the part-time Legislature, which Gov. Steve Sisolak convened for an unscheduled special legislative session on July 8 to address a projected $1.2 billion revenue shortfall...The...plan cuts more than $500 million from the state budget, with the largest reductions hitting the Department of Health and Human Services and the K-12 education system. It cuts Medicaid reimbursement rates and specialty care programs and funding allocated to the state’s most underperforming schools...The state will use a combination of reserve funds and federal relief dollars to shore up the rest of the shortfall...Sisolak said in a statement he intends to sign the bill...READ MORE