In April, the Medicare Access & Children’s Health Insurance Program Reauthorization Act (MACRA) was passed by Congress and signed into law. This landmark legislation repeals the Sustainable Growth Rate (SGR) methodology of determining annual updates of the Medicare Physician Fee Schedule. An in-depth summary of the law, as well as additional resources can be found on AAFP.org.
The Massachusetts Department of Public Health (MDPH) has confirmed the first case of measles in the Commonwealth this year, in a visiting student from France. The individual visited several sites in neighboring states, northeastern Massachusetts, and the metro Boston area while infectious (from 4-20-15 through 4-28-15). MDPH has been working with healthcare providers and local boards of health to notify individuals who may have been exposed and make recommendations concerning vaccination and quarantine of susceptible contacts. Healthcare providers should proactively identify and update the immunity status of their patients and be vigilant for the possibility of additional cases of measles. Ensure all travelers are up-to-date, including travel to Western Europe where outbreaks are on-going.
The Center for Disease Control and Prevention (CDC) has released a new vaccine information statement (VIS) for HPV Gardasil-9, for immediate use.
Note that the VIS for standard Gardasil should not be used for Gardasil-9. The new HPV Gardasil-9 VIS should be used instead.