The Washington Post (7/26, Bever) reports, “Some people who experience cognitive issues after long covid continue to struggle with brain function for at least two years, a…study shows.” The Post adds, “Researchers in the United Kingdom found that people who reported having long-covid symptoms for at least 12 weeks after being infected with the coronavirus showed reduced performance in tests for, among other things, memory, reasoning and motor control, for up to two years after the infection.” Their conclusions were published online in eClinicalMedicine.

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— “The Washington Post (requires login and subscription)

HealthDay (7/26, Reinberg) reports, “More than half of all patients with autoimmune diseases also suffer from depression and anxiety,” although “most are never asked about their mental health,” researchers concluded in a survey study involving “more than 1,800 patients.” The study revealed that “more than half rarely or never reported their mental health symptoms to their” physician, possibly meaning that “the range of mental health and neurological symptoms is much wider than has been reported.” The findings were published online July 26 in the journal Rheumatology.

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— “Over Half of People With Autoimmune Conditions Suffer Depression, Anxiety,”Steven Reinberg, HealthDay, July 26, 2023

Healio (7/26, Cooper) reports, “An analysis of poisoning-related suicides in Australia identified several substances to be careful about prescribing, while finding that ‘many medicines are present at lower levels,’ even in non-poisoning suicides,” according to findings published online July 26 in JAMA Psychiatry. The “cross-sectional study,” which “examined suicides from July 2013 to October 2019 using postmortem toxicology data from Australia’s National Coronial Information System,” included “13,664 decedents…24.9% of whose suicides were classified as poisoning-related.” Investigators concluded that “the most common substances in poisoning-related suicides – such as tricyclic antidepressants, sedatives and opioids – should be prescribed cautiously or monitored.”

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— “Analysis of poisoning suicides warns of opioids, sedatives, tricyclic antidepressants,”Justin Cooper, , July 26, 2023

Bloomberg Law (7/25, Belloni, Subscription Publication) reports, “Medicaid advocates are sounding the alarm over systemic oversight failures and misaligned incentives that allow Medicaid managed care companies to restrict patient access to health care services.” The Department of Health and Human Services Office of Inspector General “found that 37 states it surveyed had systemic problems with their prior authorization processes, leading to inappropriate denials of coverage.” Among the issues were failing to let Medicaid patients know about “their right to appeal a denial, allowing insufficiently trained staff to make prior authorization decisions, and writing notices in ambiguous, often hard-to-understand language that missed or concealed important information such as the reason for a rejection.”

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— “Medicaid Advocates Decry Coverage Denials for Poor in Report (1),”Ganny Belloni, Bloomberg Law, July 25, 2023

KFF Health News (7/25, DeGuzman) reports, “The Suicide and Crisis Lifeline’s 988 hotline marked its one-year milestone this month,” with “mental health experts” saying “the three-digit number made help more accessible than before.” The “huge increase of calls to 988 compared with those to the” old “1-800 number in just a year is likely linked to the simplicity of the three-digit code, said Adrienne Breidenstine, vice president of policy and communications at Behavioral Health System in Baltimore.” The hotline “does not use geolocation,” however, “meaning call centers don’t automatically receive information about callers’ locations,” and many older adults have a low awareness of the hotline and the services it offers.

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— “A year with the 988 Suicide and Crisis Lifeline: What worked? What challenges lie ahead?,”Colleen DeGuzman, KFF Health News, July 25, 2023