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Health
Change Bulletin
February 2021 |
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“We have always
believed that there are better approaches to expanding health
care coverage and lowering costs than the A.C.A., but it is the
law of the land and as such we want it to function as smoothly
and efficiently as possible.” |
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-Neil Bradley, Executive VP and Chief Policy Officer, US
Chamber of Commerce |
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An Urban Institute analysis estimates that if all 14
non-expansion states had expanded Medicaid in 2020, 4.4 million
fewer people would have been uninsured - a nearly 30% decline.
The uninsured rate for people 0-18 years of age would have
dropped by 15.3%; 45.8% for people 19-24; and 29.1% for those
25-64. The states with the largest reductions in uninsurance
would have been Alabama (44.1%) and Mississippi (42.2%).
Source:
Urban Institute, Medicaid Expansion Would Have a Larger Impact
Than Ever during the COVID-19 Pandemic
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CHQPR: 12 states where more
than 50 percent of rural hospitals are at risk of closing
1. Connecticut: 3 (100%)
2. Kansas: 76 (72%)
3. Hawaii: 8 (67%)
4. Alabama: 30 (63%)
5. Mississippi: 41 (62%)
6. Arkansas: 29 (60%)
7. New York: 30 (59%)
8. Tennessee: 30 (59%)
9. Oklahoma: 41 (56%)
10. Texas: 82 (56%)
11. Missouri: 31 (54%)
12. Louisiana: 26 (53%)
Source:
Center for Healthcare Quality and Payment Reform
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Health Care Reform in the Biden Era, JAMA Network
President Biden has released a health care plan
that proposes reducing the age of eligibility for Medicare to 60
years and introducing a public option. Larry Levitt, MPP,
Executive Vice President for Health Policy at the Kaiser Family
Foundation, and Karen Joynt Maddox, MD, MPH, Co-Director of the
Center for Health Economics and Policy (CHEP) at @Washington
University School of Medicine, and Lawrence O. Gostin, JD from
the O’Neill Institute for National and Global Health Law at
Georgetown University discuss prospects for health care reform
under the new administration.
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Check out
HealthshareTV, the
home for health care videos |
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Deloitte predicts health spending
will decelerate over the next 20 years
Deloitte health actuaries project a deceleration in health
spending, likely creating a US$3.5 trillion “well-being
dividend” by 2040. Explore what the future of health could look
like—a dramatic transformation driven by new business models,
emerging technologies, and highly engaged consumers.
Deloitte, February 9, 2021
Pandemic Lessons in Improving the Medical System
If there is a silver lining to the devastation wrought by the
coronavirus pandemic, it likely lies in the glaring inadequacies
and inefficiencies it exposed that are inherent in traditional
American medicine. At the same time, it suggests ways to improve
medical practice that can ultimately give us more bang for our
health care buck.
New York Times, February 8, 2021
Many Uninsured Adults Have Not Tried to Enroll in
Medicaid or Marketplace Coverage: Findings from the September
2020 Coronavirus Tracking Survey
Despite a rise in job losses due to COVID-19, nearly half of
uninsured adults had not looked to Medicaid, Children's Health
Insurance Program (CHIP) or Affordable Care Act (ACA)
marketplaces for help.
Robert Wood Johnson Foundation, January 28, 2021
Medicaid Expansion Would Have a Larger Impact Than Ever
during the Pandemic
As of December 2020, 36 states and the District of Columbia had
expanded Medicaid eligibility under the Affordable Care Act
(ACA). We find that if the remaining 14 states had expanded
eligibility in 2020, 4.4 million fewer people would have been
uninsured that year. Absent the COVID-19 pandemic, the
difference would have been 3.8 million.
Urban Institute, January 2021
Health Care In 2021: Five Trends To Watch
History gives us many reasons to doubt predictions. In 1916,
Charlie Chaplin famously called the motion pictures “a fad.” In
1932, Albert Einstein said that nuclear power was not possible.
In 2008, Steve Ballmer predicted the iPhone would be a flop. As
these cases show, smart people may see the facts, but not the
environmental factors that can shift the entire landscape. This
was particularly true in 2020, a year that redefined “normal”
and altered our world in ways we are only beginning to
understand.
Health Affairs Blog, January 20, 2021
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Biden opens special new ACA enrollment period;
to run until May
Millions of Americans have another three months to buy
health insurance through the Affordable Care Act,
beginning Monday, after President Joe Biden reopened the
enrollment window to sign up for coverage.
UPI, February 15, 2021
14 health systems team up on 'ethical
innovation' with launch of data platform
Fourteen health systems, including Trinity Health,
Northwell Health and Tenet Health, are partnering to
create a comprehensive, de-identified data platform that
will glean more robust insights on medical conditions
such as rare diseases and COVID-19.
Becker's, February 11, 2021
Roughly 40% of the USA’s coronavirus deaths
could have been prevented
About 40% of the nation’s coronavirus deaths could have
been prevented if the United States’ average death rate
matched other industrialized nations, a new Lancet
Commission report has found. While the Lancet Commission
on Public Policy and Health in the Trump Era faulted
former President Donald Trump’s “inept and insufficient”
response to COVID-19, its report said roots of the
nation’s poor health outcomes are much deeper.
USA TODAY, February 11, 2021
Broad Coalition of Health Industry Groups Calls
for Obamacare Expansion
In an unusual display of unity, groups representing
nearly all the major players in the American health care
system — hospitals, doctors, insurance companies and
employers — are joining forces to urge Congress to
embrace President Biden’s broad vision of building on
the Affordable Care Act to reach the long elusive goal
of universal coverage.
New York Times, February 10, 2021
Biden admin asks SCOTUS to uphold Obamacare
The Biden administration is withdrawing the federal
government's support for a challenge to Obamacare,
telling the Supreme Court that the law should remain on
the books. The move by the Justice Department follows
speculation on whether Biden would try to withdraw from
the high-profile red state lawsuit — fully supported by
the Trump administration — to strike down the entirety
of the Affordable Care Act.
Politico, February 10, 2021
Oscar Health files to go public
Oscar Health has officially filed to go public. The
tech-enabled startup insurer filed for its initial
public offering on the New York Stock Exchange on
Friday, where it intends to list its stocks under the
ticker OSCR. Details on the plans beyond that were
limited.
Fierce Healthcare, February 8, 2021
Hospitals lost $20B by pausing electives last
year
U.S. hospitals lost more than $20 billion from
suspending elective surgeries over three months at the
beginning of the COVID-19 pandemic's onset in this
country, according to an article published recently in
the Annals of Surgery. The finding comes as hospitals
see hope from ongoing vaccine distribution but also fear
new more contagious strains of the novel coronavirus.
HealthcareDive, January 28, 2021
Insurers add food to coverage menu as way to
improve health
When COVID-19 first swarmed the United States, one
health insurer called some customers with a question: Do
you have enough to eat? Oscar Health wanted to know if
people had adequate food for the next couple weeks and
how they planned to stay stocked up while hunkering down
at home. “We’ve seen time and again, the lack of good
and nutritional food causes members to get readmitted”
to hospitals, Oscar executive Ananth Lalithakumar said.
Food has become a bigger focus for health insurers as
they look to expand their coverage beyond just the care
that happens in a doctor’s office.
AP, January 23, 2021
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Health Change Bulletin, a publication
of Health Policy Publishing LLC
© 2021, Health Policy Publishing LLC
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