health change bulletin
Health Change Bulletin                                                                      May 2020
  
  Sponsor Message
Quote 
  “I expect very little will be the same as it used to be after this pandemic is behind us. This crisis is altering — perhaps permanently — how and where providers interact with their patients and with each other, how providers approach their work, and how health systems respond individually and collectively under intense pressures. Stay-at-home and physical-distancing directives have thrust a new telemedicine into the spotlight for giving patients more choices to be seen when and where they want to be seen.”  
-Gary S. Kaplan, MD, Chairman and CEO, Virginia Mason Health System
 
Factoid
 
Urban Institute researchers estimated how 20% unemployment (expected in the coming months) could affect health insurance coverage. The estimated coverage types of people losing the employer-sponsored health insurance are as follows:

Overall - Medicaid: 46.5%; Marketplace or other private insurance: 24.5%; Uninsured: 28.9%
Expansion States - Medicaid: 53.4%; Marketplace or other private insurance: 23.6%; Uninsured: 23.0%
Non-Expansion States - Medicaid: 33.4%; Marketplace or other private insurance:
26.3%; Uninsured: 40.2%

Source: How the COVID-19 Recession Could Affect Health Insurance Coverage
Robert Wood Johnson Foundation, May 4, 2020
 
   
Healthsprocket List 
 
  5 key ways healthcare could change post-coronavirus: analysts

1. Regulation is becoming more flexible
2. Telemedicine is finally here
3. Democratizing resources
4. An expanded healthcare model
5. Some of the medical supply chain will come home

Source: Yahoo Finance, April 23, 2020 
 
HealthshareTV video
 

 
COVID 19: Global Perspectives and the Transformation of US Healthcare
 
  COVID 19: Global Perspectives and the Transformation of US Healthcare

Hosted by the Editorial Team of Healthcare: The Journal of Delivery Science and Innovation. COVID19 is changing healthcare around the world. Co-Editor-In-Chief Sachin H. Jain is joined by Dr. Ashish Jha and Bryony Winn to provide a global and domestic perspective on the pandemic.

    

 
Check out HealthshareTV, the home for health care videos    
 
Insights
  Important Healthcare Changes To Expect As America Reopens
The novel coronavirus has surged throughout every populated continent, and with each crest and swell, millions of people have fallen ill, and more than 280,000 have died. In addition to this devastation, other aspects of society have come to a grinding halt as people have been required to quarantine and practice social distancing to mitigate the spread of the virus. Perhaps no other part of society will bear these many scars more prominently in the months and years to come as the healthcare industry.
Forbes, May 10, 2020

Hospitals and Health Systems Face Unprecedented Financial Pressures
America’s hospitals and health systems have stepped up in heroic and unprecedented ways to meet the challenges of COVID-19. As outbreaks have occurred across the country infecting more than 1 million people, hospitals have ramped up testing efforts and are treating hundreds of thousands of Americans in an effort to save lives and
minimize the virus’ spread.
AHA, May 2020

How the COVID-19 Recession Could Affect Health Insurance Coverage
An estimated 160 million people nationwide under the age of 65 had health insurance through their employer just before the COVID-19 pandemic hit. Thirty million workers filed for unemployment between March 15 and April 25, according to federal statistics. Rising unemployment is expected to significantly alter the health insurance coverage landscape, as millions who lose their jobs and their dependents enroll in Medicaid, purchase Marketplace coverage, or become uninsured.
Robert Wood Johnson Foundation, May 4, 2020

What changes in healthcare due to COVID-19 will remain?
The new issue of MCOL ThoughtLeaders asks the question: “What changes in the business of healthcare are taking place during this pandemic that will most likely continue when the pandemic is behind us? Here’s some highlights of what experts see on the road ahead.
MCOLBlog, May 1, 2020

3 Ways COVID-19 Has Changed the Insurance Landscape
Skyrocketing coverage losses, unemployment fears, and payers reimbursing a bigger chunk of COVID-19 claims are just three ways that the crisis is changing the health insurance landscape.
HealthLeaders, April 30, 2020

What Will Never Be the Same Again in Healthcare?
Trusted advisors share their perspective on what will never be the same again in healthcare.
HealthLeaders, April 28, 2020

The Potential Health Care Costs And Resource Use Associated With COVID-19
With the coronavirus disease 2019 (COVID-19) pandemic, one of the major concerns is the burden COVID-19 will impose on the United States (U.S.) health care system. We developed a Monte Carlo simulation model representing the U.S. population and what can happen to each person who gets infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV2).
Health Affairs, April 23, 2020
  
 
    
News 
  COVID-19 Lights the Way for Retail Health Clinics, Consumer Health
Since the novel coronavirus outbreak, it’s not surprising to drive by a WalMart parking lot to see a large crowd of cars. No, it’s not another sale. It’s the consumer giant’s retail health clinic doubling as a COVID-19 drive-through testing site and delivering on its promises to deliver convenient care to healthcare consumers.
PatientEngagementHIT, May 13, 2020

Hospitals Struggle to Restart Lucrative Elective Care After Shutdowns
The shutdown of elective surgeries and other “nonessential” medical care by federal and state officials during the pandemic has left the nation’s 5,200 hospitals, particularly in places where there have been relatively few infections, with idle clinics, vacant operating rooms and a dearth of patients.
New York Times, May 9, 2020

CMS finalizes changes to ACA plans for 2021, pushes back deadlines
The Trump administration finalized a slew of regulatory changes for the Affordable Care Act’s (ACA's) exchanges, including a key change that insurers do not have to count copay assistance from drug companies toward out-of-pocket cost-sharing and deductibles. But the administration backed down from any changes to automatic enrollment, after flirting with the idea in a proposed rule back in January.
Fierce Healthcare, May 7, 2020

Health system experts: Don't expect return to pre-COVID-19 business
While hospitals around the country are carefully moving forward offering elective surgeries again, don't expect them to get back to pre-COVID-19 volumes anytime soon. In fact, healthcare leaders from health systems such as Kettering Health Network as well as Vituity Healthcare and Medical Staffing Services said they don't expect hospitals to get close to normal business until a vaccine is developed.
FierceHealthcare, May 6, 2020

Humana CEO: Teleheath will help create ‘a different health-care system’
Humana CEO Bruce Broussard said Tuesday that he expects telehealth and other changes embraced by the health-care sector during the coronavirus pandemic to have a lasting impact on how people go to the doctor. “You’re going to see a different health-care system as a result of the virus that is going to be much more distributed in the ability to deliver care,” Broussard said on CNBC’s “Closing Bell.”
CNBC, May 5, 2020

In a time of COVID-19, ‘Obamacare’ still part of the action
COVID-19 could have stamped a person “uninsurable” if not for the Affordable Care Act. The ban on insurers using preexisting conditions to deny coverage is a key part of the Obama-era law that the Trump administration still seeks to overturn. Without the law, people who recovered from COVID-19 and tried to purchase an individual health insurance policy could be turned down, charged higher premiums or have follow-up care excluded from coverage. Those considered vulnerable because of conditions such as respiratory problems or early-stage diabetes would have run into a wall of insurer suspicion.
Associated Press, May 3, 2020

Coronavirus exposes major flaws in health care system, experts say
As the coronavirus pandemic continues its rampage across the United States, with more than a million confirmed cases and no end in sight, medical professionals and experts say the strain on the health care system has exposed major flaws and taught hard lessons. They said the pandemic has shown that we need to shift the way we think about health care as overwhelmed hospitals struggle to treat the surge in patients and lack enough personal protective equipment to keep workers safe.
NBC News, April 29, 2020

Health Insurers Prosper As COVID-19 Deflates Demand For Elective Treatments
As doctors and consumers are forced to put most nonemergency procedures on hold, many health insurers foresee strong profits. So why is the industry looking to Congress for help? Insurers say that while that falloff in claims for non-COVID care is offsetting for now many insurers’ costs associated with the pandemic, the future is far more fraught.
California Healthline, April 28, 2020

Supreme Court rules government must pay billions to Obamacare insurers
The Supreme Court on Monday ruled the federal government owes health insurers massive payments from an Obamacare program shielding them from financial risks after the companies accused Washington of reneging on its funding promises. The 8-1 decision could open the floodgates for federal cash to the insurance industry. Insurers who accused the government of a “bait and switch” claimed they’re owed $12 billion from the Affordable Care Act program.
Politico, April 28, 2020
 
 
 
 
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