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Health
Change Bulletin
May 2020 |
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“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.” |
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-Gary S. Kaplan, MD, Chairman and CEO, Virginia Mason
Health System |
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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
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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 |
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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
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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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Health Change Bulletin, a publication
of Health Policy Publishing LLC
© 2020, Health Policy Publishing LLC
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