|
Health
Change Bulletin
June 2020 |
|
|
|
|
|
|
|
|
“Health care is
never going back to the way it was before. When you’re forced to
find different ways of doing things and you find out they are
easier and more efficient, it’s going to be hard to go back to
the old way.” |
|
|
-Gail Wilensky, Health Economist |
|
|
|
|
|
In a UChicago Harris/AP-NORC Poll, 45% of respondents would
choose a health insurance plan with lower premiums and higher
out-of-pocket costs, with 50% choosing a plan with lower
out-of-pocket costs and higher premiums. 45% would choose to
have lower coverage of treatments and drugs with lower premiums
and costs, with 50% opting for a broader coverage of treatments
and drugs with higher premiums and costs. Lastly, 40% would
choose a plan with higher out-of-pocket costs with no
restrictions on providers; with 56% opting for no out-of-pocket
costs but restrictions on providers.
Source:
University of Chicago Harris School of Public Policy: In the
Midst of the Coronavirus Outbreak, Concerns About the Health
Care System Remain
|
|
|
|
|
|
Altarum: National Health
Spending 12-Month Growth Rates, April 2019-April 2020
1. National health spending: -24.3%
2. Personal health care: -30.1%
3. Hospital care: -40.7%
4. Physician and clinical services: -40.9%
5. Other professional services: -50.1%
6. Dental services: -60.8%
7. Other personal health care: 5.0%
8. Home health care: -33.2%
9. Nursing home care: 6.3%
10.Prescription drugs: 5.1%
11.Durable medical equipment: -20.6%
12.Nondurable medical products: -5.1%
13.Program administration and net cost of private health
insurance: 10.2%
14.Government public health activities: 2.6%e
Source:
Altarum Health Sector Economic Indicators
|
|
|
|
|
|
|
|
The Covid Pandemic: Interface with the Healthcare System, the
Economy, Race, Politics, and History
In this UCSF Medical Grand Rounds presentation,
four world-renowned experts discuss the wide-ranging
implications and challenges of the Covid-19 pandemic with regard
to the healthcare system, the economy, race, politics, ethics,
and history. What will the lasting changes be? What can we learn
from history? The session is hosted by UCSF Department of
Medicine chair Bob Wachter.
|
|
Check out
HealthshareTV, the
home for health care videos |
|
|
|
|
|
Healthcare Professionals and the Impact of COVID-19
This brief reports on FAIR Health’s in-depth study of the impact
of the COVID-19 pandemic on healthcare professionals’
utilization and revenue, an impact that has not previously been
assessed in depth. It also looks at how the impact varies by
specialty.
FAIR Health, June 10, 2020
The Implications of Medicaid Expansion in the Remaining
States: 2020 Update
Even absent the current COVID-19-related economic crisis, if the
15 holdout states had expanded Medicaid eligibility as
envisioned under the ACA, 3.9 million fewer people would have
been uninsured.
Urban Institute, June 8, 2020
Concerns About the
Health Care System Remain
Despite the coronavirus outbreak putting a spotlight on many
aspects of the U.S. health care system, the public’s opinions
about health care costs and coverage have not significantly
changed in recent months.
University of Chicago Harris School of Public Policy, June
2020
Following the COVID-19 Surge: 5 Hospital Impacts
Healthcare stakeholders weigh in as hospitals resume operations
and adjust to changing industry dynamics. Following the first
wave of the coronavirus disease 2019 (COVID-19) pandemic,
hospitals and health systems are looking back on the damage
suffered and anticipating the challenges to come.
HealthLeaders, June 5, 2020
What Will Impact Premiums on the Individual Market for
2021?
All Americans deserve access to affordable, comprehensive,
high-quality care. With discussions around premium costs in the
individual market for 2021 underway, there is a growing and
understandable concern about the impact of COVID-19 on the
nation’s health care system, increasing costs of medical care,
and other issues. To help clarify the various factors affecting
2021 premium rates in the individual market, AHIP has released a
detailed infographic aimed at identifying these factors and the
role they play in 2021 rates.
AHIP, May 29, 2020
Effects of a Public Option on Health Insurance Costs and
Coverage
A public option for health care—that is, a government-sponsored
health insurance plan with publicly determined provider payment
rates—is attracting growing interest in policy circles. Multiple
public option proposals have been introduced in Congress, and at
least 18 states have considered legislation for some form of
public option.
RAND, May 28, 2020
Accountable Care Organizations Are Increasingly Led by
Physician Groups
Because hospitals and health systems sponsored the majority of
new accountable care organizations (ACOs) from 2010 to 2015,
they influenced priorities and strategies of the policies
designed to drive ACO adoption. In recent years, however, the
majority of new ACOs have been sponsored by physician groups.
AJMC, May 2020
|
|
|
|
|
|
|
|
Physician, hospital spending sinks to lowest
point in more than 10 years
Hospital and physician spending has been hit hard by the
COVID-19 pandemic -- so hard, in fact, that in April it
reached its lowest point in more than a decade. A recent
Altarum analysis shows that, due to the cancellation of
elective procedures and low patient volume, tanking
healthcare usage has contributed to a 24.3% decline in
spending over a 12-month span, hitting a low of $2.88
trillion in April. Hospital care spending dipped from
$1.25 trillion to $746 billion during that time.
HealthcareFinance, June 16, 2020
Medicaid Rolls Surge, Adding to Budget Woes
Many of the tens of millions of Americans who have lost
their health insurance along with their jobs are
enrolling in Medicaid — and with state budgets decimated
by the pandemic, state officials worry they won’t have
the money to pay for their health care.
PEW, June 16, 2020
Report: The US Won’t Return to its Pre-COVID-19 Normal
Until August 2021
The novel coronavirus (COVID-19)’s impact on the US will
last more than twice as long as previously estimated by
frontline physicians in April, who are now anticipating
August 2021 before a return to normalcy. Despite
substantially increased levels of system preparedness,
fewer frontline physicians—24%, down from 30% in
April—believe that the US can ‘flatten the curve’.
InCrowd, June 15, 2020
The doctor is in, but coronavirus changes the
look and feel of the office visit
Doctors’ offices are slowly reopening as California
loosens restrictions put in place to halt the spread of
the coronavirus, but the patient experience may never be
the same even after the virus is under control.
SF Chronicle, June 14, 2020
Why virtual care will outlast the pandemic
An explosion of virtual care during the pandemic is
raising expectations that Washington will make sure
Americans can continue video chatting with their doctors
after the health crisis subsides. Telehealth had been
inching ahead for quite a few years, but it remained a
niche industry amid a thicket of regulatory restrictions
designed to combat potential fraud and high costs.
Politico, June 12, 2020
Here are the specialties hit hardest by the
COVID-19 pandemic
Healthcare revenue fell by nearly 50% in March and April
for specialties that include primary care, oral surgery,
dermatology and cardiology, a new study found. The
study, published Wednesday by FAIR Health, which
estimates healthcare costs and runs a claims database,
details the drop in healthcare utilization for
non-hospital providers. The industry has struggled
financially with the cancellation of elective procedures
and hesitancy from patients to go to the doctor’s
office.
Fierce Healthcare, June 11, 2020
COVID-19 could cost insurers up to $547B through
2021: report
The estimated costs for treating COVID-19 could add up
as much as $547 billion for private insurers from 2020
to 2021 depending on the rate of infection, an updated
report found. The report, released Monday from
consulting firm Wakely and commissioned by insurance
lobbying group America’s Health Insurance Plans (AHIP),
looks at the utilization of medical services associated
with a COVID-19 infection and the costs for such
services. The analysis is restricted to insurers
operating in commercial, Medicare Advantage and Medicaid
managed care markets.
Fierce Healthcare, June 8, 2020
Rapid Changes To Health System Spurred By COVID
Might Be Here To Stay
The U.S. health care system is famously resistant to
government-imposed change. It took decades to create
Medicare and Medicaid, mostly due to opposition from the
medical-industrial complex. Then it was nearly another
half-century before the passage of the Affordable Care
Act. But the COVID-19 pandemic has done what no
president or social movement or venture capitalist could
have dreamed of: It forced sudden major changes to the
nation’s health care system that are unlikely to be
reversed.
Kaiser Health News, June 8, 2020
Telehealth Expansion
Changing Physician-Patient Relationship
The dramatic growth of telemedicine during the
coronavirus disease 2019 (COVID-19) pandemic is having a
significant impact on the physician-patient
relationship. In March, when the pandemic took hold in
the United States, telehealth visits increased 50%,
according to Frost and Sullivan. With in-person medical
visits associated with the risk of coronavirus
infection, virtual visits emerged as a safe and
effective way for patients to meet with their doctors in
many circumstances.
HealthLeaders, May 27, 2020
|
|
|
|
|
|
Follow Health Policy Publishing:
|
|
|
|
|
|
Health Change Bulletin, a publication
of Health Policy Publishing LLC
© 2020, Health Policy Publishing LLC
|
|
|