health change bulletin
Health Change Bulletin                                                                      July 2020
  
  Sponsor Message
Quote 
  “I think we are seeing a very particular moment in time in which these big health systems are going to evolve rapidly from their decision and organizational structures. They're going to consolidate and grow because they feel that's in their interest and mission to do so, and they're going to become much more engaged with their communities for public health issues and health equity issues. That's going to have many effects, some positive and others, I think, ultimately, we just can't tell [since] it's still an ongoing story that's evolving.”  
-Thomas Enders, Senior Managing Director, Manatt Health
 
Factoid
 
Definitive Healthcare surveyed Acute Care Organization (ACO) healthcare leaders across the United States to understand how the COVID-19 epidemic has impacted the acute hospital environment. They found that 36% of practices indicated they are at risk of closure due to the financial impact of COVID-19; of which 60% are organizations consisting of less than 10 physicians. 89% of organizations at risk of closure reside in counties yet to hit their peak case date.

Source: Definitive Healthcare, Impact on Acute Care Organizations & Physician Practices: COVID-19 Research Studies
 
   
Healthsprocket List 
 
  Six Takeaways Of The KHN-AP Investigation Into The Erosion Of Public Health

1. Since 2010, spending for state public health departments has dropped by 16% per capita, and for local health departments by 18%.

2. At least 38,000 state and local public health jobs have disappeared since the 2008 recession.

3. Nearly two-thirds of Americans live in counties that spend more than twice as much on policing as they spend on non-hospital health care, which includes public health.

4. More than three-quarters of Americans live in states that spend less than $100 per person annually on public health. Spending ranges from $32 in Louisiana to $263 in Delaware.

5. Some public health workers earn so little that they qualify for government assistance.

6. States, cities and counties whose tax revenues have declined during the current recession have begun laying off and furloughing public health staffers.

Source: KHN, Six Takeaways Of The KHN-AP Investigation Into The Erosion Of Public Health 
 
HealthshareTV video
 

 
Virtual Seminar: Health Insurance Coverage in the Aftermath of COVID-19 (from June 28)
 
  Virtual Seminar: Health Insurance Coverage in the Aftermath of COVID-19

Five top experts discuss how the COVID-19 pandemic has shaken the U.S. health insurance system to its core, with nearly 27 million people potentially losing their job-based health insurance. Some will be eligible for Medicaid or subsidized coverage under the Affordable Care Act. Others will become uninsured, especially in states that have not expanded eligibility for Medicaid. All of this will strain state budgets on top of an already struggling economy in the aftermath of the pandemic.

    

 
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Insights
  2020 Review of Physician and Advanced Practitioner Recruiting Incentives
An overview of the salaries, bonuses, and other incentives customarily used to recruit physicians, physician assistants and nurse practitioners and how these may be affected by the coronavirus pandemic.
Merritt Hawkins, July 2020

Key Advice for Hospital CFOs Facing Next Stages of Pandemic
Health system leaders need to be mindful of three factors as care services return. The financial health of hospitals and health systems still has a ways to recover since the coronavirus disease 2019 (COVID-19) pandemic began in March, as certain markets deal with a surge of new patient cases.
HealthLeaders, July 2, 2020

Hollowed-Out Public Health System Faces More Cuts Amid Virus
The U.S. public health system has been starved for decades and lacks the resources to confront the worst health crisis in a century. Marshaled against a virus that has sickened at least 2.6 million in the U.S., killed more than 126,000 people and cost tens of millions of jobs and $3 trillion in federal rescue money, state and local government health workers on the ground are sometimes paid so little that they qualify for public aid.
Kaiser Health News, July 1, 2020

Impact on Acute Care Organizations & Physician Practices: COVID-19 Research
The United States (U.S.) now represents one-third of the world’s total confirmed COVID-19 cases (33%), and 28% of the total global fatalities, leading all countries in overall counts, and ranking just outside the top ten in both categories when segmenting the data per capita. Similar to other healthcare systems the U.S. acute market is struggling to combat the epidemic which has infected over 1.2 million Americans (3.8 million+ worldwide), and forced the world to collectively shelter in place to help slow and contain the spread of a virus that the world has not seen in our lifetimes.
Definitive Healthcare, June 30, 2020
   
 
    
News 
  Amazon teams with Crossover Health to pilot employee health centers
Amazon has teamed up with buzzy tech-enabled primary care group Crossover Health to launch health centers near its fulfillment centers and operations facilities. The first pilot of the "Neighborhood Health Centers"— which will made available exclusively to the tech giant's employees and their families—will be located in the Dallas-Fort Worth area, officials said.
FierceHealthcare, July 15, 2020

Appeals court upholds expansion of short-term health plans
The US District Court of Appeals for the District of Columbia on Friday upheld the Trump administration's expansion of controversial short-term health plans, many of which are being sold as a less expensive alternative to Obamacare policies.
CNN, July 17, 2020

Coronavirus outbreak is already upending premiums and copays for next year
The coronavirus pandemic is upending the U.S. health coverage market in unexpected ways, forcing some insurers to issue refunds to customers this year and complicating the models they use to set the prices for next year’s premiums and copays.
CNBC, July 15, 2020

OSF Healthcare CFO: Future Revenues May be Less than Pre-COVID Levels
About four months into the coronavirus disease 2019 (COVID-19) pandemic, hospital finance leaders have had to reconfigure their strategies to adapt to the 'new normal' and guide their respective organizations through unprecedented challenges.
HealthLeaders, July 9, 2020

Hospital Merger and Acquisition Activity Withstands COVID-19 Slump
While COVID-19 has resulted in substantial revenue losses for healthcare providers, the pandemic has had less of a dramatic impact on hospital merger and acquisition activity. In fact, the crisis has demonstrated the benefits of potential deals, according to healthcare consulting firm Kaufman Hall.
RevCycleIntelligence, July 6, 2020

Health Insurance Coverage Declined for Nonelderly Americans
A strong economy, rising salaries, and increasing employer-sponsored insurance (ESI) coverage did not prevent an increase in the number of people uninsured in America between 2017 and 2018.
Robert Wood Johnson Foundation, July 2, 2020

Oklahoma voters approve Medicaid expansion as coronavirus cases climb
Oklahoma voters on Tuesday narrowly approved a ballot measure to extend Medicaid to tens of thousands of poor adults, making their state the first to expand government-backed health insurance during the pandemic.
Politico, July 1, 2020

New AHA Report: Losses Deepen for Hospitals & Health Systems
A new AHA report released today finds that the immense financial strain facing hospitals and health systems due to COVID-19 will continue through at least the end of 2020, with patient volume expected to remain well below baseline levels. The report estimates an additional minimum of $120.5 billion in financial losses, due in large part to lower patient volumes, from July 2020 through December 2020, or an average of $20.1 billion per month.
American Hospital Association, June 30, 2020
  
 
 
 
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