|
Health
Change Bulletin
August 2021 |
|
|
|
|
|
|
|
“In no other
country does income inequality so profoundly limit access to
care as it does here. Far too many people cannot afford the care
they need and far too many are uninsured, especially compared to
other wealthy nations.” |
|
|
-David Blumenthal, President, Commonwealth Fund |
|
|
|
|
|
Insurer filings suggest COVID-19
pandemic will not drive health spending in 2022
In initial filings, most
Marketplace-participating insurers in 13 states and the District
of Columbia are assuming COVID-19 will have no effect on their
2022 costs. Of the 75 insurer filings submitted in these states:
* 13 said the COVID-19 pandemic will
have an upward effect on their costs, with most
of those stating that the impact would be less than 1%. This
includes seven plans in
New York, three plans in Connecticut, one plan in Tennessee, one
plan in Michigan,
and one plan in Vermont.
* Three insurer filings said the pandemic would have a downward
impact on their costs.
* 37 said the pandemic will have no net impact on their 2022
costs.
* The remaining insurers (22) either did not specify a COVID-19
cost impact or
redacted it.
Among the 13 plans that specified cost increases due to
COVID, reasons included costs related to ongoing COVID-19
testing, treatment, and vaccinations (8 insurer filings), and
anticipated vaccination boosters (7 insurer filings).
Source:
Peterson-KFF: Insurer filings suggest COVID-19 pandemic will not
drive health spending in 2022
|
|
|
|
|
|
Google Cloud: Four survey
highlights on physicians and technology
1. Healthcare organizations
accelerated technological upgrades over the course of
the pandemic
2. Despite the technological leaps this year, most physicians
still believe the industry
lags behind in technology adoption but recognize the
opportunity for technological
support and advancement
3. Better interoperability alleviates physician burnout,
improves health outcomes and
speeds up diagnoses
4. Prioritizing Education, Research, And Workforce Development:
Academic-Community Collaborations
5. Familiarity with new Department of Health and Human Services
(DHHS)
interoperability rules grows, and many physicians are
in favor
Source:
Google: New Research: COVID-19 accelerates innovation in
healthcare but tech adoption still lags
|
|
|
|
|
|
|
|
Mission Impossible? How to Fix U.S. Healthcare
Margot Sanger-Katz of The New York Times, Dean
Katherine Baicker of the University of Chicago Harris School of
Public Policy, Zack Cooper of the Yale School of Public Health,
Martin S. Gaynor of Carnegie Mellon University’s Heinz College
of Information Systems and Public Policy, and Shelley
White-Means of the University of Tennessee Health Science Center
discuss strategies for fixing U.S. healthcare.
|
|
Check out
HealthshareTV, the
home for health care videos |
|
|
|
|
|
How Insurers Can Advance Health Equity Under the Affordable Care
Act
The Affordable Care Act (ACA) includes many requirements that
advance health equity in the commercial coverage market and has
contributed to significant progress in narrowing racial and
ethnic health disparities. While health insurers alone cannot
close disparities, insurance stakeholders play a key role and
have committed to doing more to address systemic racism.
Commonwealth Fund Blog, August 10, 2021
Hard Lessons From a City That Tried to Privatize Public Health
If you were growing up in Detroit in the 1970s or ’80s, chances
are you knew the city’s Herman Kiefer public health complex by
both sight and reputation. Opened at the turn of the century and
later enhanced by renowned industrial architect Albert Kahn, the
imposing brick complex was named after a local infectious
disease doctor. As the city grew, so did the complex and the
services offered within, becoming synonymous with public health
in the eyes of many families and residents.
Kaiser Health News, August 6, 2021
5 Ways Payers Have Tackled Mental, Behavioral Healthcare in 2021
In the wake of the coronavirus pandemic, payers have focused on
improving and implementing mental and behavioral healthcare
programs. From January to June 2019, 11 percent of US adults
reported experiencing anxiety or depression, according to a
Kaiser Family Foundation issue brief. By January 2021, the share
of adults who experienced symptoms of anxiety or depression had
quadrupled.
Health Payer Intelligence, August 2, 2021
State Efforts to Standardize Marketplace Health Plans
As the Biden administration continues its efforts to build on
the Affordable Care Act (ACA), its regulatory to-do list
includes revisiting Trump-era policies struck down by the
courts. This spring, a federal court concluded that several
Trump administration actions to weaken the ACA broke federal
law. Among these was the decision to eliminate certain
consumer-friendly rules for HealthCare.gov, including a policy
encouraging standardized health plan designs for marketplace
coverage. In its work to restore the policy, the Biden
administration can learn from what states are doing now.
Commonwealth Fund Blog, July 28, 2021
How 2 Rural Hospitals Use Charities to Help Patients with
Out-of-Pocket Costs
Outside financial aid might not be the best long-term solution
to the national problem of high healthcare costs and inadequate
insurance coverage, but two rural hospitals are taking
innovative approaches to tapping philanthropic resources to
reduce their bad debt and help patients with medical bills.
HealthLeaders, July 27, 2021
The Pandemic Made Telemedicine an Instant Hit. Patients and
Providers Feel the Growing Pains.
Crystal Joseph pays for two telemedicine video services to
ensure that her small therapy practice in Silver Spring,
Maryland, can always connect with its clients. She’s been burned
before. During one hours-long service outage of SimplePractice
in late May, PsycYourMind, which offers mental health counseling
and group sessions for Black patients, lost about $600 because
of missed appointments.
Kaiser Health News, July 26, 2021
As the Pandemic Eases, What Is the State of Health Care Coverage
and Affordability in the U.S.?
Findings from the Commonwealth Fund Health Care Coverage and
COVID-19 Survey, March–June 2021.
To shore up an economy and health system battered during the
COVID-19-induced recession, the U.S. Congress passed four major
relief bills in 2020 and 2021. The Biden administration also
made a number of administrative changes, including some aimed at
helping people enroll in health insurance coverage. After a year
of severe job market disruption combined with a massive federal
pandemic relief effort, what is the state of health care
coverage and affordability in the United States?
Commonwealth Fund, July 16, 2021
|
|
|
|
|
|
|
|
CVS Health launches first nationwide virtual primary
care solution
Aetna, a CVS Health company, announced an innovative
health care solution, Aetna Virtual Primary Care, that
reimagines the primary care experience and makes it
easier for people to get the health services they need,
anytime, anywhere.
CVS, August 10, 2021
Biden Stimulus Increase Cut Obamacare Plan
Premiums by 40%
Monthly premiums for health coverage through the
Affordable Care Act federal marketplace fell an average
of 40% because of a boost in subsidies from government
stimulus funds, the Biden administration said. More than
1.5 million people have enrolled in health plans through
the HealthCare.gov marketplace since the administration
opened a special window Feb. 15. Another 2.5 million who
already had coverage took advantage of expanded
assistance created by the American Rescue Plan stimulus
that President Joe Biden signed into law in March.
Bloomberg, August 4, 2021
US comes in last in health care rankings of
high-income countries
The US once again ranked last in access to health care,
equity and outcomes among high-income countries, despite
spending a far greater share of its economy on health
care, a new report released Wednesday has found. The
nation has landed in the basement in all seven studies
the Commonwealth Fund has conducted since 2004. The US
is the only one of the 11 countries surveyed not to have
universal health insurance coverage.
CNN, August 4, 2021
Study: Medicaid expansion cuts down uninsured
surgical hospitalizations
Medicaid expansion is associated with a reduction in
surgical hospitalizations among the uninsured, a new
study shows. Research published in Health Affairs
examined state-level data across 44 states and
patient-level data across four states to compare such
hospitalizations in expansion and non-expansion states.
Patients admitted for surgery largely first presented to
the emergency department, and in 99% of cases their care
would likely result in catastrophic visit costs,
according to the study. In states that expanded
Medicaid, the rate of uninsured discharges for these
surgeries was lower, at 7.85 per 100,000.
FierceHealthcare, August 3, 2021
Insurers push back on CMS' proposals to extend
ACA open enrollment, bring back standardized plans
Insurers pushed back at the Biden administration’s
efforts to extend the Affordable Care Act’s open
enrollment period by another month and require them to
post standardized plan options. Several insurers and
advocacy groups commented on the proposals outlined in
the Centers for Medicare & Medicaid Services’ Notice of
Benefit and Payment Parameters, which outlines ACA
marketplace exchange regulations for the 2022 coverage
year. Insurers worried that extending the open
enrollment period could lead to adverse selection and
raise premiums for consumers.
Fierce Healthcare, July 29, 2021
US hospitals struggle to reduce health
disparities: Minority patients underrepresented in 4 of
5 hospitals
Most U.S. hospitals are still disproportionately
treating white patients for common services, a report
published Tuesday shows, despite serving racially and
ethnically diverse communities.
USA TODAY, July 27, 2021
More than 2 million Americans sign up for
Affordable Care Act coverage under Biden's special
enrollment period
More than 2 million Americans have signed up for 2021
coverage during a special enrollment period on the
Obamacare federal and state exchanges, the Centers for
Medicare and Medicaid Services announced Wednesday. The
report includes plan selections from February 15, when
President Joe Biden reopened enrollment to the
uninsured, through June. Some 1.5 million people have
signed up on the federal exchange, healthcare.gov, while
more than 600,000 have selected policies in the 14
states and the District of Columbia that run their own
exchanges.
CNN, July 14, 2021
|
|
|
|
|
|
Follow Health Policy Publishing:
|
|
|
|
|
|
Health Change Bulletin, a publication
of Health Policy Publishing LLC
© 2021, Health Policy Publishing LLC
|
|
|