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Health
Change Bulletin
October 2020 |
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“Some insurers
think the pandemic will have a downward effect on their costs
next year, while others think it will increase their costs. If
there is pent-up demand for forgone health services and
widespread uptake of a vaccine, especially if the vaccine
requires multiple doses, that could drive up costs.” |
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-Cynthia Cox, Vice President, Kaiser Family Foundation |
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WalletHub: 10 States With The
Lowest Uninsured Rates in 2019
1. Massachusetts: 1.52% Children's, 3.39% Adults'
2. Rhode Island: 1.90% Children's, 4.68% Adults'
3. Hawaii: 2.80% Children's, 4.57% Adults'
4. Vermont: 2.09% Children's, 5.09% Adults'
5. Minnesota: 3.08% Children's, 5.48% Adults'
6. Iowa: 2.92% Children's, 5.70% Adults'
7. New York: 2.36% Children's, 6.06% Adults'
8. Wisconsin: 3.77% Children's, 6.31% Adults'
9. Pennsylvania: 4.56% Children's, 6.11% Adults'
10.Michigan: 3.42% Children's, 6.49% Adults'
Source:
WalletHub
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Health Systems Must Integrate and Rationalize
Redundancy, duplication, and waste are pervasive
in today’s healthcare delivery system, driving up both operating
and capital costs. To achieve economic sustainability and market
essentiality, health systems must integrate and rationalize to
enhance clinical care, optimize operations, and lower costs,
ultimately focusing on the improvement of every aspect of
patient care operations.
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Check out
HealthshareTV, the
home for health care videos |
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Refuge in the Storm? ACA’s Role as Safety Net Is Tested
by COVID Recession
The Affordable Care Act, facing its first test during a deep
recession, is providing a refuge for some — but by no means all
— people who have lost health coverage as the economy has been
battered by the coronavirus pandemic.
Kaiser Health News, October 7, 2020
Investing In
Safety-Net Innovation To Address The Impacts Of COVID-19
The health care safety net—the patchwork of hospitals, clinics,
and health systems that provide care to significant numbers of
uninsured, underinsured, and publicly insured patients—provides
a disproportionate amount of care to low-income communities of
color, that are suffering the most from COVID-19.
Health Affairs Blog, October 5, 2020
Health services deals insights: Midyear 2020
As expected, health services deal activity slowed in the first
half of 2020. Deal volumes edged below 500 for the first time
since 2015, but two sub-sectors grew year over year: Labs, MRI &
Dialysis and Other Services (which includes medical office
buildings). Long-Term Care was, again, the largest sub-sector by
volume.
PwC, October 2020
Guidehouse: Hospital Executives Predict Significant Shifts in Payer
Mix
Approximately 70% of hospital and health system leaders are
preparing for an increase in post-COVID-19 self-pay consumers
and Medicaid beneficiaries, and a decrease in commercial
reimbursement, according to a Guidehouse Center for Health
Insights analysis of an executive survey conducted by Healthcare
Financial Management Association (HFMA).
Guidehouse, September 30, 2020
Effects of the ACA Medicaid Expansion on Racial
Disparities in Health Care
This issue brief builds on a previous literature review that
broadly investigated the effects of Medicaid expansion by
examining how the expansion has affected racial disparities in
health coverage, access to care, health outcomes, and economic
outcomes. It is based on KFF’s review of 65 studies which
examined the impacts of Medicaid expansion by race/ethnicity and
were published beginning in January 2014 (when the coverage
provisions of the ACA went into effect) through July 2020.
KFF, September 30, 2020
Reasons for Being Uninsured Among Adults Aged 18–64 in
the United States
Previously published data from the National Health Interview
Survey (NHIS) reported that the percentage of uninsured adults
aged 18–64 significantly decreased from 20.4% in 2013 to 13.3%
in 2018. Lack of health insurance has been associated with not
receiving preventive services or screenings and may, in turn,
lead to delays in disease diagnosis and poorer health outcomes.
CDC National Center for Health Statistics, September 2020
What drives health spending in the U.S. compared to
other countries
The United States spends significantly more on healthcare than
comparable countries, and yet has worse health outcomes. Much of
the national conversation has focused on spending on
prescription drugs and administrative costs as the primary
drivers of health spending in the U.S.
Peterson-KFF, September 25, 2020
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Health care rates for 2021 stable, but 2022 may
bring challenges
A drop in health care costs is projected to keep
insurance rates low in 2021, but long-term worries about
the COVID-19 pandemic are raising concerns about
potential spikes in future years.
Roll Call, October 8, 2020
KFF: Average Family Premiums Rose 4% to $21,342 in
2020
Annual family premiums for employer-sponsored health
insurance rose 4% to average $21,342 this year,
according to the 2020 benchmark KFF Employer Health
Benefits Survey. On average, workers this year are
contributing $5,588 toward the cost of family coverage,
with employers paying the rest.
KFF, October 8, 2020
Rates of key tests drop with fewer doctor
visits, more telemedicine
The number of in-office visits to primary care
physicians in the United States were 50% lower in the
spring compared with the same periods in 2018 and 2019,
a study published Friday by JAMA Network Open found. At
the same time, more than 35 million telemedicine
consultations -- in which patients communicate with
their doctors by phone or online -- were held in April,
May and June, a 30-fold increase over previous years,
the data showed.
UPI, October 2, 2020
UnitedHealth, Cigna to expand Medicare Advantage
footprints
Major payers are expanding their Medicare Advantage
footprints next year, and focusing on telehealth
benefits and reduced cost-sharing — both trends
accelerated by the COVID-19 pandemic. The increased
competition puts more plans in the market with low or no
premiums as bullish payers have reported massive profits
from deferred care over the past several months.
Companies will also benefit from the elimination of the
Health Insurance Tax starting in 2021.
HealthcareDive, October 2, 2020
4 million more Americans turn to Medicaid as
coronavirus roils the economy
Just over 4 million more Americans turned to Medicaid
last spring as the coronavirus pandemic upended the
nation's economy, new federal data released Wednesday
shows.
CNN, September 30, 2020
Modifiable health risks add $730B to U.S.
healthcare spending
Modifiable health risks such as smoking, obesity and
high blood pressure have been associated with more than
$730 billion in U.S. healthcare spending, according to a
study published Wednesday in The Lancet Public Health.
HealthLeaders, September 30, 2020
Even before pandemic struck, more US adults were
uninsured
About 2.5 million more working-age Americans were
uninsured last year, even before the coronavirus
pandemic struck, according to a government report issued
Wednesday. The study from the Centers for Disease
Control and Prevention found that 14.5% of adults ages
18 to 64 were uninsured in 2019, a statistically
significant increase from 2018, when 13.3% lacked
coverage.
Associated Press, September 29, 2020
UnitedHealthcare teams with St. Luke to create
new narrow network plan
UnitedHealthcare partnered with St. Luke’s Health System
and Children’s Mercy in Kansas City to create a new
narrow network commercial plan intended to offer a
cheaper option. The plan would only provide care at the
St. Luke system that includes 18 hospitals and 130
physician offices and the children’s hospital.
FierceHealthcare, September 29, 2020
US hospital admissions for non-COVID-19 have
only partially rebounded
While declines in U.S. hospital admissions during the
onset of COVID-19 has been well-documented, little is
known about how admissions during the rebound varied by
age, insurance coverage and socioeconomic groups. The
decline in non-COVID-19 admissions was similar across
all demographic subgroups but the partial rebound that
followed shows that non-COVID-19 admissions for
residents from Hispanic neighborhoods was significantly
lower than for other groups.
Dartmouth College News Release, September 25, 2020
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Health Change Bulletin, a publication
of Health Policy Publishing LLC
© 2020, Health Policy Publishing LLC
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