Health Care Payers COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

McClellan, Mark; Rajkumar, Rahul; Couch, Marion E.; Holder, Diane; Pham, Mai; Long, Peter; Medows, Rhonda; Navathe, Amol S.; Sandy, Lewis G.; Shrank, William H.

doi:10.31478/202105a

Cited by 14 publications

(18 citation statements)

References 56 publications

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“…Many health care payers made several process and operational changes to support patient access and also provided helpful information to key stakeholders on an ongoing basis 23 . There were specific temporary waivers for prior authorizations and transfers for COVID-19–related care.…”

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

“…There were specific temporary waivers for prior authorizations and transfers for COVID-19–related care. To help patients with the financial costs of COVID-19 care, payers waived cost sharing for COVID-19 diagnostic testing, related office visits, and inpatient care for COVID-19 through January 31, 2021 23 . Several payers also recognized that the need for behavioral health care increased during the pandemic; however, there remains an imbalance between the supply and demand for behavioral health care.…”

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

“…22 Many health care payers made several process and operational changes to support patient access and also provided helpful information to key stakeholders on an ongoing basis. 23 There were specific temporary waivers for prior authorizations and transfers for COVID-19-related care. To help patients with the financial costs of COVID-19 care, payers waived cost sharing for COVID-19 diagnostic testing, related office visits, and inpatient care for COVID-19 through January 31, 2021.…”

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

“…To help patients with the financial costs of COVID-19 care, payers waived cost sharing for COVID-19 diagnostic testing, related office visits, and inpatient care for COVID-19 through January 31, 2021. 23 Several payers also recognized that the need for behavioral health care increased during the pandemic; however, there remains an imbalance between the supply and demand for behavioral health care. There has been a great expansion of benefits and various digital and virtual platforms to provide access to care, 20 , 24 so this challenge was addressed through increased virtual care and on-demand digital tools.…”

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

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Maintaining and Advancing Quality Cancer Care During a Global Pandemic

et al. 2022

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The care of patients with cancer occurs in a fast-moving, high-pressure, and high-stakes ecosystem. Early in 2020, that complex ecosystem was further complicated by the advent of the COVID-19 pandemic. We address actions taken by care providers and systems during the initial phases of the pandemic, and how those actions preserved lifesaving and life-sustaining cancer care despite severely constrained resources. We outline cancer care principles and guidelines that were developed, shared, and adopted by cancer care organizations across the country. Care delivery concerns that arose during the pandemic, including equipment and personnel shortages, moral distress for care providers, and exacerbation of health care inequities are addressed. Process and operations changes taken by payers to serve their clients are described. Lessons learned are highlighted, along with a call to action that we learn from the experience, broaden our cancer care delivery mission, and commit to structural changes that will permanently improve the capacity of cancer care teams.

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Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

Section: Actions By Payers To Facilitate Care During the Pandemicmentioning

confidence: 99%

See 2 more Smart Citations

Maintaining and Advancing Quality Cancer Care During a Global Pandemic

et al. 2022

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“……COVID-19 has also fostered new, innovative partnerships between payers and other sectors, such as collaborations with public health departments to improve disease surveillance, coordination with community-based organizations to meet patients' social needs." 3 The NASEM report on Implementing High-Quality Primary Care calls for policies ensuring that high-quality primary care is available to every individual and family in every community and to train primary care teams where people live and work. 4 All of these recommendations have as the foundation that primary care decreases mortality at a population level.…”

Section: Departments Of Family Medicine Meeting Post-covid Needsmentioning

confidence: 99%

Departments of Family Medicine Meeting Post-Covid Needs

Narasimhan¹,

Lord²

2022

Ann Fam Med

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How COVID-19 Changes the Economics of Health Care

Cutler

2021

JAMA Health Forum

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Eighteen months after SARS-CoV-2 arrived in the US, the coronavirus continues to affect every aspect of society. The health effects of the pandemic have been enormous-and unfortunately, the economic implications have been as well. Overall employment is still 7.6 million workers short of prepandemic forecasts, and economic output remains below the expected trend.One of the major economic effects of the virus has been experienced by the health care sector.

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Health Care Payers COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

Cited by 14 publications

References 56 publications

Maintaining and Advancing Quality Cancer Care During a Global Pandemic

Maintaining and Advancing Quality Cancer Care During a Global Pandemic

Departments of Family Medicine Meeting Post-Covid Needs

How COVID-19 Changes the Economics of Health Care

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