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Health
Change Bulletin
May 2022 |
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“We are really
being much more rigorous about the ways in which we assess risk
for disease and health outcomes. We do have to hold ourselves
accountable in that way. It's going to require a heavy lift.” |
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-Dr. Joseph Wright, Chief Health Equity Officer,
University of Maryland
Medical System |
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Uninsured Rates by Quarter (Q42020-Q42021)
Q4 2020: All ages 10.3%; Ages 0-64 12.3%
Q1 2021: All ages 9.5%; Ages0-64 11.3%
Q2 2021: All ages 9.7%; Ages 0-64 11.5%
Q3 2021: All ages 8.9%; Ages 0-64 10.7%
Q4 2021: All ages 8.85; Ages 0-64 10.5%
Source:
ASPE Office of Health Policy, April 29, 2022
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RWJF: Key Findings on
Marketplace Competition and Premiums, 2019–2022
1. Premiums for benchmark plans in the marketplace fell
1.8% nationally in 2022, following declines of 3.2% in 2020 and 1.7% in 2021.
2. These trends contrast with premium increases in
employer-sponsored plans of 3.6% in 2021 and 3.9% in 2020.
3. Most states saw reductions in marketplace premiums, but
premium prices varied considerably across states.
4. Regions with higher unemployment rates saw higher premium
increases.
5. The number of insurers participating in the marketplace
increased from 198 to 288 between 2020 and 2022 in the regions analyzed.
6. Health premiums in markets with only one insurer were $189.50
higher, on average, relative to markets with five or more insurers.
Source:
Robert Wood Johnson Foundation, Marketplace Premiums Continue to
Decline As Competition Rises, 4/12/22
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SXSW 2022 Health Equity: A Shared Mindset for Patients
Mayo Clinic Health System President, Dr.
Prathibha Varkey, joined other health experts for a panel at
SXSW 2022 for a discussion on patient centricity; ways to
operate more inclusively within healthcare, from research to
commercialization; address how collaboration may help solve
contributing factors to inequities; and the importance of equal
representation in patient care. Video courtesy of panel
participant Bristol Meyers Squibb
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Check out
HealthshareTV, the
home for health care videos |
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KFF: Between 5.3 Million and 14.2
Million People Could Lose
Medicaid Coverage
Between 5.3 million and 14.2 million low-income people could
lose Medicaid coverage following the end of the public health
emergency and federal continuous enrollment requirement, KFF
researchers find in a new analysis. We arrive at those estimates
after examining two potential scenarios about how states might
manage the resumption of eligibility redeterminations and
disenrollments.
KFF, May 10, 2022
Health Plans Brace For Specialty Drugs Eclipsing 50% Of
Prescription Spending
As more expensive specialty drugs from Alzheimer treatments to
new drugs for cancer hit the U.S. market, those handling
prescriptions and their claims are bracing for an even larger
focus on these costly medicines.
Forbes, May 3, 2022
Health Coverage Changes Under the Affordable Care Act:
End of 2021 Update
Health insurance coverage expansion has been a key priority of
the Biden-Harris Administration. Administrative and legislative
efforts including an extended 2021 Marketplace Special
Enrollment Period, robust Marketplace consumer outreach and
enrollment efforts, the passage of the American Rescue Plan
(ARP), two states adopting the ACA Medicaid expansions (Oklahoma
and Missouri), and the Medicaid continuous coverage provision
under the Families First Coronavirus Response Act have helped
Americans gain and maintain health coverage during the COVID-19
pandemic.
ASPE Office of Health Policy, April 29, 2022
Massive
Growth in Expenses and Rising Inflation Fuel Continued Financial
Challenges for America’s Hospitals and Health Systems
For over two years since the outset of the COVID-19 pandemic,
America’s hospitals and health systems have been on the front
lines caring for patients, comforting families and protecting
communities. With over 80 million cases, nearly 1 million
deaths, and over 4.6 million hospitalizations, the pandemic has
taken a significant toll on hospitals and health systems and
placed enormous strain on the nation’s health care workforce.
During this unprecedented public health crisis, hospitals and
health systems have confronted many challenges, including
historic volume and revenue losses, as well as skyrocketing
expenses.
AHA, April 25, 2022
The Rise of the Chief Health Equity Officer
Health insurance providers have for years focused on reducing
disparities and promoting access to care and services that meet
people where they are. Despite these longstanding efforts,
health insurance providers understand the imperative to continue
making real differences in the health of the customers by
advancing the issue of health equity even further. An important
opportunity now is for health equity to become more embedded
into the overall structure and culture of how health insurance
providers’ and their ecosystems deliver services. Adding
focused, empowered leadership through the role of chief health
equity officer is a key means to ensure advancement through
collaboration, accountability, and impactful outcomes.
AHIP, April 20, 2022
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Racial Gap in Completed Doctor Visits Disappeared in
2020 as
Telemedicine Adopted
Historically, there has been racial inequity when it
comes to primary care appointments, which are vital for
managing and preventing chronic disease. But as COVID-19
struck the United States in 2020 and telemedicine
availability rose sharply, gaps in access disappeared
for Black patients at Penn Medicine, new research shows.
Penn Medicine News, May 9, 2022
FAIR Health Launches Actionable Tools to Support
Shared Decision Making for Patients of Color
The national, independent nonprofit FAIR Health, in
collaboration with Dr. Chima Ndumele, a professor at
Yale University and a member of the FAIR Health Academic
Advisory Board, launched four new groundbreaking shared
decision-making tools today. The initiative, supported
by a generous grant from the New York State Health
Foundation (NYSHealth), seeks to advance shared decision
making between patients of color and their healthcare
providers through decision aids that pertain to
conditions that disproportionately affect minority
populations.
PRNewswire, May 4, 2022
Urban Institute: Rural residents most likely to benefit
from enhanced
ACA subsidies
Rural residents were the most likely to benefit from
enhanced subsidies for Affordable Care Act coverage and
face the greatest danger of losing coverage if those
benefits expire after this year, a new study finds. The
study, released by the Robert Wood Johnson Foundation
Tuesday, comes as healthcare groups are making a major
effort to get Congress to renew the boosted subsidies.
ACA enrollment grew to a record-setting 14.5 million
people this year thanks in part to the higher subsidies.
Fierce Healthcare, May 3, 2022
A U.S. pediatricians' group is trying to
eliminate race-based medical guidance
For years, pediatricians have followed flawed guidelines
linking race to risks for urinary infections and newborn
jaundice. In a new policy announced Monday, the American
Academy of Pediatrics said it is putting all its
guidance under the microscope to eliminate "race-based"
medicine and resulting health disparities.
AP via NPR, May 2, 2022
Oregon, Kentucky dust off an Obama-era policy to
expand health insurance
Two states are dusting off a little-used provision of
the Affordable Care Act hoping to make health care more
affordable for tens of thousands of low-income
residents. Oregon and Kentucky, despite their wildly
different politics, are pursuing an Obama-era policy
that uses federal dollars to establish a health
insurance plan for people who make too much money to
qualify for their state’s Medicaid programs. The goal is
to provide residents who find Obamacare plans too
expensive a less costly option, while smoothing
insurance gaps for people teetering on the edge of
Medicaid eligibility.
Politico, April 30, 2022
Shopping for Space, Health Systems Make Over
Malls
The hulking Hickory Hollow Mall — a full 1.1 million
square feet of retail space in southeastern Nashville —
was once the largest shopping center in Tennessee. But
like many malls, it’s been in a downward death spiral
for more than a decade. Now the mammoth complex
surrounded by acres of parking is on track to join the
ranks of malls making a transition into a booming
economic sector: medicine. Vanderbilt University Medical
Center has had such success reviving a different mall
that its health system, Vanderbilt Health, plans to add
medical clinics at the former Hickory Hollow Mall,
rebranded a decade ago as the Global Mall at the
Crossings.
KHN, April 26, 2022
CMS releases health equity strategy centering on
outreach, data collection
The Centers for Medicare & Medicaid Services (CMS) has
released its strategy to improve health equity across
the agency, detailing actions on how providers can
identify and close gaps in care. CMS’ equity action plan
calls for increased efforts to expand outreach efforts
to enroll people in coverage and standardize the use of
data on social risk factors and other demographics. The
agency has sought comments over the past year from
stakeholders on how to incorporate equity into
regulations.
Fierce Healthcare, April 20, 2022
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Health Change Bulletin, a publication
of Health Policy Publishing LLC
© 2022, Health Policy Publishing LLC
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