The coronavirus pandemic of 2020 has created a seemingly paradoxical scenario for the finances of health care providers. While states were rushing to build field hospitals to prepare for a surge of COVID-19 patients, traditional revenue streams for providers completely dried up: elective procedures were suspended and social distancing protocols limited the number of patients in office settings. A public health crisis became a health care crisis, as COVID-19 revealed the faults in the way necessary and critical health care services are paid for in America.
Changes in Coverage: Managing the Loss of ESI in the Midst of COVID-19
On Thursday, May 14, State Health and Value Strategies, in partnership with technical experts from Manatt Health, Levitis Strategies, GMMB, and the Urban Institute hosted a webinar for states to help address the rapidly-evolving changes to the coverage environment. As the COVID-19 crisis evolves, it has become clear that rising unemployment will substantially reduce employer sponsored health insurance. Depending on how Congress responds, there are likely to be significant increases in Medicaid and Marketplace coverage, as well as more people uninsured. These coverage churns will leave states grappling to understand and implement timely and effective strategies to ensure individuals have access to, and enroll in coverage, that is most appropriate for their situation.
During the webinar, speakers discussed the models that have been published of where individuals are expected to gain coverage over the next 18 months, including data from a recent Urban Institute report, the impact on the Medicaid, individual, and employer-sponsored insurance markets, the role of special enrollment periods, and coordination with unemployment agencies. The webinar also highlighted communications opportunities and strategies for states to support enrollment.