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.
Qualified Health Plan Selection: Considerations for Consumers Webinar
Deborah Bachrach, Manatt Health Solutions Melinda Dutton, Manatt Health Solutions
As part of their series on “Helping Consumers Understand the Marketplaces,” Manatt Health Solutions, with support from the State Health Reform Assistance Network, led a webinar reviewing factors states will want to call out for consumers seeking guidance on how to choose among plans, especially young adults who may be choosing between catastrophic coverage and other options. This presentation reviewed the interplay between premiums and cost-sharing across the metal levels and catastrophic coverage generally and with respect to specific services, noting among other things the range of preventive services which must be provided without any cost-sharing in all options. Specific examples demonstrated the implications of different premium and cost-sharing options for consumers of different ages and with different incomes and health care needs. Finally, the webinar examined at non-financial considerations such as provider networks and formulary designs.
A recording of the webinar can be found here.