Reimbursement
Many hospitals will not be able to survive the damage to their cash flow for longer than 60-90 days, report says.
Hospitals can transfer patients who are COVID-negative to post-acute care facilities without advanced prior authorization approval, AHIP's Board of Directors says.
Since all of the estimates are based on pneumonia, it's likely that costs will be even higher during the coronavirus outbreak.
The coronavirus is causing hospitals to ramp up for a surge of cases while having to give up elective procedures that sustain their revenue.
Because there's such a high level of uncertainty, the risk of a more severe economic impact is elevated and expenses will rise.
Optum Ventures is among companies investing $25 million, betting on the company's ability to show for which patients Humira doesn't work.
Paradise Medical Group is running a virtual practice as the federal government has announced expanded access to telehealth services.
Health plans will be responsible for data sharing and patient access in a way they're not used to. "A lot will have to go into meeting that deadline," one expert says.
Under strict proposals, in-network negotiated hospital prices could be cut by 31% to 40%, saving up to $124 billion annually.
CMS has provided flexibility to Medicare Advantage and Part D plans on testing, treatment and prevention.