Between the dissipation of relief funds, the end of the Public Health Emergency and the gifts that brings, and the sclerotic reimbursement system, health care is going to have to develop some nimbleness over the next several years. If the data doesn't convince you, see MedPAC's recommendation that Congress make onetime payment update of 5% for Home Health and Skilled Nursing Facilities - areas hard hit by labor cost increases.
The recommendation is not likely to be taken up as Congress just rejected the White House' request for more COVID-19 aid. After spending a couple of trillion dollars, it seems no one is in the mood.
In a quick 30 min I run through the situation and the likely timing of the end to the PHE and Medicaid redeterminations. You will find replay here. Audio only link is here.
Timestamps:
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0:00 - 3:53 Introduction and Overview; Failure of additional COVID Aid; MedPAC recommendation 3:54 - 11:31 Provider Relief Funds, revenue recognitions, dissipation and cash position (THC, ACHC, UHS) 11:31 - 16:29 MS-DRG Add-on Payments, hospital utilization, and COVID cases 16:29 - 18:41 Deregulation under Public Health Emergency, timing and process of reversal including Telehealth (TDOC, AMWL, TALK) 18:41 - 22:03 How the Public Health Emergency ends 22:03 - 23:31 Redetermination in Medicaid: not an easy task (CNC, MOH, ANTM), Labor 23:31 - 25:15 Moving COVID coverage to insurers? 25:15 - 27:13 A return to normal revenue operations does not equal a return to normal; labor 27:13 - 28:18 Cost of care 28:18 - 30:26 Other inflating inputs (CAH, PINC, ABC) 30:26 - 34:02 As COVID money dries up, reimbursement becomes the focus |
Emily Evans
Managing Director – Health Policy
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