Whenever the Covid-19 pandemic ends, the US healthcare system may be disrupted greatly due to the amount of hospital systems who have been able to acquire new technology and resources to keep up with temporary emergency measures throughout the pandemic.
When the many temporary emergency measures that have been implemented throughout the US’s healthcare system end, an estimated 15 million Medicaid recipients will likely need to find new coverage. Congress will need to take action in order to preserve the broad telehealth access that many Medicare users have been able to use throughout the pandemic.
Beyond just patients, payment policies are also likely to change for doctors, hospitals, and insurers. Many are raising concerns over these issues because of their tie to the coronavirus public health emergency declaration that was made more than two years ago and needs to be periodically renewed in order to keep these protective policies in place.
The state of emergency is set to end on April 16th, and it’s expected that Biden will likely extend it through July, but many healthcare workers are hoping for a more secure extension that will last longer. Juliette Cubanski is a Medicare expert working with the Kaiser Family Foundation who recently spoke on the potential consequences of stepping back from the state of emergency.
“The flexibilities granted through the public health emergency have helped people stay covered and get access to care, so moving forward the key question is how to build on what has been a success and not lose ground.”
Medicaid currently covers 79 million people through its state-federal health insurance program which is designed to assist low income individuals. The amount of people covered by Medicaid has increased at record rates throughout the pandemic.
The Urban Institute revealed research that estimates about 15 million people could lose their Medicaid coverage when the public health emergency ends, at a rate of 1 million individuals per month. Matthew Buettgens of the Urban Institute stated that almost all of the people losing Medicaid will likely be eligible for “another source of coverage through employers, the Affordable Care Act or, for kids, the Children’s Health Insurance Program.”
“But that’s not going to happen automatically. Cost and lack of awareness about options could get in the way. This is an unprecedented situation. The uncertainty is real,” said Buettgens. Chiquita Brooks-LaSure is an administrator at the federal Centers for Medicare and Medicaid Services, CMS, and she advises states to take it slow when it comes to rolling back on policies so that they have time to connect with Medicaid recipients who will be disenrolled to provide them with additional coverage.
“We are focused on making sure we hold on to the gains in coverage we have made under the Biden-Harris administration. We are at the strongest point in our history and we are going to make sure that we hold on to the coverage gains,” said CMS Administrator Chiquita Brooks-LaSure.
The end of the public health emergency could impact telehealth access for millions enrolled in traditional Medicare and other insurers.
“Congress has given itself 151 days after the end of the public health emergency to come up with new rules. If there are no changes to the law after that, most Medicare beneficiaries will lose access to coverage for telehealth,” the Kaiser Foundation’s Cubanski said.
Health and Human Services Secretary Xavier Becerra recently told The Associated Press that his department is “committed to giving ample notice when it ends the public health emergency. We want to make sure we’re not putting in a detrimental position Americans who still need our help. The one that people are really worried about is Medicaid.”
Eric Mastrota is a Contributing Editor at The National Digest based in New York. A graduate of SUNY New Paltz, he reports on world news, culture, and lifestyle. You can reach him at firstname.lastname@example.org.