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Review
. 2021 May 17:2021:10.31478/202105a.
doi: 10.31478/202105a. eCollection 2021.

Health Care Payers COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

Mark McClellan  1 , Rahul Rajkumar  2 , Marion Couch  3 , Diane Holder  4 , Mai Pham  5 , Peter Long  6 , Rhonda Medows  7 , Amol Navathe  8 , Lewis Sandy  9 , William Shrank  10 , Mark Smith  11
Affiliations
Review

Health Care Payers COVID-19 Impact Assessment: Lessons Learned and Compelling Needs

Mark McClellan et al. NAM Perspect. .
No abstract available

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Conflict of interest statement

Conflict-of-Interest Disclosures: Mark McClellan discloses that he is an independent director on the boards of Johnson & Johnson, Cigna, Alignment Healthcare, and PrognomIQ; co-chairs the Guiding Committee for the Health Care Payment Learning and Action Network; and receives fees for serving as an advisor for Arsenal Capital Partners, Blackstone Life Sciences, and MITRE. Rahul Rajkumar discloses that he is an advisor to Google Ventures and holds shares in OM1, Advantia Health, and PicassoMD. Amol Navathe discloses that he receives grants from Hawaii Medical Services Association, Anthem Public Policy Institute, Commonwealth Fund, Oscar Health, Cigna Corporation, Robert Wood Johnson Foundation, Donaghue Foundation, Pennsylvania Department of Health, Ochsner Health System, United Healthcare, Blue Cross Blue Shield of North Carolina, and Blue Shield of California. William Shrank discloses that he is on the board of directors of the GetWellNetwork. Mark Smith discloses that he is the Director of Teladoc Health and Phreesia.

Figures

FIGURE 1
FIGURE 1. Overview of America’s Multi-Payer Landscape
FIGURE 2
FIGURE 2. Payer Responses to COVID-19 Challenges
FIGURE 3
FIGURE 3. Key Challenges for Payers for the Post-Pandemic Era
FIGURE 4
FIGURE 4. Opportunities for Sector-Wide Improvement
FIGURE 5
FIGURE 5. Select Examples of Clinical Use Cases for Telehealth
None
See this image and copyright information in PMC

References

    1. Kaiser Family Foundation. Health Insurance Coverage of the Total Population. 2019. [February 6, 2021]. https://www.kff.org/other/state-indicator/totalpopulation/
    1. Dey P, Bach PB. JAMA Forum. 2019. The 6 Functions of Health Insurance. https://doi:10.1001/jamahealthforum.2019.0007. - DOI - PubMed
    1. Thomas KS, Durfey SNM, Gadbois EA, Meyers DJ, Brazier JF, McCreedy EM, Fashaw S, Wetle T. Perspectives of Medicare Advantage Plan Representatives on Addressing Social Determinants of Health in Response to the CHRONIC Care Act. JAMA Network Open. 2019;2(7):e196923. doi: 10.1001/jamanetworkopen.2019.6923. - DOI - PMC - PubMed
    1. Reynolds M. The Washington Post. 2020. Mar 18, [September 27, 2020]. Communication Failures In A Pandemic Can Be Catastrophic. https://washingtonpost.com/outlook/2020/03/18/communication-failures-pan...
    1. Centers for Medicare and Medicaid Services (CMS) Information Related to Coronavirus Disease 2019 – COVID-19. 2020. [January 31, 2021]. https://www.cms.gov/files/document/hpms-memo-covid-information-plans.pdf.

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