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Morning Briefing

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Tuesday, Aug 18 2020

Full Issue

'A Disconnect': Insurer Sees Loophole In Trump Policy On Pooled Tests

Cigna initially said it wouldn't cover any pooled COVID-19 testing in a coverage policy that went into effect on Aug. 1. Heath industry news is on refunds, telehealth, remote working at Mass General, and more.

Insurers may have found a loophole in Congress' COVID-19 diagnostic testing coverage requirements: pooled test results. Trump administration officials have hailed pooling COVID-19 testing samples as a way to increase testing capacity while conserving supplies, but at least one insurer tried to exempt themselves from paying for any sort of pooled testing under a standard set in guidance from the Trump administration. (Cohrs, 8/17)

Blue Cross and Blue Shield of Michigan plans to return more than $21 million in the form of premium waivers to more than 180,000 commercially insured individual health and dental plan members in response to the COVID-19 pandemic. Premium credits will be issued on November invoices, pending state insurance department approval. The credits are a response to lower than expected healthcare claims resulting from the disruption in the delivery of health and dental services caused by the COVID-19 pandemic, Blue Cross said Monday. (Greene, 8/17)

Massachusetts lawmakers have debated for years how best to pay for telehealth. All it took was a pandemic to finally get something done. Now, the Legislature is on the brink of finalizing a law that would mandate reimbursement rates for many virtual medical visits 鈥 a once-abstract concept to most of us that became all too real during COVID-19 lockdowns. (Chesto, 8/17)

In other hospital news 鈥

Saying the coronavirus crisis has taken a 鈥渉eavy toll鈥 on its staff, Mass General Brigham has extended remote work through June 2021 for nearly 20,000 employees, or a quarter of its workforce, and expanded child-care benefits available to all workers. 鈥淲hile this decision was difficult, we must lead by example and support Governor Baker鈥檚 request to work remotely wherever possible,鈥 the state鈥檚 largest private employer said Monday in a companywide e-mail. (Edelman, 8/17)

With resounding voter approval this weekend for their purchase of East Jefferson General Hospital, LCMC Health officials now face the task of turning around the fortunes of a venerable Metairie institution that had slid towards financial insolvency in a shifting New Orleans health care market.聽(Roberts III, 8/17)

A federal judge tossed a lawsuit alleging that software company Nuance Communications was responsible for "millions of dollars in damages" a Pennsylvania health system suffered due to a 2017 cyberattack. Heritage Valley Health System in November sued Nuance in the U.S. District Court for the Western District of Pennsylvania, alleging the company's failure to take proper information security precautions led it to become a victim of NotPetya, a cyberattack that hit major companies across the globe in 2017. (Cohen, 8/17)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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