Morning Briefing
Summaries of health policy coverage from major news organizations
COVID Patients Should Be Shielded From Bulk Of Medical Expenses But Some Are Still Getting Bills
Janet Mendez started receiving bills soon after returning in April to her mother鈥檚 home from Mount Sinai Morningside hospital, where she nearly died of Covid-19. First, there was one for $31,165. Unable to work and finding it difficult to walk, Ms. Mendez decided to put the bill out of her mind and focus on her recovery. The next one was impossible to ignore: an invoice for $401,885.57, although it noted that the hospital would reduce the bill by $326,851.63 as a 鈥渇inancial assistance benefit.鈥 But that still left a tab of more than $75,000. 鈥淥h my God, how am I going to pay all this money?鈥 Ms. Mendez, 33, recalled thinking. The answer came to her in about a second: 鈥淚鈥檓 not going to be able to pay all this.鈥 (Goldstein, 6/14)
The prediction from New York Gov. Andrew Cuomo was grim. In late March, as the number of COVID-19 cases was growing exponentially in the state, Cuomo said New York hospitals might need twice as many beds as they normally have. Otherwise there could be no space to treat patients seriously ill with the new coronavirus. 鈥淲e have 53,000 hospital beds available,鈥 Cuomo, a Democrat, said at a briefing on March 22. 鈥淩ight now, the curve suggests we could need 110,000 hospital beds, and that is an obvious problem and that鈥檚 what we鈥檙e dealing with.鈥 (Ornstein, 6/15)
Some health insurers have offered physicians and hospitals in their networks a temporary source of population-based payments to ensure they keep their doors open during the COVID-19 crisis. But some groups are calling for more permanent measures. Inland Empire Health Plan, based in Rancho Cucamonga, Calif., said it would fill gaps in hospitals鈥 revenue and bolster specialists鈥 payments for three months. Similarly, Buffalo, N.Y.-based Independent Health stepped up value-based payments by giving primary-care practices an emergency global payment to help them maintain a monthly cash flow resembling pre-pandemic levels. (Livingston, 6/13)
Almost overnight, Dr. Fuad Sheriff鈥檚 small primary-care practice in Amherst, N.Y., was thrust into unknown territory. Like hospitals and other medical practices across the country, his practice saw patient visits screech to a halt as the COVID-19 crisis forced restrictions on nonurgent services. So too, did a big chunk of the income that sustains Sheriff鈥檚 practice, Amherst Medical Associates. (Livingston, 6/13)