Insurers, Gov’t Officials Mobilize to Ease Coronavirus Costs

As the new coronavirus continues to spread throughout the world, the U.S. federal government, states and private health insurers have responded with a flurry of actions aimed at lowering cost barriers that could discourage people from getting tested or treated. But health policy experts tell AIS Health that the sheer number of such announcements lays bare one of the U.S. health care system’s biggest flaws — its decentralized nature.

More than 40 different health insurers so far have stepped forward to unveil new coronavirus-related policies, according to a running list compiled by America’s Health Insurance Plans (AHIP). Many are waiving cost-sharing and prior-authorization requirements for members who need to get tested for the virus, and some of them are also waiving deductibles. Other measures include relaxing restrictions on telehealth and prescription refills, and opening emotional-support help lines. However, most of the new cost-sharing policies apply only to fully insured commercial plans, Medicaid managed care and/or Medicare Advantage (MA) plans, as employers have more discretion when it comes to self-insured health plans.

© 2021 MMIT

Leslie Small

Leslie has been reporting and editing in various journalism roles for nearly a decade. Most recently, she was the senior editor of FierceHealthPayer, an e-newsletter covering the health insurance industry. A graduate of Penn State University, she previously served in editing roles at newspapers in Pennsylvania, Virginia and Colorado.

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