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COVID-19 Resources

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Webinar & Presentations

This webinar features experts reviewing examples of specific strategies states implemented between April and August 2020 to increase payments to providers in financial distress as a result of decreased health care utilization.

Report

This report measures changes in insurance coverage between April 23–May 12 and July 9–21, 2020 to better understand how the recession caused by COVID-19 affected insurance coverage.

Commentary

This commentary examines how proposals to protect patients from aggressive medical debt collection during the COVID-19 pandemic could serve as a model for the future.

Commentary

This commentary highlights several strategies states can pursue to help ensure a successful open enrollment period this year amid the COVID-19 pandemic.

Commentary

This commentary explores how adverse childhood experiences contribute to poor health outcomes, and the ways that these are exacerbated by the COVID-19 pandemic.

Commentary

This commentary explores how states are confronting the challenges that COVID-19 poses to dental care and oral health access in the United States.

Webinar & Presentations

This webinar details how three provider organizations are using population health management approaches to care for people with complex needs amid COVID-19.

Commentary

This commentary explores the key role Medicaid programs play in helping the health care system make the transition to the new normal of the COVID-19 crisis.

Webinar & Presentations

This webinar walks through tools states can use to increase payments to providers through both fee-for-service and Medicaid managed care, despite COVID-19 driven changes to utilization.

Report

This report provides perspectives from organizations across the country that serve immigrant families and shares their view on what response efforts have done to support immigrant families during the COVID-19 pandemic. 

Brief

This brief compares four studies that project the effects of the COVID-19 recession on employment-based health insurance coverage and the number of uninsured people in 2020.

Commentary

This commentary examines the characteristics of hospitals that received and did not receive the first round of high-impact COVID-19 payments to examine how well the Depart of Health and Human Services (DHHS) targeted the $12 billion to hospitals in early hot spots.

Commentary

Noah enrolled in Medicaid in Maryland when he lost his job and health coverage due to the COVID-19 pandemic.

Commentary

This commentary summarizes recent guidance from the Centers for Medicare & Medicaid Services on permitting health insurance issuers to provide certain premium rebates for 2020 and the conditions rebates must meet.

Commentary

This commentary analyzes how states are working to protect farmworkers during COVID-19.

Commentary

This commentary explores how states have been required to make numerous changes to their eligibility and enrollment systems, operations, and policies, in order to comply with the enhanced Federal Medicaid Assistance Percentages.

Commentary

This commentary provides an overview of how COVID-19 is affecting state budgets and state health programs.

Commentary

This commentary recommends specific steps for state Medicaid programs to ensure state residents receive needed services during the COVID-19 pandemic, with a specific focus on Medicaid managed care organization (MCO) enrollees.

Commentary

This commentary discusses how potential requirements for workplace coronavirus testing may force essential workers to bear a disproportionate share of the cost.

Webinar & Presentations

Two webinars on open enrollment period 2021 explore COVID-19 implications and effective strategies to consider as states design their outreach and education campaigns in a shifting health care environment.

Commentary

This commentary discusses how state Medicaid, children’s health insurance programs, and health insurance marketplaces prepare for an expected increase in demand due to COVID-19, an economic downturn and ensuing budget crises, and unpredictable federal relief efforts.

Commentary

This commentary discusses the decision to shift COVID-19 data reporting from the Centers for Disease Control and Prevention to the Department of Health and Human Services, and subsequent warnings from state officials.

Commentary

This commentary features a conversation with health leaders in Colorado about how their agencies partnered to support families with young children during the COVID-19 pandemic, as well as the challenges they faced. 

Commentary

In this podcast, Medicaid experts discuss how vision coherence is important for effective leadership.

Brief

This brief highlights how Nebraska’s Medicaid agency and its Division of Public Health partnered to share antibiotic prescribing information between Medicaid claims and evaluation and management codes to determine where targeted education and outreach efforts were needed.

Commentary

In this podcast, Medicaid experts share five tips for leaders to address today’s VUCA (volatility, uncertainty, complexity, and ambiguity) challenges within their organizations.

Commentary

This commentary outlines how state legislative sessions took a hit this year from the novel coronavirus pandemic.

Commentary

This commentary outlines recent data that examines how difficult it will be to predict the effect of the COVID-19 pandemic on the uninsured rate.

Commentary

This commentary outlines some of the collaborative and successful strategies states are taking to protect and support individuals particularly at risk for homelessness.

Graphic

This map provides information on each state's contact tracing program model, workforce, lead agencies, funding, technology, and contact tracing process.

Commentary

This commentary provides updated interactive maps that explore the current status of all 50 states and the District of Columbia’s reporting of COVID-19 case and death data breakdowns by age, gender, race, ethnicity, and health care workers.

Commentary

This commentary considers five frequently heard worst-case scenarios related to the Affordable Care Act and provides research evidence that these fears did not come to pass.

Report

This report uses data to examine how the COVID-19 pandemic has affected food insecurity and access to school meals and charitable food distribution for adults and their families in the United States.

Report

This report uses a microsimulation model to incorporates data on employment losses by industry, state, and demographic characteristics, allowing researchers to simulate employment losses and associated health insurance coverage.

Webinar & Presentations

This webinar highlighted how states should adapt their strategies during COVID-19 as they plan their open enrollment outreach and education campaigns, and how to ground these efforts in terms of audience targeting and messaging.

Commentary

This commentary features an interview on how health care systems can use trauma-informed care to support patients and frontline workers during the COVID-19 pandemic.

Commentary

This commentary reviews how various states are addressing their home visiting programs and implementing more telehealth services during the COVID-19 pandemic.

Graphic

This chart describes each state’s dates for phased COVID-19 reopenings and any delays or reclosings resulting from the recent resurgence of infections, and indicates which states currently have statewide mask requirements.

Webinar & Presentations

In this webinar, experts present key findings from a new COVID-19 state resource guide on federal and state Medicaid flexibilities and how they are being deployed to help ensure access to long-term services and supports.

Commentary

This commentary examines approaches states are taking to protect farmworkers during the COVID-19 pandemic and recommendations for policymakers.

Report

This report uses new data from the first wave of the Urban Institute’s Coronavirus Tracking Survey to examine health care affordability problems and avoidance of care due to concerns about exposure to COVID-19.

Report

This report provides the first nationally representative estimates of changes in coverage during the initial months of the recession induced by the COVID-19 pandemic.

Report

This report outlines six key steps for governors to build and support a contact tracing workforce to respond to COVID-19.

Commentary

This commentary examines the launch of a New Jersey-based Project ECHO initiative to share COVID-19 expertise between specialists and primary care to meet the needs of pregnant and parenting women during the crisis.

Commentary

This commentary provides an overview of the state of COVID-19 testing in the United States.

Commentary

This commentary revisits the history of certificate-of-need and state health planning efforts to inform future decisions as hospitals and state policymakers plan for a post-COVID-19 health care system.

Commentary

This commentary presents stories of innovative approaches to address food insecurity needs exacerbated by the COVID-19 pandemic.

Commentary

This commentary presents data on how the COVID-19 pandemic is affecting “deaths of despair” caused by suicides, alcohol abuse, and overdoses from opioids and other drugs. 

Journal Article

This journal article focuses on how state-level Medicaid program flexibility and emergency waivers can expand Medicaid financial eligibility for long-term supports and services for at-risk individuals.

Commentary

This commentary provides a snapshot of how states are navigating fiscal challenges of the COVID-19 pandemic, given declining revenues and rising spending demands.

Report

This report examines insurer responses to the COVID-19 pandemic to assess the effect the pandemic has had on their companies as well as actions they have taken to aid in the pandemic response.

Dataset

This dataset examines projected changes in federal and state Medicaid and CHIP expenditures for scenarios during the COVID-19 pandemic.

Commentary

This commentary examines the importance of home visiting during the COVID-19 pandemic, as families face new or expanding challenges like domestic violence, substance use, or mental health needs.

Commentary

This commentary assesses how insurers are developing their 2021 premium rates by reviewing preliminary actuarial findings in the District of Columbia, New York, Oregon, Vermont, and Washington.

Commentary

This commentary discusses how some states are bolstering their community health workforces to curb COVID-19 and improve the quality of care delivered to communities that have faced decades of discrimination.

Commentary

This commentary examines how states are developing COVID-19 testing programs without clear federal guidance.

Commentary

This commentary provides an overview of new federal guidance that attempts to answer questions about requirements for coverage of COVID-19 testing services.

Commentary

This commentary features insights from state health agencies and health insurance marketplaces that have actively identified opportunities to conduct outreach in communities disproportionately affected by COVID-19.

Commentary

This commentary provides interactive maps that explore the status of the 50 states' and District of Columbia’s reporting of COVID-19 case and death data breakdowns by demographic categories. 

Commentary

This commentary, part of the Innovations Amid COVID-19 series, profiles a clinic's innovative approach to using online data to identify high-risk patients.

Commentary

This commentary discusses how job losses and reductions in hours have resulted in millions losing employer coverage or the income needed to pay premiums, increasing the uninsured rate.

Commentary

This commentary provides a summary of state efforts to capture information on the coronavirus pandemic through state and local surveys fielded between March 2020 and May 2020.

Brief

This toolkit is intended to serve as a resource for states as they begin to strategize about reopening and plan for the next phase of the COVID-19 pandemic.

Brief

This brief provides a chart describing the effective dates of various federal provisions to allow for temporary flexibilities in the Medicaid and Children's Health Insurance Program programs.

Brief

This brief provides an overview of New Hampshire’s recent directed payment to six types of essential Medicaid providers in order to help them keep their doors open during the COVID-19 pandemic.

Commentary

This commentary outlines three key policy steps to help health centers survive in the short term and thrive beyond the COVID-19 crisis.

Webinar & Presentations

In this webinar, experts reviewed the current telehealth policy landscape and considerations for states as they design their post-apex telehealth policies.

Commentary

This chart describes each governor’s stay-at-home order, penalties for noncompliance, and dates when governors plan to reopen their economies and resume non-essential procedures.

Commentary

This commentary compiles thoughts from navigators across five states using the federally-facilitated marketplace about how they are faring during the COVID-19 pandemic.

Commentary

Destination: Home leadership discuss their county’s initial response to COVID-19 and their organization’s role in providing care and services for homeless individuals during the pandemic. 

Commentary

This commentary shows how every state and Washington, D.C. are innovating and expanding contact tracing to contain COVID-19 infections and reopen their economies. 

Commentary

This commentary examines the relief funds in the CARES and PPP Acts intended to help providers prevent, prepare for, and respond to COVID-19.

Dataset

This guide compiles more than 100 resources tracking state and local data and policy responses to COVID-19 in health care, food, housing, and income supports.

Webinar & Presentations

This webinar presented results from a financial model examining the Medicaid fiscal implications of the interaction between the COVID-19 pandemic, the emerging economic downturn, and recent policy changes.

Commentary

This commentary outlines challenges facing family caregivers in the COVID-19 environment and new opportunities for states to come to their aid.

Commentary

This commentary explains how, due to the loss of employer-sponsored insurance from the economic fallout of COVID-19, states may continue to see an increase in Medicaid enrollment.

Commentary

This commentary provides an overview of CMS relief guidance and flexibility to state hospitals, facilities, and providers on reporting measures for value-based purchasing and quality reporting programs.

Commentary

This commentary provides a survey of actions that state and local governments have taken to intentionally incorporate equity into their COVID-19 recovery and reopening policies. 

Commentary

This commentary provides state and local leaders with health equity principles that can serve as a compass to point leaders toward an equitable and lasting COVID-19 recovery. 

Commentary

This commentary assesses how the COVID-19 pandemic may accelerate a shift away from fee-for-service payments models in health care.

Report

This report shows how the additional levels of unemployment insurance provided through the Federal Pandemic Unemployment Compensation program affects eligibility for subsidized coverage in expansion and nonexpansion states.

Report

This report assesses how the pandemic is affecting family employment and caregiving, financial decisions, and material hardship among parents living with children under age 19.

Webinar & Presentations

This webinar reviews potential information technology (IT) investments in responding to COVID-19 and strategies for states to support these investments to secure current and potential IT investments that enable ongoing Medicaid program operations and advance health information exchange.

Report

This report outlines potential IT investments in responding to COVID-19 and strategies for states to support these investments, and to secure current and future IT investments that enable ongoing Medicaid program operations and advance health information exchange.

Commentary

This commentary examines strategies that successfully drove enrollment in state-based marketplaces during the COVID-19 pandemic.

Commentary

This commentary identifies actions federal and state policymakers have taken to address the impact of COVID-19 on their managed care performance incentive programs.

Commentary

In this podcast episode, Ed O’Neil, PhD, MPA, a leadership development expert, speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors, about strategies Medicaid leaders can use to continue developing their staff at a distance.

Commentary

This commentary provides an overview of strategies that states can consider to help address gaps in coverage to ensure as many people as possible get access to comprehensive care as the country continues to respond and recover from the COVID-19 health and economic crisis.

Webinar & Presentations

This webinar discussed the models that have been published of where individuals are expected to gain Medicaid and Marketplace coverage over the next 18 months.

Commentary, Dataset

This commentary looks at which states are regularly reporting data that helps shed light on the health equity issues of the COVID-19 crisis.

Commentary

This commentary argues states can begin to foster a more equitable and just COVID-19 response, relief, and recovery effort by employing a few key guidelines. Asking a series of core questions and immediately responding with appropriate action can strengthen initial responses and lay the foundation for broader reforms to advance health equity.

Brief

This brief estimates that in the four weeks leading up to April 11, 2020, as many as 18.4 million individuals in the United States may be at risk of losing their employer-sponsored health insurance (ESI) coverage, including policyholders and their dependents.

Commentary, Dataset

This chart describes each governor’s stay-at-home order, penalties for noncompliance, and the dates when governors plan to reopen their economies and resume non-essential, medical, surgical, and dental procedures.

Commentary

States can use or revise this downloadable template to capture how much in federal coronavirus relief funds each hospital has received to date to guide states’ future CARES Act.

Graphic

This infographic highlights what states need to consider when providing pregnancy-related services to Medicaid enrollees through telehealth during the pandemic.

Report

This report focuses on the impact of the COVID-19 pandemic on family employment, financial security, and material hardship among non elderly Hispanic adults by family citizenship status.

Report

This report estimates how health insurance coverage could change as millions of workers lose their jobs because of the slowdown in economic activity resulting from public health efforts to reduce the spread of the coronavirus. 

Webinar & Presentations

This webinar reported on how states are tracking the disproportionate impact of the disease on vulnerable populations and provided a framework for states to examine their COVID-19 response efforts to yield better outcomes for such populations. 

Report

This toolkit provides an overview for states of various coverage pathways for individuals, including those who are uninsured, in need of COVID-19 testing and treatment.

Commentary

This expert perspective looks in depth at states that are regularly reporting COVID-19 health equity data.

Webinar & Presentations

In this webinar, experts from Manatt Health and Georgetown University’s Center on Health Insurance Reforms summarize recent federal legislation and guidance related to COVID-19.

Brief

This document provides examples of potential Medicaid messaging states can use during the COVID-19 pandemic.

Webinar & Presentations

In this webinar, experts review strategies states can use to manage and process an increased number of Medicaid applications, and the federal authorities that permit states to do so.

Report

This report uses new data from the Urban Institute’s Health Reform Monitoring Survey to examine the effects of the coronavirus outbreak on families’ employment and abilities to meet basic needs, as well as disparities in the economic impact of the pandemic.

Commentary

This commentary discusses the unique risk for COVID-19 associated with homelessness.

Commentary

This commentary discusses the huge rise in the number of people without health insurance in the wake of mass layoffs resulting from the COVID-19 pandemic and are seeking strategies to protect them from high prescription drug prices.

Commentary

This commentary discusses the steps states are taking during the COVID-19 pandemic to protect pregnant women and their infants during delivery.

Dataset

This chart details recent state actions affecting health insurance in response to COVID-19.

Commentary

This commentary discusses the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) and the potential eligibility challenges it creates for both individuals and states.

Commentary

This commentary discusses the states that have rapidly amended their Medicaid home- and community-based services for older adults and their family caregivers to ensure access to long-term services and supports during the COVID-19 crisis.

Commentary

This commentary discusses the 1115 waiver applications submitted by states that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic.

Commentary

This commentary discusses state employee health plans (SEHPs) and the rapid changes they are making to address the COVID-19 pandemic.

Commentary

This commentary highlights the critical need for PPE and infection control expertise at nursing homes.

Dataset

This chart details the amounts and required oversight of federal funds allocated to hospitals, providers, and states by three federal COVID-19 laws.

Commentary

This commentary discusses the need for states to be sound stewards of taxpayer dollars and why the need to do so now is particularly acute as states confront financial landscapes devastated by the pandemic.

Brief

This brief provides an overview of Children Health Insurance Program (CHIP) Health Services Initiatives (HSIs) and identifies ways that states can leverage them as part of their targeted response to the COVID-19 pandemic.

TOPICS
Brief

This Q&A responds to questions received regarding the April 9 Targeted Options for Increasing Medicaid Payments to Providers During COVID-19 Crisis Webinar and corresponding Toolkit.

Brief

This brief addresses how Medicaid Managed Care Organizations (MCOs) and states can individually and collectively play a role in responding to the COVID-19 pandemic.

Dataset

This data set tracks which states are reporting case and mortality data by race and ethnicity data on a state, zip code, or community level.

Report

In this report, researchers estimate the fiscal impacts of several approaches for increasing federal Medicaid matching rates, providing state-level estimates for each approach.

Report

This report estimates the extent to which workers in industries most vulnerable to pandemic-related unemployment and their family members would be eligible for Medicaid, the Children’s Health Insurance Program, or marketplace subsidies if workers lose their jobs.

Brief

This brief discusses the new established guidelines regarding placing COVID-19 related ads on social platforms.

Commentary

This commentary discusses the use of Telemedicine during the COVID-19 pandemic. It summarizes the federal legislation and guidance and discusses actions state departments of insurance can take to encourage greater access to telehealth services.

Webinar & Presentations

This webinar highlights funding opportunities and key provisions relevant to states included in the CARES Act. 

Commentary

This commentary discusses details of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) signed into law on March 27, 2020. It considers the policy implications and challenges for states, and discusses potential state measures to address these challenges.

Brief

This Q&A provides a moment-in-time update in response to questions about the federal government’s response to the COVID-19 pandemic.

Webinar & Presentations

This webinar discuses the impact of COVID-19 on Medicaid Managed Care Performance Incentives.

Commentary

This commentary looks in-depth at which states are regularly reporting data that helps shed light on the health equity issues of the COVID-19 crisis.

Commentary

This commentary examines state strategies for addressing barriers to telehealth for opioid use disorder during the COVID-19 pandemic.

Commentary

This commentary examines state strategies to promote health insurance enrollment to protect consumers from potentially exorbitant medical bills during the COVID-19 pandemic.

Commentary

This commentary highlights the promise and challenge of telehealth tools, including unconventional uses of telehealth technology, scalability of interventions, the effect of patient preferences on behavior adoption, and the effect of patient demographics on adoption. 

Commentary

This commentary examines how Connecticut became one of the first states to put guardrails in place to guide how hospitals will use federal relief funds from the CARES Act.

Commentary

This commentary includes a list of the unique special enrollment periods (SEPs) available in state-based marketplaces, including life-changing events, unexpected health plan changes, or enrollment in dental coverage.

Commentary

This commentary includes some of the options available to states to ensure that individuals with complex medical conditions and their families have access to necessary home- and community-based services during the coronavirus (COVID-19) crisis through waiver and state plan amendment applications.

Commentary

This commentary includes examples of how states can address new needs, including housing, food, transportation, education, and employment, and how the CARES Act can support and amplify states' work to help stop the spread of COVID-19 and assist people with health-related social needs.

Commentary

This commentary discusses new federal and state laws that are making significant steps to eliminate consumer cost-sharing for coronavirus (COVID-19) testing, diagnosis, and prevention.

Commentary

This commentary discusses the Coronavirus Aid, Relief and Economic Security Act (CARES) and how policymakers can make informed decisions about how best to target these resources.

Commentary

This commentary features recommended communication strategies and examples for how states can elevate coverage options and help ensure that more residents can access health insurance during these uncertain times.

Commentary

This commentary reviews the key indicators currently being tracked by states via their COVID-19 dashboards and also provides an overview of “best practices” states can consider when developing or modifying these same COVID-19 dashboards.

Brief

This brief includes communication examples to help states answer questions on how health insurance covers COVID-related testing and treatment, encourage consumers to enroll in coverage, and engage with providers to keep them informed.

Report, Webinar & Presentations

This webinar walks through tools states can use to increase payments to providers through both fee-for-service and Medicaid managed care, despite COVID-19 driven changes to utilization. An accompanying toolkit is included that identifies the immediately available tools for states.

Commentary

This commentary discusses how states are mobilizing to meet the crushing health care demands resulting from the COVID-19 pandemic.

Commentary

This commentary discusses what states are doing as coronavirus hospitalizations and ICU bed demand surge across the country.

Commentary, Dataset

This resource library provides key guidance, reference materials, and tools for states as they try to lessen the impact of COVID-19 on Medicaid populations.

Commentary

This commentary includes a list of state recommendations and restrictions on the dispensing chloroquine and hydoxychloroquine.

Commentary

This perspective discusses strategies state Medicaid and CHIP agencies can pursue as part of their emergency preparedness planning for, and response to, COVID-19.

Brief

This brief provides a template for states to inform residents of health insurance options during the COVID-19 pandemic.

Brief

This brief is a compilation of state marketplace communications examples during the novel coronavirus outbreak.

Brief

This brief is a compilation of communication examples from state departments and agencies during the COVID-19 pandemic.

Webinar & Presentations

In this webinar, experts explore the key health care provisions in the Families First Coronavirus Response Act and the implications for states.

Brief

This brief provides some answers about who is eligible to enroll in coverage as many seek new health coverage, or help paying for coverage, during the novel coronavirus outbreak.

Report

This Special Enrollment Period (SEP) Reference Chart is a tool for those who are helping people enroll in health coverage through a special enrollment period.

Brief

This brief examines the strategies being implemented by states to combat opioid use disorder in the midst of the COVID-19 pandemic.

Brief

This brief examines the Families First Coronavirus Response Act that was signed into law to provide resources to help states address the effects of COVID-19.

Brief

This Q&A examines what the Families First Coronavirus Response Act is doing to help states address the COVID-19 pandemic.

Brief

This brief gives an overview of the multiple actions states are taking toward ensuring accessible coronavirus (COVID-19) testing and cross-agency collaboration. 

Commentary

This commentary reviews key information for states about the recent federal medical assistance percentage (FMAP) increase and conditions states must meet to qualify for it.

Commentary

This commentary explains insurers' moves to extend coverage grace periods during the COVID-19 crisis.

Report

This report examines the kinds of health insurance unemployed workers have and how coverage patterns have shifted under the Affordable Care Act (ACA).

Commentary

The federal government has offered Medicaid waivers to give states flexibility to quickly increase their health care workforces in response to the COVID-19 pandemic.

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