For Payers, Health System Leaders & Policymakers
The onset of COVID-19 disrupted the existing insurance and health systems industries at national and state levels. How can we best support COVID-19 patients—and now, Long COVID patients—whose symptoms may persist for unknown lengths of time?
Patients have reported being denied claims for symptom treatments that do not fall under “medical necessity.” Purchasing life insurance while navigating Long COVID symptoms may also increase the price of coverage. These unknowns contribute to financial anxiety faced by patients. Payer and clinician groups are also navigating new and sometimes experimental combinations of treatment and how to pay for them.
On this page, we provide payers, health system leaders and policy makers with the latest information about the impacts of Long COVID on both private and public health insurance, and the patients who access them. We’ll dive into the latest in healthcare policies around Long COVID and hear from the experts about where change is being implemented.
Resources for Payers, Health System Leaders & Policymakers
By Tamsin Zandstra
This piece has been informed by an interview with David Cutler, Otto Eckstein Professor of Applied Economics at Harvard University.
Recently we posted an article about how Long Covid affects employees and employers. As issues around Long Covid and the workforce continuously emerge, we plan to provide updates to keep the community in the know about the latest data and conversations on this topic. In this post we’ve provide a brief review of recent studies estimating the impact on the labor shortage.
By Tamsin Zandstra
As more research becomes available on COVID-19 and Long COVID it is evident that there is a gap in understanding on the implications for the older adult population, defined by Medicare as individuals over the age of 65.
Brandon Marshall, PhD, is a Professor of Epidemiology at the Brown University School of Public Health, and the Founding Director of the People, Place and Health Collective (PPHC) at Brown University.
As awareness about Long COVID increases, lawmakers are beginning to propose legislation to increase funding for research and resources for Long COVID. Here are a few examples of recent legislation that has been introduced.
This blog post has been updated to include two reports from August 2022.
On May 24th, Annals of Internal Medicine published a widely debated study on Post-Acute Sequelae of COVID-19 (PASC). This study, sponsored by the RECOVER COVID Initiative, enrolled 189 people with lab-confirmed COVID and compared them with 120 controls, people never infected with COVID. This study demonstrated that persistent symptoms after COVID were common, but that abnormal findings on physical examination or diagnostic testing were uncommon. Another key finding of this study was that women and those with a history of anxiety were at increased risk for PASC. However, these headlines do not tell the whole story and, in fact, may serve to frustrate many Long COVID patients.
Workers’ compensation provides medical and monetary benefits for a percentage of lost wages to employees who become sick or injured on the job. The details and regulations vary widely between states; however, workers must typically prove their injury or illness occurred during the course of their employment. For certain illnesses, including COVID-19, this can be particularly challenging.
A new term – medium COVID – has emerged that may add further nuance to Long COVID diagnoses. As the pandemic has progressed, scientists have realized that Long COVID, which was developed in the early stages of the pandemic to broadly encompass the experience of lingering COVID symptoms past the point of what could be considered the acute infection, may be a more complicated diagnosis than originally expected.
Although children often have less severe Covid-19 infections and Long Covid appears to be less common in children, Long Covid can affect any person infected with Covid-19, regardless of age. Long Covid research studying the impact in children and adolescents is still limited. We previously posted an article summarizing research about Long Covid among children. This article provides an update of recent literature on the topic.
New research out of the UK suggests that “COVID-19 vaccination is associated with reduced risk of Long Covid.”
An Analysis of Private Healthcare Claims Using the Official ICD 10 Diagnostic Code (May 2022)
COVID-19 and Workers’ Compensation- Considerations for Policymakers
New ICD-10 code approved for Long Covid- Guidelines for Coding & Reporting
Comprehensive List of how Insurance Providers are Responding to Coronavirus
COVID-19 Telehealth Coverage Policies
Marketplace coverage & Coronavirus
Health Insurance Provider Actions Concerning the COVID-19 Vaccines
Coronavirus Aid, Relief, and Economic Security Act (CARES Act)