Insight

The critical role of health plans during and after COVID-19

Health plans are seeking to address economic, workforce and remote member challenges during the COVID-19 outbreak; for more

Jonathan Baker

Jonathan Baker

Principal, Health & Government Solutions, KPMG US

+1 404-844-9689

As the COVID-19 pandemic tests the resilience of the US healthcare system, health plans are playing a critical role through the expansion of coverage and benefits to meet unprecedented patient needs.  As the outbreak continues to evolve and more US citizens require testing and treatment, it is critical that US health plans are well positioned to react to the surge in medical claims, or risk becoming overwhelmed.  This issue brief seeks to provide guidance on how, faced with COVID-19, health plans can address their own economic viability, workforce changes, and remote member engagement.  For example:

  • Economic viability:  Manage near-term and long-term medical costs to compensate for anticipated fluctuations across buyer groups and markets and balance a near-term decrease in costs followed by an accelerated cost curve after COVID-19 is behind us.
  • Workforce changes:  Support valued employees for long-term retention by actively recognizing their contributions and revising current policies to help them balance work duties, childcare, and personal finances.
  • Remote member engagement:  Leverage member analytics to identify and engage high-risk members and monitor geographies and populations with increased risk of infection.

For more on how health plans can address challenges stemming from the COVID-19 outbreak, please click here.


 

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