Page 39 - 2020 Peel & Holland Benchmarking Survey Results
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WESTERN KENTUCKY EMPL OY EE BENEFIT S
                                                                                                                        BENCHMARKING SURVEY
                                                                     CONTRIBUTION & COST SHARING                         2017





































          Rapid Changes                      that the breakthroughs may not all make   Even more concerning is that hospitals’
                                             the health system work better, or make it  ability to weather the current financial
          to Health System                   less expensive.                     shock varies widely. Those most in
          Spurred by COVID                   HOSPITALS ON THE DECLINE?           danger of closing are in rural and
          Might be Here to Stay              The pandemic also might lead to less   underserved areas, where patients could
                                                                                 wind up with even less access to care
                                             emphasis on hospital-based care. While   that is scarce already.
          The U.S. healthcare system is famously   hospitals in many parts of the country
          resistant to government-imposed    have obviously been full of very sick  All of which underscores the point that
          change. It took decades to create   COVID patients, they have closed down   not all these changes will necessarily be
          Medicare and Medicaid, mostly due to   other nonemergency services to preserve   good for the health system or society.
          opposition from the medical-industrial   supplies and resources to fight the   Financial pressures could end up driving
          complex. Then it was nearly another   pandemic. People with other ailments   more consolidation, which could push up
          half-century before the passage of the   have stayed away in droves even when   prices as large groups of hospitals and
          Affordable Care Act.               services were available, for fear of   doctors gain more bargaining clout.
          But the COVID-19 pandemic has done   catching something worse than what   But the changes are definitely happening
          what no president or social movement   they already have.              at a pace few have ever seen. Said
          or venture capitalist could have dreamed   Many experts predict that care won’t just   Wilensky, “When you’re forced to find
          of: It forced sudden major changes to   snap back when the current emergency   different ways of doing things and
          the nation’s healthcare system that are   wanes. Dr. Mark Smith, former president   you find out they are easier and more
          unlikely to be reversed.           of the California Healthcare Foundation,   efficient, it’s going to be hard to go back
                                                                                 to the old way.”
          “Healthcare is never going back to the   said among consumers, a switch has
          way it was before,” said Gail Wilensky, a   been flipped. “Overnight it seems we’ve   Source: Kaiser Family Foundation | Rapid Changes
          health economist who ran the Medicare   gone from high-touch to no-touch,”   To Health System Spurred By COVID Might Be Here To
                                                                                 Stay | June 8, 2020
          and Medicaid programs for President   which is not great for hospitals that
          George H.W. Bush in the early 1990s.  have spent millions trying to attract
                                             patients to their labor-and-delivery
          Wilensky is far from the only longtime   units, orthopedic centers and other parts
          observer of the American healthcare   of the facility that once generated lots of
          system to marvel at the speed of some   income.
          long-sought changes. But experts warn



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