Rolling Back Regulations to Fight COVID-19

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April 29, 2020 03:31 AM (GMT-04:00)
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The spread of COVID-19 across the world brought unprecedented challenges to the US healthcare system. The strain on resources, the pressure on frontline workers and the financial risks to provider organizations demanded wide-scale changes take place at a rapid pace. In response, state and federal health regulation roll-backs were announced almost weekly, all with the goal of improving safety and access to care. These roll-backs included:

Reinstating Regulations

While these changes have demonstrated a unified effort to support patients, providers and healthcare industry personnel, for many executives, these measures have also created a number of questions. Some of the most pressing questions for healthcare leaders include:

Will all of the roll-backs be reversed?

This question will not have a clear answer for a long time to come. While some roll-backs are designed to support specific areas of healthcare during this challenging time, other changes to regulations will have long-term impacts. There is reason to believe that measures taken to support the expansion of Telehealth, AI and RPM initiatives will continue to advance as the industry moves forward.

Who will be impacted by the change in regulations?

Each day on the front lines, the roll-backs are having an impact at all levels. Patients, providers, executives and payers are finding new ways to work together and are exploring new care innovations. Once the COVID-19 crisis is contained and the country begins to re-open, there will be opportunities to provide input at the local, state and national levels that will help guide how the roll-backs and the reinstatement of regulations impact the industry.

What date will the roll-backs expire?

At this time, CMS and other regulatory bodies are not offering specific timelines or plans, but rather allowing themselves to remain flexible in this unchartered territory. CMS in particular has stated that it will continue to monitor and review the impact of the pandemic on clinicians, facilities, programs and providers, and will update regulations and guidance as needed.

Preparing a Post-Pandemic Plan

Hospital leadership will have a great deal to contend with in managing new regulations, new IT possibilities and new care practices, as well as opportunities to innovate clinically, financially and operationally. It is becoming clear that a “new normal” will emerge in the post-COVID-19 era; however, it is still unclear what exactly that new normal will look like. Many executives predict that the more costly functions and processes in the healthcare ecosystem will be replaced on a permanent basis by more personal attention and more pre-emptive care, such as remote patient monitoring and digital therapies.

Additionally, many executives believe the push for change within the system will come from patients and their adjusted vision of what care delivery should look like after COVID-19.

The evolution of healthcare and its regulatory environment after the COVID-19 crisis is contained will have ramifications that extend outside the industry as well. With a greater focus on digital adoption and potentially more flexible regulations that support the use of new technologies, nontraditional healthcare players will have the opportunity to build new, creative partnerships within the healthcare industry to support innovation and improvements.

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