State of Emergency Preparedness for US Health Insurance Plans

被引：0

作者：

Merchant, Raina M. ^{[1
,3
]}

Finne, Kristen ^{[1
]}

Lardy, Barbara ^{[2
]}

Veselovskiy, German ^{[2
]}

Korba, Casey ^{[2
]}

Margolis, Gregg S. ^{[1
]}

Lurie, Nicole ^{[1
]}

机构：

[1] US Dept HHS, Off Assistant Secretary Preparedness & Response, Washington, DC 20201 USA

[2] Amer Hlth Insurance Plans, Washington, DC USA

[3] Univ Penn, Perelman Sch Med, Philadelphia, PA 19104 USA

来源：

AMERICAN JOURNAL OF MANAGED CARE | 2015年 / 21卷 / 01期

关键词：

PUBLIC-HEALTH; SURGE CAPACITY; LESSONS; VACCINATION; CHALLENGES; KATRINA; IMPACT; SANDY;

D O I：

暂无

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objectives Health insurance plans serve a critical role in public health emergencies, yet little has been published about their collective emergency preparedness practices and policies. We evaluated, on a national scale, the state of health insurance plans' emergency preparedness and policies. Study Design A survey of health insurance plans. Methods We queried members of America's Health Insurance Plans, the national trade association representing the health insurance industry, about issues related to emergency preparedness issues: infrastructure, adaptability, connectedness, and best practices. Results Of 137 health insurance plans queried, 63% responded, representing 190.6 million members and 81% of US plan enrollment. All respondents had emergency plans for business continuity, and most (85%) had infrastructure for emergency teams. Some health plans also have established benchmarks for preparedness (eg, response time). Regarding adaptability, 85% had protocols to extend claim filing time and 71% could temporarily suspend prior medical authorization rules. Regarding connectedness, many plans shared their contingency plans with health officials, but often cited challenges in identifying regulatory agency contacts. Some health insurance plans had specific policies for assisting individuals dependent on durable medical equipment or home healthcare. Many plans (60%) expressed interest in sharing best practices. Conclusions Health insurance plans are prioritizing emergency preparedness. We identified 6 policy modifications that health insurance plans could undertake to potentially improve healthcare system preparedness: establishing metrics and benchmarks for emergency preparedness; identifying disaster-specific policy modifications, enhancing stakeholder connectedness, considering digital strategies to enhance communication, improving support and access for special-needs individuals, and developing regular forums for knowledge exchange about emergency preparedness.

引用

页码：65 / +

页数：14

共 42 条

[11]

CDC, 2010, GUID BUS EMPL PLAN R

[12] The Mississippi Katrina Experience: Applying Lessons Learned to Augment Daily Operations in Disaster Preparation and Management [J].

Darsey, Damon A. ;

Carlton, Frederick B., Jr. ;

Wilson, Jonathan .

SOUTHERN MEDICAL JOURNAL, 2013, 106 (01) :109-112

[13] Using Medicare Data to Identify Individuals Who Are Electricity Dependent to Improve Disaster Preparedness and Response [J].

DeSalvo, Karen ;

Lurie, Nicole ;

Finne, Kristen ;

Worrall, Chris ;

Bogdanov, Alina ;

Dinkler, Ayame ;

Babcock, Sarah ;

Kelman, Jeffrey .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2014, 104 (07) :1160-1164

[14] Alternate site surge capacity in times of public health disaster maintains trauma center and emergency department integrity: Hurricane Katrina [J].

Eastman, Alexander L. ;

Rinnert, Kathy J. ;

Nemeth, Ira R. ;

Fowler, Raymond L. ;

Minei, Joseph P. .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2007, 63 (02) :253-257

[15] Ebola 2014-New Challenges, New Global Response and Responsibility [J].

Frieden, Thomas R. ;

Damon, Inger ;

Bell, Beth P. ;

Kenyon, Thomas ;

Nichol, Stuart .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (13) :1177-1180

[16] Beyond Bushfires: Community, Resilience and Recovery - a longitudinal mixed method study of the medium to long term impacts of bushfires on mental health and social connectedness [J].

Gibbs, Lisa ;

Waters, Elizabeth ;

Bryant, Richard A. ;

Pattison, Philippa ;

Lusher, Dean ;

Harms, Louise ;

Richardson, John ;

MacDougall, Colin ;

Block, Karen ;

Snowdon, Elyse ;

Gallagher, Hugh Colin ;

Sinnott, Vikki ;

Ireton, Greg ;

Forbes, David .

BMC PUBLIC HEALTH, 2013, 13

[17] Hospitalization Rates Among Dialysis Patients During Hurricane Katrina [J].

Howard, David ;

Zhang, Rebecca ;

Huang, Yijian ;

Kutner, Nancy .

PREHOSPITAL AND DISASTER MEDICINE, 2012, 27 (04) :325-329

[18]

Jenkins Jennifer Lee, 2009, Am J Disaster Med, V4, P101

[19] Renal services disaster planning: Lessons learnt from the 2011 Queensland floods and North Queensland cyclone experiences [J].

Johnson, David W. ;

Hayes, Bronwyn ;

Gray, Nicholas A. ;

Hawley, Carmel ;

Hole, Janet ;

Mantha, Murty .

NEPHROLOGY, 2013, 18 (01) :41-46

[20]

Keim Mark E, 2011, Am J Disaster Med, V6, P47

← 1 2 3 4 5 →