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Scorecard on state health system performance: 2020
Scorecard on state health system performance: 2020
- Collection:
- Health Policy and Services Research
- Author(s):
- Radley, David C., author
Collins, Sara R., author
Baumgartner, Jesse C., author - Contributor(s):
- Commonwealth Fund, issuing body.
- Publication:
- [New York, New York] : The Commonwealth Fund, September 2020
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Delivery of Health Care -- statistics & numerical data
Insurance Coverage -- statistics & numerical data
State Government
United States - Genre(s):
- Technical Report
- Abstract:
- The COVID-19 pandemic has disrupted health care around the globe. In the United States, where it has claimed the lives of more than 185,000 people, health systems in every state have been stretched--in some cases severely. The novel coronavirus has exposed and exacerbated existing weaknesses that have long been the focus of the Commonwealth Fund's Scorecard on State Health System Performance. First, because most Americans get their health insurance through an employer, recent job losses have widened coverage gaps that existed prior to the crisis. The Urban Institute projects that 10 million people will lose their employer coverage by year's end, leaving 3.5 million uninsured. The loss of job-based coverage has also brought into sharp relief the impact of states' decisions not to expand Medicaid eligibility for low-income residents; 12 states have yet to expand their programs as allowed under the Affordable Care Act (ACA). Second, Black, Latino, and other communities of color, already more likely to be uninsured, have been disproportionally burdened by COVID-19 and the related economic fallout. Systemic racial and ethnic inequities in health care access and quality have contributed to higher hospitalization and mortality rates from COVID-19 among Black, Latino, American Indian, and Alaska Native individuals, among others. Third, the pandemic has exposed the vulnerability of health providers reliant on the fee-for-service payment system. Many are facing steep revenue losses and the threat of closure as social-distancing restrictions, fear, and a nose-diving economy have driven down both the supply and demand for routine and elective care. Finally, the country faces many unanswered questions on the extent to which COVID-19 and the ongoing economic fallout will contribute to suicides, deaths from alcohol and substance use, and further erosion of Americans' life expectancy.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (56 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101773114 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101773114