The Duke-Margolis Center for Health Policy Responds to the COVID-19 Crisis
The Duke-Margolis Center, faculty and researchers from Duke University and Duke Health System, and leaders from across the health care and health policy landscape are actively working together to advance recommendations for collectively addressing the COVID-19 pandemic. The Center will be releasing new working papers, holding informational webinars, and centralizing useful resources for the policy community in the coming days and weeks. These resources will be centralized here and updated regularly. A summary of Duke-Margolis COVID-19 response efforts is available here.
COVID-19 Working Papers
The Center is writing a series of working policy papers in conjunction with national experts, which will be updated as new recommendations are formulated. The first paper, which recommended formation of Federal task forces to coordinate diagnostic and pharmaceutical development, can be found here. Additional working papers with more detailed recommendations for near-term actions have been released:
Additional papers are immediately forthcoming.
COVID-19 Blog Posts
Duke-Margolis authors found that the COVID-19 pandemic will have a significant negative financial impact on Accountable Care Organizations (ACOs) due to changes in utilization and expenditures but ACOs must be stabilized due to their ability to respond to pandemics. The first of a two-part series, the blog examines the financial impacts of COVID-19 on the nation’s largest payment reform program and potential policy implications.
A new blog from Duke-Margolis authors recommends that payers should support, reassure, and promise committed partnership to Accountable Care Organizations (ACOs) to avoid their exit from the program. Second in a two-part series, the blog explores ways for the Centers for Medicare and Medicaid Services (CMS) and private payers to support their ACOs by providing certain communications, clarifying and enhancing telehealth options, and invoking additional 1135 wavier powers beyond what has been used to-date.
- As the Center releases new policy recommendations, and as more progress is made in the response to the pandemic, a series of webinars will shed light on remaining challenges and promote potential solutions. The first webinar focused on diagnostic testing capabilities was held on March 31 and can be viewed here.
- NEW: On Monday, April 20, Duke-Margolis and the Alexandria Summit hosted a webinar for more than 800 attendees on developing a therapeutic response to COVID-19, with Former FDA Commissioner Scott Gottlieb, NIH Director Francis Collins, and FDA Principal Deputy Commissioner Amy Abernethy. View the webinar here.
State COVID-19 Recovery
- Duke-Margolis Director Mark McClellan, together with Los Angeles Mayor Eric Garcetti and Oklahoma City Mayor David Holt, outline a path forward for cities to reopen.
Reopening North Carolina
- NEW: North Carolina’s early start in addressing COVID-19 aggressively is paying off. Instituting policies to increase social distancing have likely helped the state avoid a more dire outlook that was possible had the state chosen a different path. However, COVID-19 remains a serious threat to North Carolina. Read more about the work of Core Faculty Member Aaron McKethan, Duke-Margolis researcher Hilary Campbell, and their colleagues at UNC-Chapel Hill and RTI International here.
- Mark McClellan, Duke-Margolis Director, Dale Jenkins, former chair of the N.C. Chamber of Commerce and CEO of Curi, and Dave King, executive chairman of the board and former CEO of LabCorp, wrote an opinion piece on reopening North Carolina, published by WRAL-North Carolina on Thursday, April 16, 2020. Watch Dr. McClellan here.
- To make this happen, we all need to work together to reopen our state prudently and safely, recognizing that regional differences exist and that some activities should come back faster than others. With the threat of the virus continuing, simply setting an arbitrary date is not a wise basis for successful reopening. Instead, the focus should be on achieving some key milestones for protecting North Carolina as quickly as possible.
Contribute Your Solutions
The Center strives to be collaborative in all aspects of its work, and welcomes expertise and guidance on these rapidly evolving issues. Please reach out to us with additional suggestions for resources and effective policies at [email protected] – we welcome your input.
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