Hospital recommends virtual visits due current Covid spike and rise of RSV

by Matt Sheehan
OSF Healthcare

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As many viruses continue to make the rounds in our communities, it is paramount to monitor your symptoms and know when the right time is to seek medical care in person.

PEORIA - OSF HealthCare hospitals, clinics, and emergency departments across the state continue to see a big influx of people seeking care. The increase in patients in waiting rooms can lead to elevated exposure of germs and viruses, plus longer wait times.

As many viruses continue to make the rounds in our communities, it is paramount to monitor your symptoms and know when the right time is to seek medical care in person. Sarah Overton, the Chief Nursing Officer for OSF Medical Group, Home Care and Employee Health, stresses the importance of virtual care when your symptoms are mild.

“That way we’re not exposing you to anyone in the public and you’re not exposing the health care worker to illness,” Overton says. “Unfortunately, we are seeing an increase in health care worker illness where our nurses and doctors have to stay home because they are being exposed to illness.”

Photo: Andrea Piacquadio/Pexels

Hospitals across the state and in the OSF Ministry network have been seeing a spike in COVID-19 patients. If you suspect you have COVID-19 but your symptoms are mild, take an at-home COVID-19 test.

The federal government has another stockpile of at-home tests that are free to order on COVID.gov. Every household can receive four free rapid tests. Dr. Brian Curtis, Vice President of Clinical Specialty Services with OSF HealthCare, says taking tests at home will help free up space at medical facilities.

“Coming in just to get tested takes up spots for the people that are really sick or are high-risk,” Dr. Curtis says.

“The Emergency Room is reserved for those true emergencies,” Overton adds. “We have patients that have heart attacks and lung issues with their COPD. Additional patients overflowing the Emergency Room takes away precious time from assessing those patients who shouldn’t be exposed to those viruses while being in our waiting rooms.”

But COVID-19 isn’t the only virus making the rounds in our communities right now. Influenza, Respiratory Syncytial Virus (RSV) and others are being seen often as well. So how can we stop the spread of viruses?

· Stay home when you aren’t feeling well.

· Wash your hands and use hand sanitizer regularly.

· Cough or sneeze into your elbow.

· Wipe down high-touch surfaces with disinfectant wipes.

· Don’t share glasses or silverware with others.

· Receive the flu shot.

For treating mild symptoms at home, Dr. Curtis offers some guidance for using over-the-counter options.

“You can take Tylenol or Motrin for fevers and aches. Make sure to drink plenty of fluids and get plenty of rest,” Dr. Curtis says.

Overton says to make sure you read the labels on any over-the-counter medication you buy. If you have any questions, you can ask a retail pharmacist, or send a message through MyChart to your OSF care team.

When is the right time to be seen?

“If you have a super deep cough that’s hanging on for quite a while or have a fever that lasts for several days,” Overton says. “Or if you have high-risk factors and may benefit from some of our medications for COVID, like Paxlovid, which are readily available in our retail pharmacy locations. We also have COVID-19 boosters able to be administered in our primary care offices.”

“There is a medication for influenza, but if you have a mild case, you’ll have more side effects from the medication than you are having from influenza itself. As far as RSV goes, there’s really no treatment for it except for supportive care.”

If you are sick and plan to visit a medical facility, please cover your face with a mask to decrease exposure to the health care workers.

Colds and viruses tend to last one to two weeks. If your symptoms are more serious or linger on much longer than that, reach out to your primary care team and schedule an appointment. You can also consider an in-person or virtual visit to OSF OnCall Urgent Care. A virtual visit is available 24/7.

Covid-19 declaration ends on May 11, testing and treatment coverage costs will be passed on to patients

Alexandra Koch/Pixabay

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Before the PHE ends, people are encouraged to order free COVID-19 tests from the government and get up to date on vaccinations. COVID-19 healthcare costs, insurance coverage, and benefits set to change dramatically.

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by Champaign-Urbana Public Health District

Champaign – On May 11, 2023, the COVID-19 public health emergency (PHE) will officially end, marking a significant milestone in the fight against the pandemic. The declaration of the PHE was initially made on January 31, 2020 to mobilize and coordinate a nationwide response to the COVID-19 outbreak. The state of Illinois followed on March 9, 2020. Since then, Illinois residents could collect additional SNAP benefits, more than 1.4 million children received pandemic EBT (nutrition) support, and Medicaid benefits expanded so residents could access telehealth and additional resources.

Before the PHE ends, people are encouraged to order free COVID-19 tests from the government (four tests per residential address) and get up to date on vaccinations. Individuals can check if they are up to date by visiting https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html and can find where to receive vaccines by visiting vaccines.gov for pharmacy locations or by visiting https://www.c-uphd.org/covid-vaccinations.html. Individuals with healthcare facilities should call their provider’s office for more information or to set up an appointment. Free at-home COVID tests can be ordered at https://special.usps.com/testkits or by calling 1-800-232-0233.

Beginning May 11, coverage for COVID-19 testing will change. The requirement for private insurance companies to cover COVID-19 tests without cost sharing, both over-the-counter (OTC) and laboratory tests, will end and individuals should reach out to their insurance provider for details. The Centers for Disease Control and Prevention (CDC) Increasing Community Access to Testing (ICATT) program will continue no-cost testing for uninsured persons, though there may be a reduction in testing locations after the PHE ends. Individuals can find a no-cost testing location by visiting https://testinglocator.cdc.gov/Search.

From OSF spokesperson Tim Ditman, "The end of the Public Health Emergency declaration means that most waivers enacted during the pandemic which allowed flexibilities in providing and billing for services also end. The main exception is telehealth services for Medicare enrollees. Those waivers have been extended until the end of calendar year 2024, so services and billing for telehealth services for Medicare enrollees will not change. We will be making necessary adjustments in other areas. Find more information at osfhealthcare.org."

SHIELD Illinois testing at the University of Illinois’ Campus Recreation Center East (CRCE) will close on May 26, with the option to relocate to another location until June 30. Additional information will be provided if announced.

Additionally, the CDC has stated there will be reduced reporting of negative laboratory tests for SARS-CoV-2. The change will impact the percent positivity metric used for transmission level reporting. Transmission levels have been used in healthcare settings to determine prevention measures and mitigation strategies. Champaign-Urbana Public Health will continue to report transmission levels for as long as the data is available. The CDC is currently determining how to address healthcare guidance without the use of transmission levels.

The Champaign-Urbana Public Health District would like to remind residents of steps they can take after the PHE ends to protect themselves and the community:

Stay up to date with COVID-19 vaccines and boosters. The FDA has recently authorized the bivalent booster for all doses starting at six months of age, as well as a second bivalent booster for individuals aged 65 and older who have had their primary vaccination series and are at least four months out from a previous bivalent booster shot.

Immunocompromised individuals may receive a single additional dose of a bivalent COVID-19 vaccine at least two months following a dose of a bivalent vaccine. Additional doses may be administered at the discretion of, and at intervals determined by, their healthcare provider. Those who might qualify should reach out to their medical provider for further discussion.

The monovalent Moderna and Pfizer-BioNTech COVID-19 vaccines are no longer authorized for use in the United States.

Alternatives to mRNA vaccines (Novavax or Johnson & Johnson’s Janssen) remain available for individuals who cannot or will not receive an mRNA vaccine.

If a person tests positive for COVID-19 after May 11, they should not delay treatment. Staying home when sick, frequent hand washing, mask-wearing, and social distancing are still the most effective ways to keep COVID-19 transmission low.

Administrator Julie Pryde says, "The public health emergency declaration is ending, but COVID is still out there making people sick and taking lives. Please stay current on vaccinations. If you develop symptoms of COVID, local healthcare providers can test for COVID, influenza, and RSV at the same visit. Determining which virus you have can help get treatment early when it is most effective."

5 things you need to know about "FREE" at home Covid-19 tests

By Damon Darlin, Kaiser Health News

Americans keep hearing that it is important to test frequently for covid-19 at home. But just try to find an “at-home” rapid covid test in a store and at a price that makes frequent tests affordable.

Testing, as well as mask-wearing, is an important measure if the country ever hopes to beat covid, restore normal routines and get the economy running efficiently. To get Americans cheaper tests, the federal government now plans to have insurance companies pay for them.

The Biden administration announced Jan. 10 that every person with private insurance can get full coverage for eight rapid tests a month. You can either get one without any out-of-pocket expense from retail pharmacies that are part of an insurance company’s network or buy it at any store and get reimbursed by the insurer.

Congress said private insurers must cover all covid testing and any associated medical services when it passed the Families First Coronavirus Response Act and the Coronavirus Aid, Relief and Economic Security, or CARES, Act. The have-insurance-pay-for-it solution has been used frequently through the pandemic. Insurance companies have been told to pay for PCR tests, covid treatments and the administration of vaccines. (Taxpayers are paying for the cost of the vaccines themselves.) It appears to be an elegant solution for a politician because it looks free and isn’t using taxpayer money.

1. Are the tests really free?

Well, no. As many an economist will tell you, there ain’t no such thing as a free lunch. Someone has to pick up the tab. Initially, the insurance companies bear the cost. Cynthia Cox, a vice president at KFF who studies the Affordable Care Act and private insurers, said the total bill could amount to billions of dollars. Exactly how much depends on “how easy it is to get them, and how many will be reimbursed,” she said.

2. Will the insurance company just swallow those imposed costs?

If companies draw from the time-tested insurance giants’ playbook, they’ll pass along those costs to customers. “This will put upward pressure on premiums,” said Emily Gee, vice president and coordinator for health policy at the Center for American Progress.

Major insurance companies like Cigna, Anthem, UnitedHealthcare and Aetna did not respond to requests to discuss this issue.

3. If that’s the case, why haven’t I been hit with higher premiums already?

Insurance companies had the chance last year to raise premiums but, mostly, they did not.

Why? Perhaps because insurers have so far made so much money during the pandemic they didn’t need to. For example, the industry’s profits in 2020 increased 41% to $31 billion from $22 billion, according to the National Association of Insurance Commissioners. The NAIC said the industry has continued its “tremendous growth trend” that started before covid emerged. Companies will be reporting 2021 results soon.

The reason behind these profits is clear. You were paying premiums based on projections your insurance company made about how much health care consumers would use that year. Because people stayed home, had fewer accidents, postponed surgeries and, often, avoided going to visit the doctor or the hospital, insurers paid out less. They rebated some of their earnings back to customers, but they pocketed a lot more.

As the companies’ actuaries work on predicting 2023 expenditures, premiums could go up if they foresee more claims and expenses. Paying for millions of rapid tests is something they would include in their calculations.

4. Regardless of my premiums, will the tests cost me money directly?

It’s quite possible. If your insurance company doesn’t have an arrangement with a retailer where you can simply pick up your allotted tests, you’ll have to pay for them — at whatever price the store sets. If that’s the case, you’ll need to fill out a form to request a reimbursement from the insurance company. How many times have you lost receipts or just plain neglected to mail in for rebates on something you bought? A lot, right?

Here’s another thing: The reimbursement is set at $12 per test. If you pay $30 for a test — and that is not unheard of — your insurer is only on the hook for $12. You eat the $18.

And by the way, people on Medicare will have to pay for their tests themselves. People who get their health care covered by Medicaid can obtain free test kits at community centers.

A few free tests are supposed to arrive at every American home via the U.S. Postal Service. And the Biden administration has activated a website where Americans can order free tests from a cache of a billion the federal government ordered.

5. Will this help bring down the costs of at-home tests and make them easier to find?

The free covid tests are unlikely to have much immediate impact on general cost and availability. You will still need to search for them. The federal measures likely will stimulate the demand for tests, which in the short term may make them harder to find.

But the demand, and some government guarantees to manufacturers, may induce test makers to make more of them faster. The increased competition and supply theoretically could bring down the price. There is certainly room for prices to decline since the wholesale cost of the test is between $5 and $7, analysts estimate. "It’s a big step in the right direction," Gee said.

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SNAFUs appear in Biden administration home rapid test rollout

Photo: Jan Kopřiva/Pexels

by Hannah Recht & Victoria Knight

(Kaiser Health News) -- In the past week, the Biden administration launched two programs that aim to get rapid covid tests into the hands of every American. But the design of both efforts disadvantages people who already face the greatest barriers to testing.

From the limit placed on test orders to the languages available on websites, the programs stand to leave out many people who don’t speak English or don’t have internet access, as well as those who live in multifamily households. All these barriers are more common for non-white Americans, who have also been hit hardest by covid. The White House told KHN it will address these problems but did not give specifics.

It launched a federally run website on Jan. 18 where people can order free tests sent directly to their homes. But there is a four-test limit per household. Many homes could quickly exceed their allotments — more than a third of Hispanic Americans plus about a quarter of Asian and Black Americans live in households with at least five residents, according to an analysis of Census Bureau data by KFF. Only 17% of white Americans live in these larger groups.

"There are challenges that they have to work on for sure," said Dr. Georges Benjamin, executive director of the American Public Health Association.

Also, as of Jan. 15, the federal government requires private insurers to reimburse consumers who purchase rapid tests.

When the federal website — with orders fulfilled and shipped through the United States Postal Service — went live this week, the first wave of sign-ups exposed serious issues.

Some people who live in multifamily residences, such as condos, dorms, and houses sectioned off into apartments, reported on social media that if one resident had already ordered tests to their address, the website didn’t allow for a second person to place an order.

"They’re going to have to figure out how to resolve it when you have multiple families living in the same dwelling and each member of the family needs at least one test. I don’t know the answer to that yet," Benjamin said.

USPS spokesperson David Partenheimer said that while this seems to be a problem for only a small share of orders, people who encounter the issue should file a service request or contact the help desk at 1-800-ASK-USPS.

A White House official said 20% of shipments will be directed every day to people who live in vulnerable ZIP codes, as determined by the Centers for Disease Control and Prevention’s social vulnerability index, which identifies communities most in need of resources.

Another potential obstacle: Currently, only those with access to the internet can order the free rapid tests directly to their homes. Although some people can access the website on smartphones, the online-only access could still exclude millions of Americans: 27% of Native American households and 20% of Black households don’t have an internet subscription, according to a KHN analysis of Census Bureau data.

The federal website is currently available only in English, Spanish, and Chinese.

According to the White House, a phone line is also being launched to ease these types of issues. An aide said it is expected to be up and running by Jan. 21. But details are pending about the hours it will operate and whether translators will be available for people who don’t speak English.

However, the website is reaching one group left behind in the initial vaccine rollout: blind and low-vision Americans who use screen-reading technology. Jared Smith, associate director of WebAIM, a nonprofit web accessibility organization, said the federal site "is very accessible. I see only a very few minor nitpicky things I might tweak."

The Biden administration emphasized that people have options beyond the rapid-testing website. There are free federal testing locations, for instance, as well as testing capacity at homeless shelters and other congregate settings.

Many Americans with private health plans could get help with the cost of tests from the Biden administration reimbursement directive. In the days since its unveiling, insurers said they have moved quickly to implement the federal requirements. But the new systems have proved difficult to navigate.

Consumers can obtain rapid tests — up to eight a month are covered — at retail stores and pharmacies. If the store is part of their health plan’s rapid-test network, the test is free. If not, they can buy it and seek reimbursement.

The program does not cover the 61 million beneficiaries who get health care through Medicare, or the estimated 31 million people who are uninsured. Medicaid and the Children’s Health Insurance Program are required to cover at-home rapid tests, but rules for those programs vary by state.

And the steps involved are complicated.

First, consumers must figure out which retailers are partnering with their health plans and then pick up the tests at the pharmacy counter. As of Jan. 19, however, only a few insurance companies had set up that direct-purchase option — and nearly all the major participating pharmacies were sold out of eligible rapid tests.

Instead, Americans are left to track down and buy rapid tests on their own and then send receipts to their insurance providers.

Many of the country’s largest insurance companies provide paper forms that customers must print, fill out, and mail along with a receipt and copy of the box’s product code. Only a few, including UnitedHealthcare and Anthem, have online submission options. Highmark, one of the largest Blue Cross and Blue Shield affiliates, for instance, has 16-step instructions for its online submission process that involves printing out a PDF form, signing it, and scanning and uploading it to its portal.

Nearly 1 in 4 households don’t own a desktop or laptop computer, according to the Census Bureau. Half of U.S. households where no adults speak English don’t have computers.

A KHN reporter checked the websites of several top private insurers and didn’t find information from any of them on alternatives for customers who don’t have computers, don’t speak English, or are unable to access the forms due to disabilities.

UnitedHealthcare and CareFirst spokespeople said that members can call their customer service lines for help with translation or submitting receipts. Several other major insurance companies did not respond to questions.

Once people make it through the submission process, the waiting begins. A month or more after a claim is processed, most insurers send a check in the mail covering the costs.

And that leads to another wrinkle. Not everyone can easily deposit a check. About 1 in 7 Black and 1 in 8 Hispanic households don’t have checking or savings accounts, compared with 1 in 40 white households, according to a federal report. Disabled Americans are also especially likely to be "unbanked." They would have to pay high fees at check-cashing shops to claim their money.

"It’s critically important that we are getting testing out, but there are limitations with this program," said Dr. Utibe Essein, an assistant professor of medicine at the University of Pittsburgh School of Medicine. "These challenges around getting tests to individuals with language barriers or who are homeless are sadly the same drivers of disparities that we see with other health conditions."

KHN Midwest correspondent Lauren Weber contributed to this report.

KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues. Together with Policy Analysis and Polling, KHN is one of the three major operating programs at KFF (Kaiser Family Foundation). KFF is an endowed nonprofit organization providing information on health issues to the nation.

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