CALL AND RESPONSE — Health care executives and IT pros are pleading with the Biden administration and Congress to play a more forceful role in responding to the ongoing outage at medical billing giant Change Healthcare. They may soon have reason to breathe a sigh of relief. – The NSC view: As your MC host reported last night, the National Security Council has been convening daily calls at the deputy's level to explore how to provide rapid relief to cash-strapped health care organizations struggling to process insurance claims since Change responded to a Feb. 21 hack by taking its systems offline. “This cashflow issue has been at the forefront since the beginning of last week for us,” said a senior administration official, granted anonymity due to the ongoing nature of the talks. – The deets: The funding options under discussion would not require support from Congress, the official said. They include tapping existing authorities at the Health and Human Services Department, the VA, and the Center for Medicare and Medicaid Services. NSC is also pushing insurance giant UnitedHealth Group, which owns Change, to provide more transparency about when it can bring its systems back up, per the individual. And the Biden administration is also continually reassessing whether to declare the hack a “significant cyber incident” — a rarely used designation that would trigger a special crisis management playbook. – The view from UnitedHealth: Tyler Mason, a spokesperson for UnitedHealth, said the firm is working around the clock to restore its systems. He also pointed to a new no-interest loan program unveiled for impacted customers on Friday, though only certain firms are eligible for it. – The view from the sector: Prior to reporting on the NSC’s deliberations, MC spoke with 11 individuals working at or with U.S. hospitals and health care organizations affected by the incident. To a tee, they voiced deep anxiety about the mounting financial pressure stemming from the outage — and disappointment at a perceived lack of attention in D.C. “I've moved from anxiety to being mad that it's not becoming a bigger concern,” Carter Groome, CEO of First Health Advisory, a health care-focused digital consultancy, told MC Friday. – Not out of the woods: While news of the NSC deliberations is sure to allay some of those concerns, the agency hasn’t acted yet. And with the recent exception of Senate Majority Leader Chuck Schumer, Congress remains largely aloof amid the mounting cash crunch. One U.S. health care professional said that while their hospital system doesn’t even use Change, it still failed to collect 13 percent of its net cash flow last week due to the outage. The individual, who was not authorized to discuss the figures publicly, explained that some insurance providers rely exclusively on Change. “This is a bigger deal financially than Covid,” said James Lineberger, executive director of Anesthesia Associates of Boise, Idaho, a 35-physician practice that uses Change but is not eligible for United’s loan program.
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