San Diego Union-Tribune (Sunday)

INSURER SHIPS KITS TO MEDICARE RECIPIENTS TO HELP COMBAT THE FLU

Antiviral medication, coronaviru­s test included in kit

- THE NEW YORK TIMES

With COVID-19 hospitaliz­ations spiking again in many parts of the country, public health officials have expressed concerns about a perennial source of strain on the health care system: seasonal flu. As threats of a “twindemic” loom, health care workers have stressed the need for vaccinatio­n and other preventive measures to slow the spread of flu.

One insurance company is going further to try to mitigate the effects of flu season: Unitedheal­thcare, the country’s largest health insurance company, plans to provide at-risk patients with 200,000 kits that include Tamiflu, a prescripti­on antiviral treatment; a digital thermomete­r; and a coronaviru­s PCR diagnostic test. People can take the test at home and then mail it in for laboratory analysis, helping patients and doctors determine the cause of their symptoms, which is particular­ly important because the coronaviru­s and f lu have similar symptoms but differ in treatment.

“These viruses have proven themselves highly capable of putting strain on our health care system alone,” said Dr. Kelly Moore, an associate director of the Immunizati­on Action Coalition. “Their combined impact is really worrisome.”

In late September, Unitedheal­thcare began inviting its Medicare Advantage members to sign up for the kits either online or by phone, starting with a focus on those at highest risk of complicati­ons from COVID-19 and the flu based on their age and health status. Since then, 120,000 people have enrolled, and the company has begun shipping the kits. The company has more than 5 million Medicare Advantage members.

The company said supplying people with Tamiflu in advance could help to mitigate the severity of flu infections because the antiviral medication gets less effective with every hour that passes from onset of symptoms and is virtually ineffectiv­e after 48 hours. Tamiflu on average shortens the duration of illness by one to two days if taken rapidly, according to Moore. It can also help prevent illness in someone at high risk of complicati­ons who has been exposed to the flu, but is not routinely recommende­d for preventive use in most population­s.

Unitedheal­thcare’s initiative targeted Medicare patients because the elderly are more at risk of severe infection from both the coronaviru­s and the flu.

There is no charge for the Tamiflu or the coronaviru­s test, as long as people receive advice from a doctor via telemedici­ne. A company spokespers­on said that the kits could produce savings by reducing hospitaliz­ations through preventive care.

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