Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CA:  DHCS accepting public comments regarding CalAIM waiver proposal CO:  Budget committee seeks to fund more developmental disability waiver slots MO:  State to implement new outpatient payment policy OH:  Announces new MCOs NJ:   State publishes request for applications for PACE Click to read more.

Recent Developments in Neurology

Recent developments in neurology include E&M reform, mixed FFS reimbursement trends, and a change in the role of neurologists inside health plans, as prevelance and overall cost of neurological conditions increases. Click to read more.

CMS Proposes FY22 SNF and Hospice Rules

CMS has proposed Medicare policy updates for skilled nursing facilities (SNFs) in fiscal year 2022. The rule proposes a +1.3% payment increase, with minimal policy changes. Click to read more. CMS has proposed Medicare policy updates for hospices in fiscal year 2022. The rule proposes a +2.3% payment increase, with minimal policy changes. Click to read more.

CMS Proposes FY22 IRF and IPF Rules

CMS has proposed Medicare policy updates for inpatient rehabilitation facilities (IRFs) in fiscal year 2022. The rule proposes a +2.2% update and no major policy changes. Click to read more. CMS has proposed Medicare policy updates for inpatient psychiatric facilities (IPFs) in fiscal year 2022. The rule proposes a +2.1% update and no major policy changes. Click to read more.

Study on the Evolving Role of Social Risk Investments in Healthcare

BRG’s managed care survey team recently conducted a new nationwide study revealing challenges in scaling and achieving a quick return on investments in social determinants of health (SDoH) initiatives, but significant longer-term savings from sustained programs, including medical, pharmacy, and economic gains. Health investors looking for opportunities to invest in social service models can help address these limitations with investments in technology, analytics, and infrastructure. Click to read the study.