CY 2024 Proposed ESRD Rule

Jul 25, 2023 | ESRD, Medicare

CY 2024 Proposed ESRD Rule: The proposed rule would increase base rates by +1.7% and would result in a +1.6% increase in payments. Click here to read more. 

Managed Care Friday

Jul 21, 2023 | Managed Care Friday

740,000: Number of New Yorkers with medical debt on their credit reports as of February 2022 – that's 6% of all residents in the Empire state. A report by the Urban Institute found that NY communities with the highest prevalence of medical debt also faced additional challenges in accessing healthcare – high-debt communities were more rural, had higher rates of disability, and had lower rates of employment. A bill that passed New York State Legislature last month and is awaiting the governor’s review would prevent all medical debt from being included in credit reports. AI Making Care...

Weekly Medicaid Update

Jul 19, 2023 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: IL: Directed payments for assertive community treatment (ACT) and community support team (CST) mental health providers LA: Continuous glucose monitors shift from DME to pharmacy benefit WA: Will submit SPA to add Dental Health Aide Therapist (DHAT) coverage Click to read more.

New Primary Care Model Announced

Jul 18, 2023 | Medicare

CMS recently announced a new voluntary primary care model that would foster greater collaboration between care management, physicians, and community-based resources. CMS will begin accepting applications August 2023 and the model will begin testing July 2024 in 8 states. Click to read more.