Jul 14, 2023 | Managed Care Friday
235K: The number of additional ED visits the Center for American Progress projects this summer alone due to increasing temperatures, along with an additional 56,000 hospital admissions. Social Risk Payout: BCBS Michigan recently rolled out a new Social Risk Adjustment Initiative, designed to support providers caring for patients with high levels of social needs which often affects overall health. Providers must opt into this program by August 1 and then they will receive funding based on the number of members they have with ADI scores of 8 or above. The Area Deprivation Index numbers are...
Jul 13, 2023 | BRG Publications
Women’s health ranked second on BRG’s 2023 list of payer priorities, up from eleventh in 2022, signaling an upcoming rise in payer focus and the development of new delivery models. For healthcare leaders, investors, and policymakers, these models are important to monitor given their potential to impact the overall quality of life, outcomes, and cost of care. For employers and commercial payers, these models present a potential opportunity to improve outcomes at lower costs for conditions such as heart disease and osteoarthritis. But the models also present challenges on the best way to pay...
Jul 7, 2023 | Managed Care Friday
83: Portion of parents of teenagers who say they are increasing spending out of pocket and through insurance copays on their own care and health related to stress, anxiety, fitness in part due to recent results of lab work or primary care visits showing some combination of problematic indicators of morbidity, like rising cholesterol, rising BP and hypertension, rising A1c and “less productive workdays.” Predicting Things: In an old episode of Seinfeld George Costanza once asked Kramer about a discoloring on his lip and Kramer, classically, said “Whoa buddy – better get that checked out,” so...
