Jun 30, 2023 | Managed Care Friday
1.7M: The number of Americans who rely on so-called health sharing plans, which are typically arrangements for people who usually share similar religious beliefs and agree to pay one another’s medical bills. A new report from the Colorado Division of Insurance concluded that even though 1.7 million people is higher than previously realized, the true number is likely still undercounted. These plans do not function as typical commercial health plans, but do not always advertise that appropriately. They do not guarantee payment for health services and are not held to the same standards and...
Jun 23, 2023 | Managed Care Friday
30: If a person’s BMI is above this number, standard guidelines say they are considered obese, but a new report from the AMA states that BMI is an “imperfect measurement” and has caused “historical harm” including racist exclusion. The AMA suggests that if BMI is used, it should be used in combination with looking at other factors such as waist circumference and genetic or metabolic factors. Screening AC: Effective September 1, eviCore will lower the age needed for coverage of an annual screening of MRI for two genetic mutations ATM and CHEK2 to 30 years of age instead of 40. eviCore is a...
Jun 20, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Interventional Pain Management: PFS policy has been mostly postive in recent years with a modest decline in 2023. Click here to read more.
