May 2, 2023 | BRG Publications, Medicare Advantage, Payers
BRG Concludes Partial Dual Eligibles Enrolled In A MA Plan Have Fewer Hospitalizations: Research conducted for Elevance Public Policy Institute finds MA enrollees had more primary care services and few hospitalizations compared to partial dual eligibles enrolled in FFS. Click here to read more.
May 2, 2023 | Hospitals, Inpatient, LTCHs, Medicare
CMS Proposes +2.8% IPPS & +2.9% LTCH Rate Update For FY 2024: CMS has proposed two Medicare policy updates that applies to approximately 3,100 acute care hospitals and 330 long-term care hospital facilities in fiscal year 2024. Click here to read more.
Apr 28, 2023 | Managed Care Friday
70: Percent of this age group lie to their doctor and parents, particularly about their mental health. Any guesses? Imaging Cut: Effective Father’s Day, Blue Cross NC will stop reimbursing for any imaging services – X-ray, CT, or MRI – when billed within 28 days of a principal diagnosis of uncomplicated lower back pain. The health plan is trying to reduce “excessive tests or procedures that result in unnecessary medical expenses.” Consumer Behavior: Dr. House once asked on his TV show, “do I get bonus points if I act like I care?” Short answer is heck yeah. Last we broadly studied what...
