Apr 11, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Oral Maxillofacial Surgery: Recent PFS policy has been generally negative for maxillofacial surgery. Despite limited coverage, Medicare FFS spending on oral/maxillofacial surgery has increased. Click here to read more.
Apr 11, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Allergy and Immunology: PFS reform has been mostly positive for the specialties. Allergy and immunology spending has been relatively flat in recent years. Click here to read more.
Apr 7, 2023 | Managed Care Friday
3.4%: The average amount ACA health plan premiums increased between 2022 and 2023, likely due to inflation and increased healthcare spending. The increase in premiums reversed several years of declines. Unsurprisingly, markets with a single insurer had premiums that were $128 more than in markets with considerable competition, at least 5 insurers. Worker’s Comp Alumni: Any guess on one of the most common reasons for worker’s comp claims among teachers? – that’s right, alumni basketball games. Hole In The White Bag: Regence BCBS will launch a new specialty medication network in January 2024...
Apr 6, 2023 | Medicare Advantage, Part D
CMS recently released the 2024 Medicare Advantage and Part D Final Rule. CMS anticipates a +3.32% increase in MA revenue. Adjustments to the effective growth rate and risk model revision will be phased in over three years. Additional Part D implementations include a reduction or elimination of cost sharing for insulin, certain vaccines, and Part D drugs in the catastrophic phase. Click to read more.
