Feb 10, 2023 | Managed Care Friday
35 Million: The number of prior authorization requests submitted to Medicare Advantage plans in 2021, about 6% of which were fully or partially denied. But good news for those who take the time to submit appeals - ~82% of the appeals ended up being overturned. Anthem had the highest number of PA requests per MA member in 2021, followed closely by Humana and Centene. But submitting and appealing prior authorizations takes time and energy and is likely contributing to provider burnout. A study from Medscape showed that more than half of physicians report feeling burned out and nearly 25% feel...
Feb 8, 2023 | Medicaid, Uncategorized
The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: Medicaid budget request includes small across-the-board rate increase KS: Medicaid expansion legislation introduced NY: Governor Hochul releases FY2024 budget proposal Click to read more.
Feb 7, 2023 | Medicaid, Medicare, MedPAC
MedPAC: Assessing payment adequacy and updating mandated reports for Congress. MACPAC: Publishing reports on transition of coverage post-PHE, Medicaid managed care, nursing facility payment data, and drug coverage. Click to read more.
Feb 3, 2023 | Managed Care Friday
40: The percent of parents who said they are “extremely or very worried” that their children are experiencing mental health issues like depression or anxiety, according to a new Pew Research Center study. Social media influences have been the #1 driver in research we've done, and the US Surgeon General recently stated that 13-year-olds are too young to join social media platforms. Solutions to help teens manage are increasingly centered around physical education in schools, whereas treatment for crisis continues to evolve. US Acute Care Solutions has partnered with Array Behavioral Care to...
