Jan 10, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Radiology: Impact of policy in PFS rules mixed for diagnostic and interventional radiology, with congressional mitigation providing some relief. Spending for both specialties has been generally flat in recent years, with a slight decrease in diagnostic for 2022. Click to read more.
Jan 10, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Vascular Surgery: Impact of policy in PFS rules has been negative for vascular surgery, with congressional mitigation providing some relief. Spending for vascular surgery has been relatively flat over the past few years, with slight decreases in 2022-23. Click to read more.
Jan 6, 2023 | Managed Care Friday
20: Percent reduction in telehealth commercial reimbursement rates for medical visits, not behavioral, starting this spring for a few New England area insurers. The trend is accelerating in pockets of the US as we predicted with some insurers lowering rates 20-30%, one as much as 50%, but none changing the policy for behavioral sessions. One New Hampshire plan will keep telehealth rates for “medical sessions” at the same level as in-person. Empire Strikes Back: Just like Vader’s effort to retaliate against the resistance, nonprofit health plans SCAN Group and CareOregon are merging to create...
Jan 4, 2023 | BRG Publications, Medicaid
BRG’s 2022 Medicaid Policy Review focuses on the upcoming unwinding of the public health emergency (PHE) continuous coverage requirement, as well as broader enrollment and rate trends. As states begin to prepare unwinding operational plans, there have been several projections on how the end of the PHE could impact Medicaid programs across the country. This report highlights and summarizes key areas related to enrollment trends and provider-level implications. Click to read more.
Jan 3, 2023 | Legislation/ Budgets/ Macro
2022 Election Brings Divided Government & Policy Stability For Healthcare: The 2022 elections have resulted in Republican control of the House and Continued Democratic control of the Senate. With a divided Congress and active Presidential campaigns, it is very unlikely for Congress to enact major legislation on any topic to be enacted in the next 2 years -- with healthcare particularly unlikely due to the wide partisan disagreements on healthcare policy. Click to read more.
