Jan 3, 2023 | Uncategorized
FY 2023 Omnibus Includes Healthcare Policies: Congress passed an Omnibus Appropriations Bill for FY 2023 during the December 2022 lame duck session. In addition to the annual appropriations for 2023, the legislation included several dozen healthcare related provisions including mitigation of cuts to the PFS, phase-out of enhanced Medicaid FMAP, and delay of Medicare lab repricing. Click to read more.
Dec 23, 2022 | Managed Care Friday
Extra Point: The late Jerry Stiller invited everyone to air their grievances on this day, using a symbolic pole in lieu of a Christmas tree. “You gather your family around, and you tell them all the ways they have disappointed you over the past year,” Stiller’s Frank Costanza said in the classic Seinfeld. In my home, that’s really more of a Thanksgiving tradition, although sometimes if I’m lucky, the grievances come in the afternoon after school when I forget to pick up Sophie or when I’m cooking dinner, and despite all the effort, it tastes a little bit like garbage. My wife, God love her,...
Dec 16, 2022 | Managed Care Friday
48: The percent increase in the number of in-network behavioral health providers among commercial health plans over the past 3 years, according to a recent AHIP survey. Against All Odds: Even Phil Collins could not have predicted this, beginning January 2023 Excellus BCBS will cover gambling disorder treatment services for managed Medicaid members. New PBM: The Mark Cuban Cost Plus Drug Company is partnering with EmansaRx Plus, a PBM created by the Purchaser Business Group on Health, which represents almost 40 large non-hospital self-insured employers. EmansaRx Plus will start with generic...
