Dec 2, 2022 | Managed Care Friday
27: The number of urgent care centers Providence health system closed in Southern California this month, citing staffing challenges, inflation and increased competition. The health system’s virtual services will still be available to patients, as well as their in-person primary care services. As payers and providers continue to push virtual first options, we wonder if we’ll see more of these closures in other markets. Stuck In Bed: Hospitals are struggling to discharge patients because of healthcare staffing shortages downstream, leaving many patients stuck in a bed they don’t truly need....
Nov 18, 2022 | Managed Care Friday
544: The number of healthcare stakeholders who weighed in for our multi-year study on the impact of social determinant of health initiatives, a majority of whom note challenges in scaling and achieving a quick ROI but significant longer-term savings and outcomes from sustained programs. Our report delves into ways to invest in social service models to help address gaps via technology, analytics, and infrastructure. Click to read more. Total Cost of Care: Health insurers are entering into these arrangements with selective behavioral health providers, not just primary care groups, so the...
Nov 17, 2022 | Medicare, Physician Fee Schedule
CY 2023 Final Physician Fee Schedule Rule finalized an unusual amount of new policies across areas including telehealth, dental, audiology, behavioral, and substance abuse. The rule also continues budget neutrality adjustment from 2021 evaluation and management (E&M) reforms with -3% to conversion factor and an additional offset of -1.47% for the finalized new policies. Political pressure is continuing to build on Congress, with potential for some relief to 2023’s reductions in the lame-duck session of Congress in November/December. Click to read more.
