Evolving Role Of Social Risk Investments In Healthcare

In year two of a study tracking 544 healthcare stakeholders on social determinants of health, BRG researchers uncovered challenges in scaling and achieving a quick ROI but are finding significant longer-term savings and outcomes from sustained programs. The report delves into ways health investors looking for opportunities to invest in social service models can help address gaps with investments in technology, analytics, and infrastructure. Click to read more.

Managed Care Friday

91: No, not the year the Cold War ended or Dennis Rodman’s jersey number but the percentage of regions across the country that have a single health insurer with at least 30% of the commercial market share, according to the American Medical Association’s new report on health insurance competition. Three quarters of metropolitan areas lacked a competitive commercial health insurance market in 2021, 2% less than the year before. Competition was even weaker in the Medicare Advantage market - nearly 80% of the 380 MSAs surveyed were “highly concentrated.” That’s a slight improvement compared to...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: MA: Voters approve ballot initiative requiring 83% MLR for dental plans MN: Additional increases for home and community-based services SD: Voters approve measure to expand Medicaid Click to read more.

CY 2023 Final ESRD Rule

CY 2023 Final ESRD Rule: Includes a number of routine adjustments including rebasing the market basket and finalizing the wage index. CMS projects updates would increase total payments to all ESRD facilities by 3.1%. Click to read more.