Managed Care Friday

7M: The number of women in the US who live in maternal health care “deserts,” areas with limited or no access to these health services, according to a new report from March of Dimes. The number of counties without any obstetric providers or obstetric care in local hospitals has grown 2% since 2020 and one of the driving factors is hospital closures – since 2005, over 180 rural hospitals have closed. These deserts are also more likely to be found in states that have restricted abortion, creating an even bigger imbalance in healthcare options for women in these areas. Waiving “Test” Approval:...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AZ: Nursing facility rates to increase by 1.2%​ MI: Reimbursement rate increases for primary care​ NE: Increases some hospice codes by 5% Click to read more.

BRG Quarterly Compliance Developments

The BRG Healthcare Transactions and Strategy quarterly compliance bulletin compiles noteworthy developments in the healthcare sector related to compliance, program integrity, and enforcement activities. In the third quarter of 2022, we have taken note of:​ DOJ/HHS activity OIG Supplier Acquisition Costs for Urinary Supplies Two OIG Workplans Two Comparative Billing Reports Two GAO reports OCR activity Approved and proposed additions to the RAC audit list Click to read more.

Managed Care Friday

4: Percent increase in suicides in 2021 compared to 2020, according to provisional data released by the National Center for Health Statistics (NCHS).  Experts are worried that after declining rates in 2019 and 2020, rates are increasing again. The report found that males ages 15 to 24 continue to be at higher risk than other groups, but there was a worrying 16% increase among middle-school-aged girls. In a smaller study, CVS Health recently reported a 32% increase in suicides among their members aged 13 to 17 and in response, is partnering with virtual mental health companies targeting...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: ​MA: Implements rate add-ons for certain HCBS services NC: Announces delay to Tailored Plan implementation​ OK: DHS implements +25% rate increase for developmental disability services Click to read more.