Managed Care Friday

22.2: Cents of every insurance premium dollar spent in 2020 went to prescription drugs, up from 21.5 cents in 2018, according to a recent analysis of commercial insurance claims from AHIP. Spending on hospital inpatient and outpatient costs held steady compared to 2018, making up a combined 38.9 cents of every dollar, while other medical costs, like physician office visits and ER trips, made up 21 cents on the dollar and the rest went to insurers’ administrative and operating costs and profits. Isolation: Independence BCBS recently launched a new initiative aimed at addressing loneliness and...

Autism Providers Face Greater Attention As Industry Matures

BRG recently estimated the Applied Behavioral Analysis (ABA) market size for children ages 6 and under to be nearly $4b in 2022—and growing ~13% annually to more than $6b in 2026. The growth in the market has brought criticisms of some autism providers, such as pushing too many hours on patients and prioritizing profits, while also raising questions about the efficacy of ABA therapy. Click to read more.

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: Expands private duty nursing benefit IA: Intends to award contracts to Amerigroup and Molina Healthcare WV: Anticipates more than 200k will need to renew eligibility once PHE ends Click to read more.