Sep 2, 2022 | Managed Care Friday
56: Percent of 8,806 college students we polled who said they’ve skipped going to the clinic despite sore throats and congestion for fear of being quarantined and “miss the home opener” or frat-sorority “darty” – a daytime party in the quad, which is a term I did not know about until the kids filled me in. This is “the worst kind of mental health for a college kid” one sophomore said. A far greater portion of freshmen – around 75% - have avoided going to see a doctor or clinic because they live in “on-campus” dorms, so a positive Covid test is like getting grounded by your folks on a spring...
Aug 30, 2022 | Medicare, Payers
In the 2023 PFS Proposed Rule, CMS is considering revisions to the Medicare Shared Savings Program (MSSP) ACOs. MSSP is the largest value-based arrangement in the country. The proposed changes include increasing the amount of time ACOs can remain under one-sided risk arrangements, providing upfront shared savings payments, updating benchmarking methodologies, relaxing caps to HCC risk coding increases, health equity adjustments to ACO quality scores, and policies to reduce administrative burden for ACOs in the program. Click to read more.
Aug 26, 2022 | Managed Care Friday
6.5%: The average increase in US employers spend for employee healthcare coverage in 2023 compared to this year, according to an Aon report, bringing the average cost per employee to around $13,800. The year-over-year rise between 2021 and 2022 was only 3.7%, indicating inflation will likely begin to show up in healthcare costs next year. Because healthcare providers are often in years-long contracts with insurers, the impact is not always felt as immediately as in other industries. Capping PT Pay: A growing number of insurers are capping the amount PTs and OTs can get paid per visit. A...
