CY 2023 Proposed Physician Fee Schedule Rule

CY 2023 Proposed Physician Fee Schedule Rule: Includes new policies across multiple areas including telehealth, dental, audiology, behavioral, and substance. Continues BNA for 2021 E&M reforms with -3% to conversion factor and an additional offset of -1.4% for new proposed policies. Political pressure building on Congress with potential for some relief to 2023’s planned reductions. Click to read more.

Weekly Medicaid Updates

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: MI: Expands Opioid Health home services MT: Expands access to ABA treatment TN: Halts plan for closed formulary Click to read more.

Managed Care Friday

60: The percent of doctors who said they’d retire if they could, according to one of our polls. The number is both alarming and unsurprising, but there may be hope, according to Paul Rudd’s character in Anchorman. “60% of the time, it works every time,” Rudd said about his potent cologne, which Ron Burgundy sternly replied in a way that only Will Ferrell can, “Well that just doesn’t make sense.” But Rudd’s stat isn’t so illogical if you think about it.  In baseball, 60% gets you in the Hall of Fame, in high school it gets you a diploma and in healthcare it can get you “coverage” for novel...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AZ: Various rate increases proposed DE: Added Centene health plan to Medicaid managed care program PA: Budget increases funding for mental health and long-term care Click to read more.