Managed Care Friday

29: Percent of 412 schools we polled in the spring who are looking to “hire” allergists, as part of trend of schools becoming more like quasi health centers. Several even report issues with students with allergies and co-occurring eating disorders. By comparison, 74% say they are trying to increase “mental health counselor” staff. Once upon a time if you had an allergic reaction you had to go sit in that wobbly chair next to the art cart in the hallway until mom or dad showed up. Nowadays, schools try to know about your allergy before it happens. High Deductible, Low Detection: A Harvard...

CMS Estimates -4.2% Reduction To Home Health Payments

For CY 2023, CMS estimates a -4.2% reduction to home health payments, resulting in an estimated $810 million payment decrease. This reflects a +2.9% proposed market basket increase and -6.9% decrease in payments due to proposed behavioral adjustment and reflects the effects of an update to the outlier payments threshold. 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: LA: Announces new MCO contracts for 2023 ME: Extends postpartum coverage from 60 days to 12 months NY: Lawsuit alleges state failing to provide adequate access to HCBS SC: Improves access to school-based mental health services Click to read more.

Managed Care Friday

#1: The top bestseller in psychiatry this week is none other than the DSM-5 aka “the bible” of the psychiatry world. The latest version of the Diagnostic and Statistical Manual of Mental Disorders, released in March after nearly a decade without updates, has become a surprise hit likely due to increased demand for mental healthcare. The DSM is the top psychiatry bestseller on Amazon and the Wall Street Journal’s list, though physicians warn the book is intended for mental health professionals and not for self-diagnosing. But given the difficulties many still face in accessing mental...