Managed Care Friday

15: Even though Andy Warhol thought all people would be famous for this many minutes and Swifties know all too well about teenage angst in Taylor’s song about this age, it’s healthcare that has a claim to this number. In 2022, more providers report as much as 15% reimbursement increases to reflect inflation and pay for performance and several health systems are opening 15+ outpatient centers, like Michigan’s Henry Ford Health System, which hopes to open 15 urgent care centers this year with GoHealth to “patch holes in care across the region” and limit ED visits, which averaged more than 129...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: HI: State to invest millions to improve education and health outcomes for adolescents IL: Governor signs nursing home legislation requiring disclosure of ownership information, increasing reimbursement for facilities that meet target staffing levels SC: Considering making respite and adult day care rate increases permanent Click to read more.

5 of 10 Highest Paid Physician Specialists Expect Big Value-Based Arrangement Impact

BRG surveyed 278 physicians from 10 specialties to determine if they are or expect to be impacted by value-based payment arrangements, and then compared findings to their 2021 compensation. Results tell an interesting story about challenges facing physicians, their expectations, the interesting juxtaposition between compensation trends and reimbursement trends, and the future of physician pay. Click to read more.

Managed Care Friday

26: Unofficial length of a marathon because, hey, those last 2 tenths are like a blur (or so I’m told), the number of hours in a day in 2050, because moms rise up and say they don’t have enough time to be “everything to everyone” and—today—the percent of drug cost savings Prime Therapeutics achieved in one year on a PMPM basis through its MedDrive program. That program uses analytics to flag ways health plans can reduce drug spend, with a particular emphasis on using biosimilars over brand-name biologics. The program focused on only three drug categories in its first year, one of which was...