Feb 22, 2022 | Physical Therapy, Physician Fee Schedule
PT/OT, Chiropractic, and Physiatry: Recent developments in PT/OT, chiropractic, and physiatry include mixed Medicare reimbursement and increasing coverage from commercial payers. Click to read more.
Feb 18, 2022 | Managed Care Friday
45: Percent of people who say technical issues interfered with their ability to effectively utilize telehealth services, according to a recent study conducted by the Bipartisan Policy Center and Social Science Research Solutions. For many of us, it’s because we can’t remember our passwords, but for rural and older populations, there are more barriers, including lack of broadband internet access. Roughly 4 in 10 report these obstacles compared to 2 in 10 among younger people and those who live in cities. Some Medicaid and MA plans have started covering broadband as a benefit, like Humana’s...
Feb 15, 2022 | 340B, Drugs, Pharmacy
Over the last several years, covered entities in the 340B drug discount program have contended with Medicare cuts to reimbursement and manufacturer restrictions on selling discounted drugs to contract pharmacies. As litigation proceeds on both fronts with a SCOTUS ruling on reimbursement due in summer 2022, 340B stakeholders continue to face uncertainty surrounding vital aspects of the program. Click to read more.
Feb 11, 2022 | BRG Publications
Top 20: Health plan priorities usually change about as often as my kids do the dishes, which is to say rarely, and when they do it’s usually with a bit of nudging, like the regulator who mandates payers cover mental health. But there is a theme percolating inside commercial and government payers that is going to force change among those of us delivering care, according to the '22 payer index. There’s a renewed commitment to collecting data on the cost and quality of doctors, facilities, therapists, and diagnostics, then using it to steer people to the best. Of course, it’s not clear to me...
