Jan 26, 2022 | Uncategorized
The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CA: Legislature debates bill seeking to establish single-payer healthcare system MD: Bill introduced to cover adult dental through MCOs instead of a separate program NV: New law requires providers to report certain business arrangements to DHHS OK: OHCA and Pear Therapeutics enter into an opioid related value-based agreement Click to read more.
Jan 25, 2022 | Physician Fee Schedule, Physicians
Radiology: Spending for diagnostic and interventional radiology has been mostly flat in recent years and the impact of policy in PFS rules has been mixed for this specialty, including E&M reform which will negatively impact radiology once fully implemented. Click to read more.
Jan 25, 2022 | Physician Fee Schedule, Physicians
Vascular Surgery: PFS updates for vascular surgery have been stable with modest fluctuations until 2021 due to E&M reform. Rates in 2022 are negatively impacted by the second year of E&M BNAs, and PE RVU changes that result in significant cuts to vascular codes. Click to read more.
Jan 21, 2022 | Managed Care Friday
One: The number of people out of 4 who have a chronic musculoskeletal condition, such as arthritis, back and neck pain and osteoporosis, according to data from insurer Highmark. These conditions collectively account for 50% of medical spending and so Highmark’s Well360 program is providing self-funded employer group members access to wearable FDA-listed motion sensors that give real-time feedback through their exercise sessions. Born Free: The Boss, Bruce Springsteen, could not have predicted this - BCBS of Massachusetts members now have access to childbirth services through a free-standing...
