Weekly Medicaid Update

Dec 8, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: IL: Announces fee schedule increases for dental services NV: SMI population eligible for enrollment in Medicaid MCOs SC: Increases rates for several addiction services by +15% UT: Releases transition plan for UDOH and DHS merger Click to read more.

Managed Care Friday

Dec 3, 2021 | Managed Care Friday

75: The percent in our Poll of the Week who believe a virtual visit for someone with substance use disorder is less effective than in-person treatment even though there are examples of companies like Eleanor Health able to use telehealth without worrying about whether it’s a billable visit given they are paid differently to manage a patient from addiction through recovery. They use the telehealth encounter as a way to check-in, to do anxiety and craving scales, and stay in front of patients as part of a goal toward recovery. A recent study published in AMA’s journal Psychiatric Times...

Weekly Medicaid Update

Dec 1, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: Makes home dialysis a covered benefit for recipients of Emergency Medicaid Services SC: Proposes rate increases to Intermediate Care Facilities TN: 1000+ children have enrolled in Katie Beckett Program WI: Legislature proposes to extend Medicaid coverage for pregnant women up to one year postpartum Click to read more.

Quarterly Commission Recommendations

Nov 30, 2021 | MedPAC

This brief summarizes recent activity at MedPAC and MACPAC including: MedPAC: Presented state of Medicare system, including impact of COVID and national spending trends before identifying policy areas of focus for the coming year and responding to Congressional requests. MACPAC: Released Commission's report to congress on behavioral health, money follows the person (MFP) program, and care integration for dually eligible beneficiaries. Click to read more.

Recent Developments In Gastroenterology

Nov 23, 2021 | Physician Fee Schedule, Physicians

Gastroenterology: Medicare FFS reimbursement for gastroenterology has been increasing in recent years due to E&M changes. Gastroenterology has had multiple oversight reports in recent years and a few codes have been nominated for review under the potentially misvalued code initiative. Click to read more.