Managed Care Friday

Nov 5, 2021 | Managed Care Friday

118: The amount of funding in millions that Workit Health recently raised for its telehealth SUD treatment. The venture funds of BCBS and CVS contributed, indicating continued interest from health plans on novel models for treating addiction. Workit currently offers SUD treatment in 10 states and plans to use the funding to expand to new markets. Seeing Straight: Arrhythmias and orthostatic hypertension can cause dizziness, panic disorders can lead to blurry vision and acute stress can cause a range of issues, including migraines, and The Department of Defense has put out a range of...

Weekly Medicaid Update

Nov 3, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CA: New law sets standards for timely mental health & SUD follow-up appointments MD: State increases rates for HCBS providers MO: State adds coverage of habilitative skilled therapy for expansion population NC: Temporary rate increases for personal care services and private duty nursing providers TN: TennCare FY2022-23 budget request increases spending Click to read more.

Managed Care Friday

Oct 29, 2021 | Managed Care Friday

66: On a hunch, about two thirds of parents of children on the spectrum are, themselves, somewhere on the spectrum too, though the vast majority self reported that they were never formally diagnosed, according to a random exploration into ABA and autism diagnostic and treatment spending by Paula Ortiz, a recent college graduate who conducted the study for her Master’s degree in Rhode Island.  Ortiz acknowledges this was just a random sampling of 100 and may not mean anything.  She works two jobs to help pay for her degree, and raises a 6-year-old with significant verbal delays, and “so I...

Weekly Medicaid Update

Oct 27, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: MI: Competing bills redesigning specialty behavioral health delivery system advancing in legislature MO: Adds coverage of transcranial magnetic stimulation NJ: Proposes to carve-in behavioral health services OR: Boosts 2022 health plan per-member spending +4.2% TN: OIG finds TN Medicaid program overbilled federal government nearly $767m between 2009 and 2014 Click to read more.

Recent Developments In Dermatology

Oct 26, 2021 | Physician Fee Schedule

Medicare FFS reimbursement for dermatology has been mostly positive in recent years and Medicare spending on dermatology has grown. Several top dermatology codes could be reviewed in the next few years, but any adjustments are likely modest. Click to read more.