Oct 22, 2021 | Managed Care Friday
850: Pacific Dental Services, the Irvine, CA based dental service organization, hasn’t just opened its 850th dental practice but it has launched a dental-medical practice with the opening of 3 practices - general dentistry, pediatric dentistry, and medical care - all in one Nevada location. All Bets Off Kenny Rogers: More payers are covering therapy for gamblers but not in every setting and not as restrictive as you might think. Excellus BCBS allows OP therapy for gamblers without pre-approval. Residential, partial hospitalization and inpatient services are thought to be investigational. ACT...
Oct 19, 2021 | Medicare, Physician Fee Schedule
After increases due to E&M changes, Medicare FFS reimbursement for urology is likely stable. Additionally, CMS is proposing to update pricing of the clinical labor element of practice expenses, which will likely be implemented through a phased-in approach. Click to read more.
Oct 15, 2021 | Legislation/ Budgets/ Macro
Congress continues to negotiate the details of a reconciliation bill, including several health provisions that affect drug pricing, Medicare Advantage, Exchange plans, Medicaid coverage, and home- and community-based care. Click to read more.
Oct 15, 2021 | Managed Care Friday
76: Percent of high school seniors polled here in my home town this past week who are reportedly going to pursue a career in nursing. Homeward Bound: SCAN Health Plan is offering a new type of plan for members who are homebound or reside in SNFs or assisted living, called the Embrace plan. The plan, an Institutional Special Needs plan for MA enrollees, will focus on allowing these members to remain in their homes or facilities while receiving care that would typically be provided in a doctor’s office or hospital. Enrollment in Embrace for calendar year 2022 begins on October 15, 2021....
