Managed Care Friday

1M: Blue Shield California’s community investment to help the California Department of Education expand support for youth mental and behavioral health services within the state’s public school system. California’s Department of Education specifically needs help expanding access to preventive programming, scaling youth mental health training for educators, and creating a statewide Medi-Cal technical assistance guide to help more families access mental and behavioral health services across the state. Papa Does Preach: Maybe Madonna had it wrong after all. A senior companionship company, Papa,...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: State releases report highlighting problems with non-emergent transportation​ TN:  Katie Beckett Program for children with disabilities is lagging in enrollment ​ WA: +2% rate increase for managed care behavioral health services Click to read more.

Recent Developments in Rheumatology

Medicare FFS reimbursement for top rheumatology codes increased between +2-21% since 2017, rheumatologist compensation is above primary care physician compensation, but below the average across all specialties, and rheumatology drugs could be the target of Part B reform and increased restrictions by commercial payers. Click to read more.

Managed Care Friday

61: Percent of college kids polled by my 17-year-old this past month via his 2,300 Instagram followers who were sick enough in the last 30 days to miss class, take Nyquil, call home, and contemplate whether to go to the clinic given the risk, in their mind, of being quarantined or sent back home. Just 10% who were sick went to the clinic. My son Jack was not one of them, but the upside is he called home… New Uterine Fibroid Treatment Covered: Anthem will begin covering an intrauterine ultrasound system offering treatment for symptomatic uterine fibroids that does not require an incision or...