Weekly Medicaid Update

Jun 9, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: State lowers some HCBS provider rates to pre-pandemic levels NC: Bills increasing direct care worker wages progress through Legislature WA: FY2021-23 enacted budget increases specific provider rates Click to read more.

Working Knowledge of Your Payer Contracts Is Key to Compliance and Revenue

Jun 8, 2021 | Payers, Revenue Cycle

The new administration is likely to reinvigorate healthcare compliance enforcement efforts. A more healthcare focused Democratic administration and the large COVID-related disbursements to providers are likely to combine to emphasize compliance and program integrity in 2021 and 2022. BRG’s compliance and RCM experts share thoughts about key basics of maintaining compliance and tying good compliance practices back to successful revenue cycle management. Click to read more.

Managed Care Friday

Jun 4, 2021 | Managed Care Friday

12: The number of Pennsylvania healthcare organizations that are incorporating tech into member care. UPMC Health Plan has a virtual concierge service that integrates into Alexa and Google Home machines. Members can use the service to ask about coverage, care options and other topics. Geisinger is using biometric technology to check patients in. They have checked in 5,600 patients so far. Nail Biter: Google is planning to release a new tool later this year that will use AI to help identify skin, hair and nail issues. The AI-based tool is not meant to replace a physician’s opinion but to...

Impact of 2021-2022 E/M Reform on Physician Compensation

Jun 3, 2021 | Physician Fee Schedule, Physicians

Over 2021-2022 physician practices are grappling with three interdependent changes the new fee schedule will bring: evaluation and management (E/M) coding changes that involve relative value unit (RVU) increases and conversion factor decreases to maintain budget neutrality across the entire fee schedule. This report explores the impact, challenges, strategies for physician practices following these changes. Click to read more.

Weekly Medicaid Update

Jun 2, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AZ:  State to expand Medicaid School Based Claiming (MSBC) program CA:  DHCS releases draft RFP for Medi-Cal managed care plans CO: State increases inpatient and outpatient hospital rates IL:    Legislature passes FY2022 budget NC: Two Local Management Entities announce plans to consolidate Click to read more.