Dec 15, 2020 | ASC, Medicare, Outpatient
For 2021, CMS has finalized a 2.4% rate update to the outpatient hospital payment system; CMS is also eliminating the inpatient-only list for all procedures by 2024. After a recent court ruling in CMS’s favor, the agency is reducing the Medicare FFS reimbursement for 340B-eligible drugs to ASP-22.5% in the HOPD setting. Click to read more.
Dec 14, 2020 | BRG Publications
BRG’s annual Federal Policy Review is a guide to federal healthcare policy for 2020 and 2021. BRG’s policy experts review macro trends in healthcare spending and coverage, federal legislative efforts, and regulatory updates to each of the Medicare payment systems. Click to read more.
Dec 11, 2020 | Managed Care Friday
40: The number of additional onsite primary care clinics Walgreens and VillageMD are opening in 2021 through their partnership, focused on sites in Texas, Arizona, and Florida. Physicians, nurses, and pharmacists will staff the clinics, and an app will allow patients to also utilize virtual and telehealth services. Walgreens has stated its long-term plan is to open as many as 700 of these clinics over the next five years. Moving to the Pharm: BCBS of Michigan is moving two drugs from the medical benefit to the pharmacy benefit because “they can be safely administered in the member’s home.”...
Dec 10, 2020 | BRG Publications
BRG’s third annual Healthcare Investment Index reviews recent healthcare investment activity and prospectively surveys investors about future areas of interest in the next year. Click to read more.
Dec 9, 2020 | BRG Publications, Medicaid
The COVID-19 pandemic and associated economic recession have raised widespread concern regarding potential Medicaid cuts. While the program is likely to head into 2021 in a state of relative stability, state budget shortfalls are likely heading into state fiscal year 2022, and small across-the-board cuts are likely in at least some states. Click to read more.
