The (SGR) Fix Is In: How MACRA Short-Circuited Incentives For Joining Two-Sided Models

Jul 30, 2021 | Legislation/ Budgets/ Macro, Medicare

BRG Managing Director, Misha Segal, co-authors a Health Affairs’ blog exploring the history and evolution of Medicare payment reform and growth in alternative payment models (APMs), including the Medicare Shared Savings Program (MSSP). It also highlights advanced APMs (A-APMs), such as risk-bearing ACOs, and the policy decisions impacting incentives that have limited provider adoption of these risk models. Segal and his co-authors provide potential federal policy solutions to improve participation and success in these risk-bearing models and illustrate what the future could hold for A-APMs...

Weekly Medicaid Update

Mar 31, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: FL:  House budget proposal includes Medicaid cuts for hospitals and nursing homes IN:   Rate updates for certain DME and medical supplies MN: State expands Medicaid substance use disorder services MO: House votes against funding voter-approved Medicaid expansion Click to read more.

Managed Care Friday

Mar 26, 2021 | Managed Care Friday

59: Percent of 35-45 year olds in our consumer poll who said they will “likely” or “definitely” choose Cologuard’s at home test for colon cancer when the time comes over Colonoscopy, several citing advantages like “not having to do the prep my dad did” or not “having to be sedated” and even financial benefits for those who say they may just pay cash “and I think the at home is a lot cheaper”. If a Cologuard test is positive, the patient will need a Colonoscopy, but only 39% knew this. However, the cost of the Colonoscopy in this situation would be applied to the patient’s deductible if they...

Weekly Medicaid Update

Mar 24, 2021 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AL:  State considering Medicaid expansion, following incentives in COVID bill CA:  Package of Medicaid-related bills introduced in Legislature GA:  Senate and House pass FY22 budget bills NC:  State extends COVID-related rate increases and policies through June 2021 OH:  State finalizes several changes to dental program Click to read more.