Recent Developments in Anesthesiology

Recent developments in anesthesiology include negative FFS reimbursement changes, increased focus on surprise billing, and changes to payment design among commercial payers. Click to read more.

Managed Care Friday

90%: Amount of hospitals undertaking artificial intelligence initiatives, up from just 53% in 2019, according to a new report published by Sage Growth Partners. While many of these programs are still in the planning or early implementation phase, it’s clear that healthcare executives understand the benefits of this technology and are using AI to make health systems better for both patients and providers, particularly in the wake of the pandemic. Doctor Amazon?: The online retailer runs health clinics near worksites in Dallas-Fort Worth, Phoenix, Louisville and, more recently, Michigan and...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: MN:  State releases RFP for Twin Cities area MCO contracts NJ:   DMHAS releases RFP for emergency department opioid reduction options TX:   Stakeholders oppose proposed rates for new ABA benefit NY:   State Senate passes one-house budget resolution restoring Medicaid cuts Click to read more.

Gaps In Pediatric Dentistry

A low supply of pediatric dentists is creating challenges for state policy leaders and dental insurers who are trying to increase early intervention of oral health. In a continued effort to expand data analytics capabilities, BRG recently gained access to Medicaid claim and encounter data for all 50 states and Washington DC, which includes information on dental cleanings and other services. Click to read more.

Managed Care Friday

$4,229: The average total savings when using bundled payment programs for surgeries, according to a new study published by Rand on March 1st. The study looked at one payer’s program in which procedures including knee and hip replacements, spinal fusion and bariatric weight loss surgeries used a set bundled payment for all care within a 30-day period. More Than A Feeling: Nonprofit Atrius with more than 30 primary care medical offices and 715 physicians in the Boston area is now an Optum company. High Life: Highmark Health, which increased membership recently through its acquisition of...