Managed Care Friday

Jul 2, 2020 | Managed Care Friday

Extra Point: Unexpected marriages of medical practices are continuing to emerge within the healthcare industry. The latest union, which took place in Missouri, is a merger of Bolivar OB/GYN, Citizen’s Memorial Hospital and—wait for it—Butterfield Park Pediatrics. Although it sounds like a page out of Prince Humperdinck and Buttercup’s odd coupling in The Princess Bride, the combination of pediatrics and women’s health is likely an emerging trend. It is safe to anticipate an expansion of health system service lines, and for more Medicaid and commercial insurers to redesign payment to favor...

BRG Medicaid Update

Jul 1, 2020 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: – GA: Gov. enacts FY 2021 budget, including cuts to heathcare services – IL: Meridian Health Plan acquires all 54,000 members of NextLevel Health – NC: Legis. passes bill requiring implementation of Medicaid managed care program by July 2021 – OK: Voters approve ballot measure to expand Medicaid by July 1, 2021 – TX: Temporary rate increases for nursing homes and some waiver providers Click to read more.

Managed Care Friday

Jun 26, 2020 | Managed Care Friday

816,000: The number of “healthy days” seen by Humana’s Medicare Advantage members in 2019, representing the first increase in this metric since the insurer began tracking it in 2015. “Healthy days” is a health metric developed by the CDC that measures physical and behavioral health. The metric is tracked as part of Humana’s Bold Goal initiative, a population health strategy aiming to improve the health of the communities Humana serves. Uber At It, For Seniors: InComm, a technology company, announced a partnership with American Logistics and Uber Health to launch a transportation benefit...