Feb 6, 2020 | 340B, Medicare Advantage, MedPAC, Part D
In its January 2020 meeting, the Medicare Payment Advisory Commission (MedPAC) responded to a congressional request on the 340B drug program’s potential incentive for hospitals to use more expensive drugs and presented status reports of ongoing research into Part D, the assignment of beneficiaries to ACOs, and initial modeling of a redesigned MA quality bonus program. Click to read more.
Feb 5, 2020 | Medicare, MedPAC
Recent developments in Ear, Nose, and Throat (ENT)/Otolaryngology reimbursement and legislation. Click to read more.
Jan 31, 2020 | Managed Care Friday
20 Million: The amount Blue Shield of California has pledged for behavioral health services, largely to support California’s large homeless population. The money will go to the California Access to Housing and Services Fund, a new initiative proposed by the governor in the most recent budget. Blue Shield of CA also recently launched a 10 year, $10M plan, Blue Sky, focused on supporting mental health for students. Gateway to Value: If you ever doubted insurer investment in value care models, look to Blue KC, which has partnered with Cedar Gate Technologies to use analytics to help the insurer...
Jan 30, 2020 | Drugs, Pharmacy, Products
The U.S. Supreme Court will hear a case regarding whether or how states can regulate Pharmacy Benefit Managers. Click to read more.
Jan 29, 2020 | Physical Therapy, Physician Fee Schedule
Recent developments in Physical and Occupational Therapy reimbursement and legislation. Click to read more.
