Nov 21, 2019 | BRG Publications
BRG’s annual Federal Policy Review is a guide to Federal healthcare policy for 2019 and 2020. 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 Federal Policy Review 2019-2020.
Nov 20, 2019 | ASC, Hospitals, Medicare, Outpatient
CMS has finalized 2020 updates to payments for services furnished in ambulatory surgical centers (ASCs) and hospital outpatient departments (HOPDs). This brief highlights key provisions finalized in the rulemaking. Click to read more.
Nov 19, 2019 | Behavioral, Inpatient Psych, Medicaid, Substance Abuse
On November 6th, CMS announced the approval of DC’s Medicaid 1115 Waiver that expands access to behavioral health treatment. This waiver, which will go into effect on January 1, 2020, will broaden services available to beneficiaries diagnosed with serious mental illness (SMI) or serious emotional disturbance (SED) and provide new services for beneficiaries diagnosed with substance use disorder (SUD). Click to read more.
Nov 15, 2019 | Managed Care Friday
We sat down recently with our managed care contracting veterans from more than 30 MA plans and provider groups, and they clued us in to several new and eye-opening changes finding their way into Medicare Advantage risk contracts these days, including increasingly shocking terms designed to protect the plan. In this special Managed Care Friday, we lay out some of the terms and lessons. Click to read more.
Nov 14, 2019 | DMEPOS, Medicare
CMS has finalized updates to the DME program for 2020, with minimal adjustments to the proposal. Click to read more.
