Feb 15, 2021 | Physicians
Recent developments in chiropractic services include limited PFS changes, prior authorization policy changes, and managed care wellness models. Click to read more.
Feb 12, 2021 | Managed Care Friday
20%: The difference in reimbursement rates for ABA providers now that BCBS of Texas will begin tiering them for ABA therapy, effective April 2021. RBTs, Board Certified Assistant Behavior Analysts or clinicians with a bachelor’s degree will receive the existing rate, while clinicians with less than a bachelor’s degree and no RBT certification will receive 20% less. BCBAs and master’s level clinicians will receive an increase in rate of 20%. Gender Policy Winners: A new policy on gender surgery is likely a boost to mental health provider volume. Aetna is updating its commercial policies to...
Feb 11, 2021 | Legislation/ Budgets/ Macro
Congress enacted a budget resolution on February 5, allowing Democrats to move forward with economic relief, COVID-19 funding, and other priorities with only a simple majority in the Senate. Not all policy changes will survive the process of crafting a reconciliation bill. Click to read more.
