Jul 24, 2019 | Legislation/ Budgets/ Macro
The federal government subsidizes health insurance for most Americans through a variety of programs and tax provisions. This brief highlights a recent CBO report that provides estimates for the 2019–2029 period of the number of non-institutionalized civilians under age 65 with health insurance, and the federal costs associated with each kind of insurance subsidy. Click to read more.
Jul 24, 2019 | Home Health, Home Infusion, Medicare
CMS proposed a 1.3% CY 2020 rate update to home health payments. The proposal is similar to the rule from November 2018, which finalized the PDGM payment model for 2020, and included home infusion measures. Click to read more.
Jul 22, 2019 | Medicare, Outpatient
In 2018, CMS started to allow total knee replacement surgeries to occur at hospital outpatient settings. Using Medicare FFS claims data, BRG found that 18% of total knee replacements covered by Medicare FFS in 2018 were performed in the HOPD. Click to read more.
Jul 19, 2019 | Managed Care Friday
1. 319: The number of high school students in our poll of 500 who said they have a friend who vapes. 2. In-Home Behavioral Coverage Kick Off: Starting this month, Blue Massachusetts now covers in-home behavioral health monitoring and therapy for those under 19, as well as intensive care coordination, community based treatment, mobile crisis intervention. 3. Transgender Boost: Transgender employees with the University of Michigan will now have new medical services covered starting this fall under a new BCBS policy here – procedures now covered include face and neck hair removal, facial...