Jan 28, 2021 | Physicians
Recent developments in radiology reimbursement are headlined by E&M reform; payers are focused on shifting site of imaging and moving toward value-based payment arrangements. Click to read more.
Jan 26, 2021 | Medicare Advantage
CMS released the 2022 Medicare Advantage (MA) Rate Announcement on January 15, 2021. The rate updates are estimated to increase MA revenue by +4.08%. In past years, CMS also estimated that risk coding behavior increases MA revenue by an additional +3% to +3.6%. Click to read more.
Jan 22, 2021 | Managed Care Friday
7: The number of additional physician organizations BCBS of Michigan is adding to its risk-sharing payment model, Blueprint for Affordability. In total, 21 organizations are participating, representing roughly 38% of Blue Cross’ total commercial membership and 42% of the Medicare Plus Blue membership. The new physician organizations joining include ACOs and multi-specialty provider groups. Bundle This: A maternity MAT initiative kicks off this month for all OB/GYNs and maternal and fetal medicine doctors in Blue Michigan’s physician performance program, this one focused on addiction....
Jan 19, 2021 | Medicaid, Medicare, MedPAC
This brief summarizes recent activity at MedPAC and MACPAC including: MedPAC: Findings for mandated reports on multiple issues and individual policy briefs on topics ranging from COVID-19 and telehealth to individual payment systems and value-based care. MACPAC: Preliminary findings for the mandated report on Non-Emergency Medical Transportation, Home-and-Community Based Services and mitigating the waiver waitlist, and the 2020 MACStats. Click to read more.
