Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AL:  Expands coverage of autism diagnostic testing CA: Released draft regulations on pre-transaction notices for health care entities IN: Updates home health policies LA: Begins distribution of ARPA bonus payments for direct care workers Click to read more. 

Former FDA Chief Counsel Dan Troy Joins BRG as Managing Director

We are excited to announced that former FDA Chief Counsel Dan Troy has joined BRG’s Washington, DC, office as a managing director in the firm's Health Analytics practice. Dan is a globally recognized healthcare lawyer and accomplished executive whose career has spanned leadership positions in the life sciences, legal, and regulatory sectors. His past experience includes working as chief counsel for the US Food and Drug Administration (FDA), general counsel at multinational life sciences and technology companies, and partner at preeminent law firms. Dan will provide senior-level expertise in...

Managed Care Friday

83: Percent of acute care hospitals that collect data on patients’ social determinants of health, according to a 2022 American Hospital Association survey, though only 54% are doing this routinely. Small, rural, critical access and independent hospitals are the least likely to do so – likely due to lack of resources – but these hospitals are probably seeing the highest numbers of patients who are experiencing SDoH challenges. Refugee Breathe Easy: 20% of the ~600,900 refugees admitted to the US from 2010 to 2020 were from Myanmar/Burma and nearly 70% of these households reportedly have...

BRG Expert Discussion: Consolidation in the Dental Industry

Thursday, August 3, 2023 BRG's Samantha Kaishian moderates a discussion on the changing dental landscape and how commercial payers think about consolidation with BCBS of Massachusetts’ Dr. Robert Lewando, Executive Director of Specialty Benefits Professional Services, Dr. Alan Vogel, former Dental Director at MetLife, and Dr. Hendrik Lai, Co-Founder of Sage Consulting and COO of Dental Claim Support. The panelists will also touch on how to get payer’s attention during contracting, the impact of dental MLR laws, and generational differences around provider interest in joining DSOs. Click here...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: FL: Introduces pilot program for comprehensive managed care development disability services MD: 20% increase for certain dental services MO: Rate increases for Psychiatric Residential Treatment Facilities NJ: Expands school-based behavioral health services for Medicaid-eligible students Click to read more. 

Q2 Compliance Developments

BRG Quarterly Compliance and Program Integrity Developments: The Departments of Justice and Health and Human Services announced several enforcement actions. Click here to read more