Jul 28, 2023 | Managed Care Friday
7: The percentage of medical residents who feel adequately prepared to manage women experiencing menopause. More women are seeking hormone therapy and menopausal treatment services, with 83 percent in a recent BRG survey reporting an increase in these claims, but more women are growing dissatisfied with the care they’re offered. Alternative care models, including virtual menopausal treatment companies like Midi Health and Gennev, have risen in popularity. Read more about this and more in our recent Women’s Health whitepaper – click here. UTI Response: Blue Cross NC recently began sending...
Jul 27, 2023 | BRG Publications, Dental
BRG Analysis of Dental Service Organizations (DSOs): Dentists affilated with DSOs has grown modestly over the past 5 years. DSO affilation in states ranges from 2% to 23%. Click here to read more.
Jul 27, 2023 | ASC, Medicare, Physician Fee Schedule
Recent Developments in Orthopedics, Hand Surgery, and Podiatry: Medicare PFS policy has been mostly flat to positive for these specialties, with reductions in 2023. Spending across all three specialties has remained relatively flat in recent years. Click here to read more.
Jul 27, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Pathology: Medicare FFS pathology codes have been negatively affected by budget neutrality adjustments due to E&M reform. Pathology specialty spend has experienced modest fluctuations in recent years. Click here to read more.
Jul 25, 2023 | Medicaid, Medicare, MedPAC
Recent MedPAC & MACPAC Activity: MedPAC recommends aligning payment across the three ambulatory settings and MACPAC examines barriers to home and community-based services. Click here to read more.
Jul 25, 2023 | ESRD, Medicare
CY 2024 Proposed ESRD Rule: The proposed rule would increase base rates by +1.7% and would result in a +1.6% increase in payments. Click here to read more.
Jul 25, 2023 | Home Health, Medicare, Post-Acute Care
CY 2024 Proposed Home Health Rule: The proposed rule would decrease payments by -2.2% or $375M compared to CY 2023. Click here to read more.
Jul 21, 2023 | Managed Care Friday
740,000: Number of New Yorkers with medical debt on their credit reports as of February 2022 – that's 6% of all residents in the Empire state. A report by the Urban Institute found that NY communities with the highest prevalence of medical debt also faced additional challenges in accessing healthcare – high-debt communities were more rural, had higher rates of disability, and had lower rates of employment. A bill that passed New York State Legislature last month and is awaiting the governor’s review would prevent all medical debt from being included in credit reports. AI Making Care...