Dec 16, 2022 | Managed Care Friday
48: The percent increase in the number of in-network behavioral health providers among commercial health plans over the past 3 years, according to a recent AHIP survey. Against All Odds: Even Phil Collins could not have predicted this, beginning January 2023 Excellus BCBS will cover gambling disorder treatment services for managed Medicaid members. New PBM: The Mark Cuban Cost Plus Drug Company is partnering with EmansaRx Plus, a PBM created by the Purchaser Business Group on Health, which represents almost 40 large non-hospital self-insured employers. EmansaRx Plus will start with generic...
Dec 13, 2022 | BRG Publications
BRG’s fifth-annual Healthcare Investment Index reviews recent healthcare investment activity and prospectively surveys senior healthcare investors about future areas of interest in the year ahead. The index is based on an assessment of recent deal activity collected and tracked annually each fall since 2017. Click to read more.
Dec 9, 2022 | Managed Care Friday
51: Percent of 6,382 18–22-year-old males in our poll who say they will likely sign up for one of those virtual primary care health insurance plans when they get a job after college and a not so surprising 28% say they may not get any insurance, one junior music theater design major saying he thinks he can just use urgent care if needed. Scrubs TV character John Dorian sort of captures the mindset of today's college age males. "It's funny," Dr. Dorian said, "I guess sometimes when you do nothing at all, things just have a way of fixing themselves.” No Longer Taboo: Starting January 1, 2023,...
Dec 6, 2022 | ESRD, Medicare, Physician Fee Schedule
Recent Developments in Nephrology: Impact of policy in PFS rules generally positive for nephrology. Spending has been generally flat in the past five years. Click to read more.
Dec 6, 2022 | ASC, Medicare, Physician Fee Schedule
Recent Developments in Ophthalmology and Optometry: Impact of policy in PFS rules modest for ophthalmology and optometry. Spending for both specialties has been roughly flat over the past few years, with decreases in 2022. Click to read more.
Dec 2, 2022 | Managed Care Friday
27: The number of urgent care centers Providence health system closed in Southern California this month, citing staffing challenges, inflation and increased competition. The health system’s virtual services will still be available to patients, as well as their in-person primary care services. As payers and providers continue to push virtual first options, we wonder if we’ll see more of these closures in other markets. Stuck In Bed: Hospitals are struggling to discharge patients because of healthcare staffing shortages downstream, leaving many patients stuck in a bed they don’t truly need....
