Nov 18, 2022 | Managed Care Friday
544: The number of healthcare stakeholders who weighed in for our multi-year study on the impact of social determinant of health initiatives, a majority of whom note challenges in scaling and achieving a quick ROI but significant longer-term savings and outcomes from sustained programs. Our report delves into ways to invest in social service models to help address gaps via technology, analytics, and infrastructure. Click to read more. Total Cost of Care: Health insurers are entering into these arrangements with selective behavioral health providers, not just primary care groups, so the...
Nov 17, 2022 | Medicare, Physician Fee Schedule
CY 2023 Final Physician Fee Schedule Rule finalized an unusual amount of new policies across areas including telehealth, dental, audiology, behavioral, and substance abuse. The rule also continues budget neutrality adjustment from 2021 evaluation and management (E&M) reforms with -3% to conversion factor and an additional offset of -1.47% for the finalized new policies. Political pressure is continuing to build on Congress, with potential for some relief to 2023’s reductions in the lame-duck session of Congress in November/December. Click to read more.
Nov 15, 2022 | BRG Publications
In year two of a study tracking 544 healthcare stakeholders on social determinants of health, BRG researchers uncovered challenges in scaling and achieving a quick ROI but are finding significant longer-term savings and outcomes from sustained programs. The report delves into ways health investors looking for opportunities to invest in social service models can help address gaps with investments in technology, analytics, and infrastructure. Click to read more.
Nov 11, 2022 | BRG Conference Call Replays
November 11, 2023 BRG expert John Kelliher, with guests Andrew Noh, Chief of Staff for Representative Marilyn Strickland (D-WA-10), and Nick Uehlecke, a Principal at Todd Strategies Group, assess the implications of the election results for the healthcare policy agenda in the lame-duck session of Congress (Nov-Dec 2022) and the next Congress (2023-2024). Click here for the recording (if asked, use passcode: LsVYf=q8)
Nov 11, 2022 | Managed Care Friday
91: No, not the year the Cold War ended or Dennis Rodman’s jersey number but the percentage of regions across the country that have a single health insurer with at least 30% of the commercial market share, according to the American Medical Association’s new report on health insurance competition. Three quarters of metropolitan areas lacked a competitive commercial health insurance market in 2021, 2% less than the year before. Competition was even weaker in the Medicare Advantage market - nearly 80% of the 380 MSAs surveyed were “highly concentrated.” That’s a slight improvement compared to...
Nov 8, 2022 | Home Health, Medicare, Post-Acute Care
CY 2023 Final Home Health Rule: After intense lobbying, CMS finalized a 0.7% increase to home health payments, resulting in an estimated $125m payment increase. Click to read more.
Nov 8, 2022 | ESRD, Medicare
CY 2023 Final ESRD Rule: Includes a number of routine adjustments including rebasing the market basket and finalizing the wage index. CMS projects updates would increase total payments to all ESRD facilities by 3.1%. Click to read more.
Nov 8, 2022 | ASC, Hospitals, Medicare, Outpatient
CY 2023 Final OPPS and ASC Rule: CMS finalized a 3.8% rate update to the outpatient prospective payment system (OPPS) and the ambulatory surgical center (ASC) payment system. Click to read more.
