Nov 4, 2022 | Managed Care Friday
46: The percentage of Americans who have been in debt due to medical bills according to a new survey conducted by Babylon, a digital first primary care service. Another 34% of Americans said they are struggling or will struggle to pay their healthcare maintenance costs, emergency needs and private health insurance. Younger adults between the ages of 25 and 34 were most likely to report struggling with costs, with 56% saying they are struggling or will struggle to pay for health maintenance costs. Case In Point: Monthly and weekly case rate or value-based agreements tied to acuity level and...
Nov 1, 2022 | Medicare, Physician Fee Schedule
Recent Developments in Obstetrics, Gynecology, and Endocrinology: Recent developments in OB/GYN and endocrinology include positive FFS reimbursement trends and increasing Medicare spending. Click to read more.
Nov 1, 2022 | Medicare, Physician Fee Schedule
Recent Developments in Cardiology, Cardiac Surgery, and Pulmonary: Recent developments in cardiology, cardiac surgery, and pulmonary include mixed Medicare FFS reimbursement trends and generally stable Medicare spending. Click to read more.
Oct 28, 2022 | Managed Care Friday
6: The number of states with fewer than 30% of needed physicians available, according to data from the Health Resources and Services Administration. They include Alaska, Washington, Nebraska, Missouri, New Jersey and Delaware. In Delaware, only 16.4% of the primary care physicians needed are available. Rhode Island is the state with the greatest share of need met at 72.1%. Look What’s On Channel 9: Samsung is bringing primary care to your living room, courtesy of your smart TV. Through a partnership with virtual primary care company HealthTap, Samsung Smart TV users can connect to the...
Oct 26, 2022 | Uncategorized
The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: KY: Will extend coverage for dental, vision and hearing care ME: Added coverage for outpatient partial hospitalization services MN: Awards Medicaid MCO contracts for non-metro counties Click to read more.
Oct 21, 2022 | Managed Care Friday
400: The percent increase in virtual care utilization since the pandemic started according to United Healthcare’s Kristin Rantala, national VP of sales and client management. Rantala says the level of telehealth “climbed so much throughout the pandemic” and has continued. Based on data from the past two years, BCBS of North Carolina has announced plans to expand telehealth coverage for primary care, behavioral health, and outpatient visits and BCBS of Massachusetts is following suit by rolling out a new virtual primary care option, allowing members to receive comprehensive telehealth through...
Oct 18, 2022 | Legislation/ Budgets/ Macro, Medicaid, Medicare, MedPAC
MedPAC: Assessing payment adequacy and updating mandated reports for Congress. MACPAC: Publishing reports on state strategies for unwinding the PHE continuous coverage requirement, Medicaid managed care, nursing facility payment rates, and improving care for dually eligible beneficiaries in Medicaid FFS. Click to read more.
Oct 14, 2022 | Managed Care Friday
7M: The number of women in the US who live in maternal health care “deserts,” areas with limited or no access to these health services, according to a new report from March of Dimes. The number of counties without any obstetric providers or obstetric care in local hospitals has grown 2% since 2020 and one of the driving factors is hospital closures – since 2005, over 180 rural hospitals have closed. These deserts are also more likely to be found in states that have restricted abortion, creating an even bigger imbalance in healthcare options for women in these areas. Waiving “Test” Approval:...
