Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AZ: Nursing facility rates to increase by 1.2%​ MI: Reimbursement rate increases for primary care​ NE: Increases some hospice codes by 5% Click to read more.

BRG Quarterly Compliance Developments

The BRG Healthcare Transactions and Strategy quarterly compliance bulletin compiles noteworthy developments in the healthcare sector related to compliance, program integrity, and enforcement activities. In the third quarter of 2022, we have taken note of:​ DOJ/HHS activity OIG Supplier Acquisition Costs for Urinary Supplies Two OIG Workplans Two Comparative Billing Reports Two GAO reports OCR activity Approved and proposed additions to the RAC audit list Click to read more.

Managed Care Friday

4: Percent increase in suicides in 2021 compared to 2020, according to provisional data released by the National Center for Health Statistics (NCHS).  Experts are worried that after declining rates in 2019 and 2020, rates are increasing again. The report found that males ages 15 to 24 continue to be at higher risk than other groups, but there was a worrying 16% increase among middle-school-aged girls. In a smaller study, CVS Health recently reported a 32% increase in suicides among their members aged 13 to 17 and in response, is partnering with virtual mental health companies targeting...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: ​MA: Implements rate add-ons for certain HCBS services NC: Announces delay to Tailored Plan implementation​ OK: DHS implements +25% rate increase for developmental disability services Click to read more.

Managed Care Friday

18: The percentage of Americans who have skipped a medical appointment or filling prescription drugs in the past six months because of financial strain, according to a new NPR/PBS Newshour/Marist poll. The percentage of respondents answering yes to these questions was higher among those with lower incomes. 30% who make less than $25,000 a year said they had skipped a medical appointment or prescription in the past six months, while 21% of those who made $25,000 to $50,000 a year answered the same. Just 9% reported delaying or skipping paying medical bills or insurance costs in the past six...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: AL: Will cover dental services for pregnant and post-partum adults NE: Awards Medicaid MCO contracts PA: Adds two new codes for Private Duty Nursing Click to read more.

Managed Care Friday

2,380: The average annual spending in dollars on mental health services by individuals in employer-sponsored health plans in 2020, up 20% compared to 2013. A report from the Employer Benefit Research Institute has tracked mental health spending over time and found that overall spending on mental health care services as a percentage of total spending increased 8.2% in 2020, up from 6.8% in 2013. Though spending rose overall, some services decreased - prescription drug costs actually dropped 15% from 2013 to 2020, while outpatient visit spending rose 37%. Testing Virtual “Efficacy”: As trendy...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: NE: Reduces the time for healthcare providers to provide care in the state NH: Proposes amendment to reflect MQIP supplemental pool available SC: Increasing rates for rehabilitative behavioral health services Click to read more.