Apr 12, 2022 | Medicare Advantage, Payers
CMS Finalized 8.5% MA Plan Payment Increase for CY 2023: MA plans will see an above-average increase in payments from Medicare, driven by a lower normalization reduction and higher plan coding and rebasing increases. Click to read more.
Apr 12, 2022 | Inpatient Rehab (IRF), Post-Acute Care
CMS Proposes +2.8% Rate Update For IRFs For FY 2023: CMS has proposed Medicare policy updates for inpatient rehabilitation facilities (IRFs) in fiscal year 2023. The rule proposes a +2.8% update and to establish a permanent 5% cap in IRF payments related to changes in wage index. Click to read more.
Apr 12, 2022 | Behavioral, Inpatient Psych
CMS Proposes +2.7% Rate Update For IPFs For FY 2023: CMS has proposed Medicare policy updates for inpatient psychiatric facilities (IPFs) in fiscal year 2023. The rule proposes a +2.7% update and to establish a permanent 5% cap in IPF payments related to changes in wage index. Click to read more.
Apr 8, 2022 | Managed Care Friday
57: Percent of 17-23-year-olds in our poll last month who are going to use urgent care as their primary care provider after college, down from 70 percent a year ago. The reason? Covid – for a meaningful portion of the 523 polled, senior relatives, parents and friends got sick, passed away, or did not get diagnosed quick enough with a serious or terminal condition like cancer. “I used to think urgent care could handle all of it but I think it’s probably more for the convenience,” Abby Knowles, 20 says. “I think having a regular doctor will be a good idea, particularly after what I’ve seen my...
Apr 5, 2022 | Dental, Medicare, Physician Fee Schedule
Oral Maxillofacial Surgery: Recent developments in oral surgery include increases in Medicare FFS spending, mixed reimbursement, and more use of pre-pay review among commercial payers. Click to read more.
Apr 5, 2022 | Medicare, Physician Fee Schedule
Allergy and Immunology: Recent developments in allergy and immunology include mostly positive Medicare FFS reimbursement trends, stable Medicare spending, and increased commercial payer focus on the frequency of allergy testing. Click to read more.
Apr 1, 2022 | Managed Care Friday
43: Portion of 325 18-23-year-olds we polled who are interested in pursuing a career in sports psychology. “If I can’t compete after college I might as well help others with it – it’s 90% psychological,” said Nikki Phillips, a former swimming medalist. Much like most healthcare businesses, schools and families who are putting more stock into “psychology”, the sports world is seeing the benefit too. Full story here. Remote Control: Cigna’s telehealth operation MDLive is launching its own remote patient monitoring program for patients with chronic conditions. The program, available to all...
