Managed Care Friday

Nov 10, 2023 | Managed Care Friday

46: The percentage of veterans who have self-reported PTSD and depression in a recent poll, a slight decrease from the same poll in 2022. The U.S. Defense Health Agency has a transition program available to all service members and veterans regardless of how long they’ve served and connects them to those services using coaches. “What’s great about the program is we are diagnosis agnostic, meaning you don’t need a diagnosis or to already be in care to participate,” says Nicholas Polizzi, a psychologist who works at the DHA. “We are come one come all. If you’re experiencing stress about the...

Weekly Medicaid Update

Nov 8, 2023 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: Expanding access to outpatient therapy services for children ME: Adopted new telehealth rule NE: Director of Medicaid and Long-Term Care resigned TX: Proposed rate changes include autism therapy Click to read more.

CMS Announces CY 2024 Final Dialysis Rule

Nov 7, 2023 | ESRD, Medicare

CY 2024 Final ESRD Rule: The final rule will increase total payments to all ESRD facilities by +2.1% compared to CY 2023. Updates are driven by a +2.1% base-rate increase. Click here to read more.

BRG Expert Discussion: The Behavioral Health Ecosystem, When Will Policy Catch Up To Innovation?

Nov 3, 2023 | BRG Conference Call Replays, BRG Publications

Conference Call | Friday, November 10, 12:00 PM ET Join BRG’s Bryan Cote and industry guests Wendy Abraham, Utilization Analyst, APWU Health Plan, and Ish Bhalla, MD, Medical Director of Behavioral Health Value Transformation, Blue Cross NC, as they discuss the complex behavioral health ecosystem. The discussion will: Highlight case study of a national union plan’s spending trends: Where SUD and mental health sit vs. other conditions Metrics by diagnosis Drug testing trend GLP-1 spend Total paid vs. billed Address issues to consider when investing in or growing behavioral health companies:...

Managed Care Friday

Nov 3, 2023 | Managed Care Friday

Behavioral Health Expert Discussion: Register here for my live interview next week, Friday, November 10th, with Wendy Abraham, Utilization Analyst, APWU Health Plan, and Ish Bhalla, MD, Medical Director of Behavioral Health Value Transformation, Blue Cross NC as we discuss the complex behavioral health ecosystem. 67: Percent of physicians are concerned about the use of AI in healthcare decision-making, according to a Medscape survey. Most are more supportive of it as a tool to help with administrative tasks like scheduling and note-taking, but worried about it being used for more involved...

Weekly Medicaid Update

Nov 1, 2023 | Medicaid

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: IL: Increases reimbursement rates for residential SUD services MI: Releases RFP for MCO contracts MT: Announces investment in behavioral healthcare for new and expecting moms Click to read more.

Managed Care Friday

Oct 27, 2023 | Managed Care Friday

16.8: The percentage increase in hospital admissions in 2022 related to these diagnoses, representing the second biggest driver for a national union health plan with more than a quarter million members. We’ll give you a hint – it’s a famous Joe. That’s right, GI or gastrointestinal conditions are an increasing driver of hospitalizations, namely stomach, intestine, and pancreas related conditions – and drove more admits than lung, pulmonary, musculoskeletal and mental health. Save the date: Friday, November 10th, at noon ET for a ~30-minute live conversation with this union plan. 61: The...