Sep 1, 2023 | Managed Care Friday
53%: The increase in spend on mental health services between March 2020 and August 2022, according to a new study in JAMA Health Forum. The study from the Rand Corporation and Castlight Health analyzed claims from about 7 million privately insured adults who are covered through workplace health plans, which means this number may not accurately reflect the true demand for these services. Those with government-sponsored plans and with coverage through the exchanges likely also saw an increase in mental health spend over the past few years. 5 Pillars: Severe mental illness and substance use...
Aug 31, 2023 | Drugs, Medicare, Part D
On August 29, CMS released the first ten prescription drugs that will be subject to price negotiations between Medicare and drug manufacturers. Click to read more
Aug 30, 2023 | BRG Conference Call Replays, BRG Publications
Conference Call | Thursday, September 7, 1:00 PM ET There has been significant innovation in recent years around women’s healthcare and new stakeholders are looking to make an impact. Join BRG’s discussion with Leah Sparks, CEO and Founder of Wildflower Health, Angela Glyder, RN, VP of Clinical Operations at Lucina Analytics, and Dr. Mark Simon, CMO of OB Hospitalist Group, as we discuss issues surrounding maternal mental health and how to improve maternal mortality. Moderated by BRG’s Hannah Landi and Bryan Cote, panelists will also touch on bettering outcomes through care coordination and...
Aug 29, 2023 | Medicare, Physician Fee Schedule
Recent Developments in Surgical Specialties: PFS policy has created modest pressure for surgical specialties. Click here to read
Aug 29, 2023 | Medicare, Physician Fee Schedule
Recent Developments in ENT and Audiology: The ENT specialty has benefited from the 2021 office visit reimbursement increases. Click here to read
Aug 29, 2023 | BRG Conference Call Replays, Drugs, Legislation/ Budgets/ Macro
Conference Call | Thursday, August 31, 2:00 PM ET Today, Medicare announced the selection of the first ten drugs for negotiation. BRG experts will summarize key takeaways from the announcement, describe what to expect next, and discuss implications for the pharmaceutical industry and adjacent sectors. Presenters will also list the lawsuits filed by the industry and compare the arguments made in early filings by both sides. The call will end with an open Q&A for all participants. Please register in advance of the Zoom call. Following registration, you will receive a confirmation email...
Aug 25, 2023 | Managed Care Friday
3.5: Percent of middle-class Americans with medical debt, more than any other class, according to a KFF estimate. Experts think this is because middle-income Americans, who earn $50,000-$100,000 a year, are more likely than those with lower incomes to seek care but they don't qualify for Medicaid or charity care to help pay for it and often fall into the gap between affordable ACA plans and Medicaid. Those with higher incomes, and typically better insurance coverage, have the least amount of medical debt unsurprisingly. Wait For It: Unranked in 2023, the #1 payer priority heading into 2024...
