Payer & Financing Models Archives - Page 2 of 117

Between 2020 & 2021, The Death Rate Rose 4% Among Adults Ages 65 To 74

Article June 12, 2023

Among older adults in the United States, the death rate among those ages 65 to 74 increased by 4% between 2020 and 2021 (during COVID-19). The 2021 death rate (2,150… Read More

New York Budget Includes $1 Billion To Expand The State’s Continuum Of Mental Health Care

Article June 12, 2023

On May 3, 2023, New York Governor Kathy Hochul signed the state’s $229 billion budget for fiscal year 2024—which includes $1 billion for a long-term investment to transform the state’s… Read More

CBO Projects 15.5 Million Will Lose Medicaid & 6.2 Million Will Become Uninsured During PHE Unwinding

Article June 12, 2023

Over the next 1.5 years, the U.S. Congressional Budget Office (CBO) projects that approximately 15.5 million current Medicaid beneficiaries under the age of 65 years will lose their Medicaid coverage… Read More

Planning For 10.1%

Article June 5, 2023

Last week, the Congressional Budget Office (CBO) released new estimates quantifying the extent to which the “unwinding” of COVID Medicaid eligibility and Marketplace subsidy policies will affect Americans’ health care… Read More

Infographic – Racial & Ethnic Diversity In Clinical Trials: Overcoming Socioeconomic & Financial Barriers

Infographic May 30, 2023

Dive into our PsychU resources! This collaborative infographic with NephU reviews some of the findings of racial and ethnic diversity and socioeconomic impart in clinical trials. Read More

Medicare Advantage Enrollment Breaks 50% For First Time

Article May 29, 2023

More than half of all Medicare beneficiaries as of January 2023 were enrolled in a Medicare Advantage plan, at 30.2 million members out of all 59.8 million Medicare beneficiaries with… Read More

Clinicians Able To Prescribe Buprenorphine Have Increased, But Percentage Of Active Prescribers Has Declined

Article May 22, 2023

Between 2017 and 2021, the number of health care professionals able to prescribe buprenorphine as treatment for opioid use disorder (OUD) increased by 182% (from 34,149 in 2017 to 96,415… Read More

Feds Propose Rules To Improve Medicaid Managed Care Access, Finance & Quality

Article May 22, 2023

On April 27, 2023, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that affects Medicaid managed care organization (MCO) contracts for Medicaid and Children’s Health Insurance… Read More

CMS Finalizes Medicare Advantage Prior Authorization Reforms

Article May 22, 2023

On April 5, 2023, the Centers for Medicare & Medicaid Services (CMS) finalized its proposals to reform Medicare Advantage plan prior authorization policies to improve transparency. The new regulations are… Read More

The Carve-Out/Carve-In Question

Article May 15, 2023

The number of state Medicaid plans using primary carve-outs models for the financing and delivery of behavioral health services have dropped significantly, from 15 states in 2011 to 8 states… Read More

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