Jeff Lagasse
The guidance grew out of reforms announced earlier this year meant to improve the safety and quality of nursing home care.
This projection is more than double the 3% increase to healthcare budgets that employers experienced from 2021 to 2022.
CMS expects that up to an additional 34,000 people annually will now be eligible for 12-month postpartum coverage.
Some extremely low QPAs bear little to no resemblance to the actual in-network rates in a given geographic area.
Just 38% of MA plan members say they have enough coverage for mental health treatment, down from 39% a year ago.
Severe volume disruption to operations appears to be waning, but expense pressures are still elevated and pronounced.
The majority of bad debt now is associated with patients with insurance, contributing to the net revenue challenge for hospitals.
Results of the HealthEdge survey show the pace of change has led to shifting priorities for health plan leaders.
A 2021 Milliman analysis showed a tenfold increase in virtual visits by members who have these plans and a 6% reduction in ED visits.
This comes despite a rapid decline in COVID-19 hospitalizations following the winter surge, with the challenges expected to be widespread.