Author: Jeremy Miller

SHP Lunch ‘n’ Learn – Tomorrow, Sept 16th @ 12pm

As a reminder, the SHP Fall Lunch ‘n’ Learn series are continuing on with sessions scheduled over the next two weeks.

Please join us at 12:00 p.m. tomorrow, September 16, 2021, for an update on Georgia’s Managed Care market and developments; from what’s coming in 2021 from Medicare Advantage expansions to new Healthcare Exchange offerings to the conclusion of the PSHP/WellCare merger.  As the market continues to shift and narrow based on payer mergers; we’ll also talk longer-term strategy considerations to encourage competition in the market.

For the best experience, please join us using the link below:
https://www.gotomeet.me/Strategic-Healthcare/shp-fall-series-ga-managed-care-update

And next week, September 22, 2020, we are thrilled to be joined by Department of Community Health Commissioner Frank Berry and Deputy Commissioner Blake Fulenwider. To join us for the physician session that will begin at 12:45 p.m. and will run approximately 45 minutes.

2021 is shaping up to be a big year for DCH, and we encourage you to join and hear from Commissioner Berry and Deputy Commissioner Fulenwider updates including the following topics:

  1. PSHP will officially take over WellCare’s Medicaid population in May 2021.
  2. DCH will re-procure the carriers for State Health Benefit Plan…..it is crucial in light of BCBSGA’s recent actions regarding physician contracts that DCH hears from physicians around the State how critical it will be to have additional options outside of BCBSGA & UHC.
  3. DCH will continue to pursue their Medicaid/Exchange plan waivers to expand Medicaid coverage in the State.

For the best experience, please join via the link below:
https://www.gotomeet.me/Strategic-Healthcare/shp-fall-series-ga-dch-practices

We look forward to talking with you then!

Hospital Pricing Transparency Webinar

Strategic Healthcare Partners in conjunction with Michele Madison at Morris, Manning & Martin present a review of the recent final rule issued by CMS requiring hospitals to release and publish pricing information BEFORE providing services.  We have heard many questions from providers looking for clarity and guidance.  We look to provide such education during an interactive lunch and learn session on September 30th at 12pEST.

Please join us by using this link:

https://www.gotomeet.me/Strategic-Healthcare/shp-fall-series-hospital-pricing-transparency

SHP Fall Webinar Series

SHP, in collaboration with various partners and legislative representatives, presents our Fall webinar series, which focuses on a variety of current and bottom line-impactful  topics.

These webinars serve as a tool to educate and provide actionable takeaways for healthcare providers on real time COVID updates, QPP 2021 Rules, and Revenue Cycle best practices such as Managed Care and Provider Enrollment.  We are also pleased to have the Commissioners for both the Department of Insurance (DOI) and Department of Community Health (DCH).  So, please order in lunch as we interactively discuss such topics amongst your peers.

Visit our webinar schedule for more information.

COVID Forum Survey

As part of our bi-weekly COVID forums, we want the discussion and guests dictated by you. We also are asked what others are doing to help ‘get back to the norm.’ Here is a 7 question survey to help direct these conversations and then provided back to you in a summary so that you can see what your peers are doing to tackle the challenges of today.

Hospital COVID Forum Survey Link

Physician Practice COVID Forum Survey Link

HHS Announcement – New Relief Funds Distributions for Skilled Nursing Facilities (SNFs)

From the $175 billion provider relief fund, HHS announced this morning that they have allocated an additional $4.9 billion in direct provider relief for Skilled Nursing Facilities (SNFs). HHS has determined the following distribution methodology for SNFs:

  • HHS will make relief fund distributions to SNFs with six or more certified beds based on both a fixed basis and variable basis.
  • Each SNF will receive a fixed distribution of $50,000 plus a distribution of $2,500 per bed.

Consistent with all HHS distributions to this point, nursing home recipients must attest that they will only use Provider Relief Fund payments for permissible purposes, as set forth in the Terms and Conditions, and agree to comply with future government audit and reporting requirements. For further details, you can find the full press release here: https://www.hhs.gov/about/news/2020/05/22/hhs-announces-nearly-4.9-billion-distribution-to-nursing-facilities-impacted-by-covid19.html.

There are reports that distributions began hitting accounts already. So, be on the lookout and let us know if we can be of any assistance