Join us on December 22nd @ 12p Eastern as we present our Annual Georgia Managed Care State of the State. We have a lot to cover, including: Key elements of current and anticipated market themes from commercial carriers Where the Medicaid…
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…
Today, the Supreme Court released their decision regarding a hospital lawsuit against the Department of Health and Human Services (DHHS). Several hospitals had joined together to sue DHHS regarding a previous rule change in the calculation of disproportionate share hospital…
The Centers for Medicaid and Medicare Services (CMS) released yet another voluntary payment model intended on restructuring financial reimbursement for primary care services. At face value, Primary Care First furthers many of the underlying concepts utilized in CPC+ by generally…
In mid-November 2018, the CMS, under the direction of the Trump administration, proposed highly anticipated modifications to managed care regulations that were put in place back in 2016. These modifications would grant states more flexibility in determining network adequacy standards…
In the age where Buzzfeed listicles dominate and memes have replaced words, it’s difficult to figure out how to create blog content that will keep a reader engaged past the title. The good news? We have some tips on how…
When recruiting for a job, companies look for many things before they even pick up the phone to call you for an interview. Most people think that when you, the potential job candidate, submit a resume online, it gets screened…
Everyone has a friend/colleague that we like to discuss things with such as work or other colleagues in the workplace. We like to discuss the good, bad, and ugly of our workplace stresses, frustrations, and annoyances with our friend/colleague…does this…
Medicare Advantage plans continue their unabated growth; in 2019, plan options across the United States have grown by 20% from 3,100 plans in 2018 to 3,700 plans in 2019. By 2025, it is expected that Medicare Advantage market saturation will…
Introducing continuity of care measures to the Quality Payment Program (QPP) may be the best route to lower healthcare costs and reduce hospitalizations according to a study recently published in the Annals of Family Medicine. Provider-level measures that support value-based…