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What’s Expected to Drive Up Health Plan Costs in 2025: GLP-1s, Behavioral Health, and Inflationary Pressures for Hospitals and Doctors – PwC’s Behind the Numbers 2025

Jane Sarashon

The line chart shows us that from 2020 onward, the unit cost trend for behavioral health spiked to 2023 from about $100 to $125m and that behavioral health claims as a percent of all medical claims more than doubled between 2018 to the third quarter of 2023. [As

Doctors 59
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Medicare Star Ratings 2021 Changes and Strategies to Address

Innovaare Compliance

The CMS has increased the weight of patient experience measures, which are determined by CAHPS as well as member complaints, health care access, members choosing to leave the plan, appeals, and call center measures, all of which reflect overall member experience. The following section provides a synopsis of the changes for 2021.

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Weekly Health Care Real Estate Briefing: DEA To Extend Telehealth Flexibilities | CON Denials in Missouri and Alaska

Hall Render

State officials rejected Alaska Regional Hospital’s CON application to build a freestanding ED in South Anchorage, finding that the facility would neither improve access to quality care nor reduce patient costs. The hospital said it has lost $62M since 2018. South Carolina Gov.

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Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

Health Populi

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. In fact, the number of uninsured Americans rose by 2 million people in 2018 , and by 1.9 million people in 2017.

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Medicaid and Health Equity: CalAIM’s Bold Experiment

Healthcare Law Blog

In 2018, DHCS also launched the HHP pilot. The HHP served eligible Medi-Cal managed care plan Members with complex medical needs and chronic conditions who could benefit from intensive care management and coordination.

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

The Final Rule adopts a host of reforms aimed at improving health care access, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. Parts 417, 422, 423, 455, and 460. 3d 173, 191 (D.D.C.

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CVS Finds Differences in Mental and Behavioral Health Among Men Vs. Women in the Pandemic

Health Populi

To complement the consumer study, an additional survey was undertaken among 400 health care providers including primary care physicians and specialists, nurse practitioners, physician assistants, RNs and pharmacists. CVS has been tracking the growing trend of health care consumerism in the U.S.