Blog Archives

Medical Benefit Payment System Management in Vermont Medicaid

B&A supports Vermont Medicaid maintain payment systems for facilities, professionals, laboratories, durable medical equipment providers, ambulance, and non-emergency transportation services. Highlights include transitioning the state to MSDRGs and APCs and continues to support the state in annual updates to policies, … Continue reading

EAPG Implementation in Ohio Medicaid

B&A is supporting the state of Ohio transition to payment of outpatient services using the 3M EAPG grouper. B&A supports Medicaid staff with financial and policy analysis. B&A also engages with stakeholders and partners including the fiscal agent, managed care … Continue reading

Inpatient and Outpatient Hospital Reimbursement Redesign

B&A developed new payment methodologies for inpatient and outpatient hospital services. The previous methodologies had not been substantially updated for 15 years. Activities included developing multiple impacts for hospital CFOs as methodologies developed, facilitating hospital CFO and billing staff meetings … Continue reading

DRG Rebase Technical Assistance

Mark Podrazik is assisting the three hospitals owned by SHW that participate in DC’s Medicaid program navigate changes to the DRG rebase project currently underway. Of importance to SHW is the fact that they own two long term care hospitals … Continue reading