MyHealthGuide Source: Specialty Care Management

Webinar Description: In 2022, the US Supreme Court held in a 7-2 opinion that group health plans can utilize cost-control designs under the Medicare Secondary Payment Act (MSPA).

Shortly after this ruling, legislation was introduced in both the Senate and House (S.4750 and H.R.8594) to subvert the Supreme Court decision. These bills would require plan sponsors to impose limitations and restrictions placed on dialysis coverage to similarly impose these limitations and restrictions on all other chronic diseases covered under the plan.  But far from protecting patients, S.4750/H.R. 8594 would eliminate the ability of employer groups to increase price transparency and reduce healthcare costs for high quality dialysis treatments.

 Please join Professor Chris Walker -who represented SIIA as amicus curiae before the US Supreme Court in Marietta Memorial Hospital Employee Health Benefit Plan v DaVita in a spirited and informative discussion on the Supreme Court Decision, S.4750/ H.R. 8594, and how these can affect the marketplace moving forward. If interested in attending, please use the link provided to save your spot today.
 

About Specialty Care Management:

SCM specializes in program risk mitigation and cost containment solutions for dialysis and CKD management, oncology, air medical ambulance and organ transplant procedures. Founded in 2002, SCM is taking a new approach to managing catastrophic claims and providing the marketplace a unique opportunity to take control of their plan’s risk by normalizing costs and making them predictable. With exclusive dialysis programs featuring flat case rates, no set-up fees, and a full administrative carve-out, SCM doubles your savings compared to typical network discounts without any of the hidden fees, delivering a solution that completely pays for itself. Check us out at www.specialtycm.com to learn more.