Priority Health has provided an update to a popular handout with highlights of typical office questions that Priority Health receives. Please feel free to print and share with your office teammates!
Please see the attachment provided below for all of the details.
The Centers for Disease Control and Prevention recommends a yearly flu vaccine for everyone ages six months and older as the best protection from this serious illness. Lakeland Care Network (Lakeland Care), in collaboration with Corewell Health, will offer drive-through community flu shots on the following dates:
As healthcare continues to transition into the digital space, we’re adapting our data strategy to follow suit.
We announced in June that Patient Profile and the PIP_70 report will be retired with the close of the 2023 PIP performance year. Beginning with the 2024 performance year, we’ll accept only the following supplemental data sources for quality gap closure:
Blue Cross Blue Shield of Michigan has experienced a work stoppage with our UAW-represented workforce. While we work to reach a labor agreement, please be assured that we will continue to process and pay your healthcare claims.
Your provider offices should continue to submit claims as normal. We will process and reimburse healthcare practitioners throughout the work stoppage. All of our benefits and billing requirements remain the same.
As of July 1, 2023, the State of Michigan is now covering diabetes prevention program (DPP) participation for Medicaid enrollees statewide. This means that more than 18,000 eligible Priority Health Medicaid members may now participate in this important, free lifestyle change program.
A summary of the September news and talking points from UnitedHealthcare.
Our Medical Advisory Committee (MAC), comprised of network physicians contracted with Priority Health, met this month and approved a series of medical policy updates. All updates are outlined in our policy updates webpage; below is a new policy we want to draw your attention to.
Effective Jan. 1, 2024, Tezspire® coverage will shift from a medical benefit to a pharmacy benefit for commercial and individual lines of business.
Blue Care Network mailed additional letters in August 2023, to primary care physicians and prescribers with BCN patients who are being offered the opportunity to receive a pharmacogenomics, or PGx, test as part of BCN’s new Blue Cross Personalized MedicineSM program.
Lakeland Care Network offices have just today been notified of upcoming changes that will affect new credentialing applications this last quarter of 2023. This is due to new credentialing software implementation being implemented in late September 2023. Please read below the statement from the Corewell Health Medical Staff Office.
Access the latest literature from Community Plan for provider offices caring for UHC-CP members.
In response to provider requests, we’re updating how we pay PCPs for behavioral health collaborative care (BHCC) services and care management telephone management services.
Humana announced this morning that effective October 1, 2023, they no longer will be quoting their Commercial product in Michigan.
UnitedHealthcare has shared its July 2023 Network News with all of our offices.
To ensure your data and your patient’s data are as secure as possible, we’ve implemented additional security for prism accounts.
Dear BCN-Affiliated Medical Care Group Business Administrator:
We’d like to invite you, your primary care physicians, clinicians, pharmacists and support staff to an upcoming webinar discussing Blue Care Network’s precision medicine pharmacogenomics (PGx) program called Blue Cross Personalized MedicineSM.
Loeks Theatre (via Lucent Health) is now a new employer group that has joined the Lakeland Care Network.
Some Cigna member claims submitted electronically by Michigan providers are being incorrectly denied due to a clinical edit. (The remittance advice will usually mention a missing or invalid diagnosis code.) We’re working hard to fix this as quickly as possible.
On June 1, 2023, Akorn Pharmaceuticals initiated a voluntary recall of various products as a result of bankruptcy and discontinuation of quality assurance activities of these marketed products. The discontinuation of the quality assurance program means the company is not able to support or guarantee that the products meet all intended specifications.