2009 Issues

Current Issue

Patient-Centered Medical Home

• August 4 meeting focused on PCMH
• Patient-centered medical home grants total $1.25 million

Incentive Programs

• PIP webcast now available
• PIP annual lab monitoring
• New Filemart lab result worksheet
• Percent Generic PIP measure
• Non-adherent member exclusion procedure
  

News & Updates

• Register online for a Priority Health Academy
• Code with Confidence course
• ICD-10-CM class
• Add your website to our Find a Doctor tool
• Terminating employee Web access
• Medical policy changes
• Operational information
  

Clinical Support

• Pre-diabetes coverage
• Flu season: Plan and prepare
• Antibiotic use and URIs
• Physical exam reminder calls to your Priority Health Medicare patients
• Colorectal cancer screening: Use correct coding to ensure preventive coverage
• Lead testing
  

Pharmacy

• Generic drug news
• Asthma long-term controllers moving to generic copay
• Positive changes to more than 100 drugs
• New drugs reviewed at July P&T
• Step therapy
• Availability of physician and pharmacist reviewers
  

Behavioral Health

• HIPAA
• Clinical practice guidelines
• Mental health parity
  

Questions?