SPRING 2012 
  In This Issue:

Medicare and Medicaid Updates

Introducing Care360

EmblemHealth Injectable Drug Utilization Management Program Begins

Claims Corner

Utilization Review Criteria Update

Medical Director Availability After an Adverse Determination

Member Rights and Responsibilities

Provider Advisory Webinars a Success

CAHPS Member Satisfaction Surveys Are in the Field!

Behind the Scenes

Colorectal Cancer Screening

Medication Adherence for Chronic Conditions

Medical Management of COPD

Dental Hygiene Is Important

How to Help Your Patient With ADHD

Your Role in Slowing the Obesity Epidemic

Health and Wellness Programs

What Is a Health Outcome Survey?

Clinical Corner

News&Notes Archive

Clinical Corner

Clinical Corner is an easily accessible resource for updated information on clinical practice guidelines, medical policies and medical technologies. Formulary updates for EmblemHealth Commercial, Medicare and Medicaid plans are also available. Check Clinical Corner regularly to see the latest clinical updates.

The Health Status Improvement Committee meets regularly to review medical best practices and current clinical approaches to the treatment of disease states and conditions. The committee selects and adopts what it considers the most expert and effective clinical practice guidelines (CPGs) for our network practitioners. The following CPGs were recently adopted or updated by the Health Status Improvement Committee:


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