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


  Behind the Scenes

EDITORIAL BOARD

Cindy Lee Christensen
Senior Director
Provider Network Management

Daniel P. Finke
Executive Vice President
Health Care Operations

Shawn M. Fitzgibbon
Senior Vice President
Provider Network Management

William A. Gillespie, MD
Senior Vice President
Chief Medical Officer

Philip J. Gillich
Vice President
Physician Contracting and Management

John David Mahder
Vice President
Marketing and Communications

Karen Smith-Hagman, RN
Vice President
Medical Management

 

 EDITORS

R. Clay Ballard
Lisa Bloch
Suzanne Rabin
Catherine Richter

CONTRIBUTORS:

Elizabeth Abraham
Esmeralda Braganca
Michael Byrne
Elizabeth Corwin
Donna Howard
Pablo Idez

Theresa Maltz
Kathleen Milito
Andrew Phillips
Lindsey Tom
Karla Zofrea

 


WE INVITE YOUR COMMENTS:
Please share with us any suggestions for stories of interest to our clinical communities and their staffs. Contact providercomm@emblemhealth.com with your ideas.

Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.

 

 

 
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