In This Issue:

HIP Service Area Expansion Affects GHI HMO Providers

New Prior Approval List

New Web Usage Requirements for GHI HMO Network Providers

New EmblemHealth Radiation Therapy Program and EmblemHealth Cardiology Imaging Program and HIP Radiology Programs Apply to More Members

Updated Fax Forms for: EmblemHealth Injectable Drug Utilization Management Program

EmblemHealth Consolidates Post Office Boxes for GHI HMO and EmblemHealth Medicare PPO

Claims Corner

Medicaid and Medicare Updates

Behind the Scenes

Case Management Programs

Stressing the Importance of Prenatal Visits

Well-Child Visits

High-Risk Medications for Elderly Patients

Healthful Aging Starts With Lifestyle Changes and Preventive Screenings

Talking With Patients About Urinary Incontinence

Treating Rheumatoid Arthritis

Assisting Patients Living With HIV

Treating Low Back Pain

Asthma Management

CPT Codes for Tobacco Cessation Counseling

Clinical Corner

News&Notes Archive

  Behind the Scenes


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



R. Clay Ballard
Lisa Bloch
Suzanne Rabin
Catherine Richter
Melissa Shore


Elizabeth Abraham
Esmeralda Braganca
Michael Byrne
Barbara Cumbo
Theresa Maltz
Agnes Pangilinan

Kathy Parsons
Andrew Phillips
Corrissa Sanford-Faber
Stephanie Smith
Alice Tully


Please share with us any suggestions for stories of interest to our clinical communities and their staffs. Contact 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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