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

Member Rights and Responsibilities

Members of EmblemHealth, GHI and HIP have a right to appropriate treatment in a proper setting. Members have a right to know what to expect and also what we expect from them. It is important that practitioners have the same information about member rights and responsibilities in order to ensure that our members, your patients, get the care and services to which their benefit plan entitles them.

Member Rights and Member Responsibilities are available for your review and may also be found in your EmblemHealth Provider Manual.


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