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

Health and Wellness Programs

Your patients may be eligible to participate in one of our health management programs, known collectively as PATH, Positive Actions Toward Health. The PATH programs for living better with chronic illness include diabetes care, better breathing for asthma and chronic obstructive pulmonary disease, as well as heart care for coronary artery disease and heart failure. For program and enrollment information, view the links below:

We also offer Wellness Programs as part of our PATH programming to help your patients maintain or improve their good health. For program and enrollment information, view the links below:

All of our PATH programs are confidential and available at no cost to your patients. The programs complement the care you provide and strive to help your patients understand and manage their health conditions as well as their health in general.

*Note: All Medicaid and Family Health Plus members, GHI Hotel Employees Restaurant Employees International Union (HEREIU) and City of New York PPO members should call the New York State Smokers' Quitline at 1-866-NY-QUITS (1-866-697-8487). Residents living outside New York State may call the National Smoking Quitline at 1-877-44U-QUIT (1-877-448-7848). The toll free number 1-800-QUIT NOW (1-800-784-8669) will direct out-of-state residents to their states' smoking quitline. Additional information on smoking cessation may be found at the National Cancer Institute.

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