Provider News

  • Hospital readmission payment policy update

    Learn about important appeal information, guidelines, and additional exclusions for hospital readmissions.

    Learn more

  • Policy updates

    News

  • Online tools and resources

    We Are Breaking Down the Stigma of Behavioral Health | 6/6/2019

    Digital behavioral health resource center is now available with articles, videos, and resources.
    How Providers Can Help Manage Trauma

    How Providers Can Help Manage Trauma | 2/21/2019

    The start of a healthy life starts with a healthy family. Providers can help.

    Best Practices for Patient Education | 1/17/2019

    How do you educate your patients about preventive care versus diagnostic visits?
  • More online tools and resources news

  • Company updates

    New Youth Shelter Opens With Help From Premera | 6/20/2019

    Premera’s $1.6 million donation makes a difference for at-risk youth.
    A New Tele-Behavioral Health Provider Joined Our Network

    A New Tele-Behavioral Health Provider Joined Our Network | 6/6/2019

    With Talkspace, Premera is committed to offering programs and tools to help our members get quality care–on their terms and at a fair price.

    Behavioral Health Treats the Whole Person | 5/16/2019

    We’re addressing Behavioral Health stigma and access.
    Premera Awards Six Community Grants to Behavioral Health Nonprofits

    Premera Awards Six Community Grants to Behavioral Health Nonprofits | 4/18/2019

    Nearly $600,000 granted to nonprofit organizations throughout Washington state.

    April Is Stress and Alcohol Awareness Month | 4/18/2019

    Providers can create a safe space for patients.

    Medical Scam Seeks Member Information | 4/18/2019

    A nationwide scam is targeting patients and health plans.
  • More company updates news

  • High-value care

    Premera Offering Grand Rounds Expert Service to Customers | 2/21/2019

    What you need to know if a patient requests a second opinion from Grand Rounds.
    Looking for Specialty Care Referrals That Are High-Quality and Cost Efficient?

    Looking for Specialty Care Referrals That Are High-Quality and Cost Efficient? | 2/7/2019

    Premera’s Blue Distinction Specialty Care designations can help.

    Value-Based Specialty Care and Our Customers | 1/17/2019

    Together we can change the way customers choose specialty care providers.

    Value-Based Payment Models | 11/15/2018

    Learn more about the shift to a model that rewards high-quality, cost efficient care.
  • More high-value care news

  • Reminders and updates

    Hospital Readmission Payment Policy Update

    Hospital Readmission Payment Policy Update | 6/20/2019

    Learn about important appeal information, guidelines, and additional exclusions for hospital readmissions.

    Physician and Provider Relations Phone Line is Available | 6/6/2019

    Phone line and online resources are available for Physicians and Providers.

    Improving Quality of Life for Chronic Pain Sufferers | 6/6/2019

    MOBE is working with Premera to support our members with chronic conditions by encouraging positive health behaviors.

    Mailing Addresses for Correspondence and Claims | 6/6/2019

    Please update your records to avoid mail delays.
  • More reminders and updates news

  • Quality programs

    HEDIS Quality Measure: Adult Body Mass Index Assessment | 6/20/2019

    Documenting weight and height isn’t enough. Find out what else you need to calculate.

    Cervical and Breast Cancer Screening Reminders | 6/6/2019

    15,000 Premera members across the nation received cancer screening reminders in May.
    Changes to HEDIS Measures for Controlling High Blood Pressure

    Changes to HEDIS Measures for Controlling High Blood Pressure | 5/2/2019

    New changes to Controlling High Blood Pressure measures may reduce the need for medical record reviews.

    Improve HEDIS Scores with Claims Coding | 5/2/2019

    Learn how CPT Category II and ICD-10 Z codes can reduce medical record reviews.
  • More quality programs news

  • Pharmacy

    Coverage Changes for Lorzone and Generic Chlorzoxazone Tablets | 6/20/2019

    Pre-approvals needed starting July 1.
    Pharmacy Prior Authorization Edit Program June 2019

    Pharmacy Prior Authorization Edit Program June 2019 | 6/6/2019

    Which new edits are included in the Pharmacy Prior Authorization Edit Program?

    Expanded Voluntary Drug Recall on Losartan Products | 5/16/2019

    What you need to know about the impact to your patients taking this drug.

    Voluntary Drug Recall on Losartan Products | 4/4/2019

    What you need to know about the impact to your patients taking this drug.
  • More pharmacy news

  • Dental

  • More dental news

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