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.
    Online Tools Can Make Your Day Easier

    Online Tools Can Make Your Day Easier | 3/21/2019

    Quick and easy information can help with day-to-day transactions.
    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

  • Medicare Advantage

    Medicare Advantage Policy Updates | 6/20/2019

    Updated medical policies are now available.

    Open Care Gaps Mail Campaign | 5/2/2019

    Personalized lists of care opportunities are being sent to Medicare Advantage members.

    In-Home Health Assessments | 5/2/2019

    Comprehensive in-home assessments being offered to Medicare Advantage members.

    Medicare Advantage Part B Specialty Drugs May Require Step Therapy | 4/4/2019

    The Centers for Medicare and Medicaid Services issued new step therapy guidelines for certain Part B specialty drugs.
  • More Medicare Advantage 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 Announces Winner of Total Joint Replacement RFP

    Premera Announces Winner of Total Joint Replacement RFP | 5/16/2019

    We’re pleased to announce that Providence St. Joseph Health is the awardee for the TJR Bundle.

    Local Option for Outpatient Substance Use Disorder Treatment | 5/16/2019

    Hazelden Betty Ford has opened a new outpatient center to serve members living with addiction in Bellevue.
    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.
  • More company updates news

  • High-value care

    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 Care & New Premera Partnerships | 12/6/2018

    Premera is partnering with providers to deliver high-quality care at a fair price. Learn more about the opportunities!

    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.

    Web Training Videos Available to Help Code Efficiently | 5/16/2019

    A condition-focused, web-based training series is available to help providers code and document accurately and efficiently.
  • 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.

    HEDIS Quality Measure: Statin Measures Overview | 6/6/2019

    Two-star measures support the importance of statin therapy for patients with cardiovascular disease and diabetes.

    HEDIS Quality Measure: Comprehensive Diabetes Care | 5/16/2019

    Primary care practices: How can you help improve patient health while reducing 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 | 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

    Premera Blue Cross Medicare Advantage 2019 Dental Plans

    Premera Blue Cross Medicare Advantage 2019 Dental Plans | 12/6/2018

    Welcome new Medicare Advantage network dental providers.
  • More dental news

  • Not finding what you're looking for here? Search our news archive.