Medicare Advantage Archives - Premera Providers (WA)

Medicare Advantage

Premera Blue Cross Exiting Medicare Advantage Market in 2025

October 3, 2024

Will prioritize growth across other core lines of business.

Medicare Advantage

PrEP Treatment Transitions From Medicare Part D to Medicare Part B

October 3, 2024

Make sure to include ICD-10 codes with each PrEP prescription.

Medicare Advantage

Medicare Advantage Policy Updates for September 2024

09/05/2024

Medicare Advantage

Manage Osteoporosis to Reduce Future Factures

09/05/2024

Early management can lead to a decrease in osteoporosis related fractures and better quality of life for your patients.

Medicare Advantage

Wegovy® Coverage with the New Cardiovascular Indication

8/1/2024

Currently Wegovy is not on the formulary. For members seeking coverage to reduce the risk of cardiovascular events, providers have an option to request a formulary exception.

Medicare Advantage

Medicare Advantage policy updates for July 2024

07/08/2024

Medicare Advantage

Medicare and Medicaid Can Help You Better Understand Patients’ Perspectives

June 6, 2024

The Consumer Assessment of Healthcare Providers and Systems survey offers valuable insights.

Medicare Advantage

Medicare Advantage Code and Policy Updates for May 2024

May 2, 2024

Premera removed 130 prior authorization codes effective May 1, 2024.

Medicare Advantage

Premera Medicare Advantage Expands Behavioral Health Specialist Network

April 4, 2024

Two new provider license types are now authorized for Medicare plans.

Medicare Advantage

The FDA Has Announced a New Cardiovascular Indication for Wegovy®

Wegovy is now approved for reducing the risk of cardiovascular death, heart attack, and stroke in overweight adults with cardiovascular disease.

Medicare Advantage

Transitions of Care HEDIS Measure: Medication Management and Care Coordination

April 4, 2024

Coordinating care between health settings leads to improved health outcomes.

Medicare Advantage

Follow Up After People with Complex Conditions Visit Emergency Department

April 4, 2024

This important step can improve health outcomes.

Medicare Advantage

2024 Pharmacy Star Measurement Changes

March 7, 2024

Two important calculation changes for measurement of statin use in persons with diabetes.

Medicare Advantage

Discuss Fall Risk, Bladder Control, and Physical Activity with Your Medicare Patients

February 1, 2024

The Medicare Advantage Health Outcomes Survey assesses member-reported outcomes.

Medicare Advantage

Understanding Star Ratings

February 1, 2024

An introduction to the Centers for Medicare & Medicaid Services star ratings program.

Medicare Advantage

Prepare Your Patients for Their Annual Wellness Visits

February 1, 2024

The new year brings new and existing Medicare Advantage members to your medical practice for their Annual Wellness Visits.

Medicare Advantage

Advanced illness and Frailty Exclusions Allowed for HEDIS® Star Measures

February 1, 2024

Patients may be excluded from select HEDIS star quality measures due to advanced illness and frailty.

Medicare Advantage

Medicare Advantage Code and Policy Updates for February 2024

February 1, 2024

The policies and code list are now updated.

Medicare Advantage

Medicare Advantage Code and Policy Updates for January 2024

January 4, 2024

You can now review new changes posted to the Premera Medicare Advantage website.

Medicare Advantage

New Medicare Advantage Prior Authorization Rules Effective January 1, 2024

January 4, 2024

Medicare Advantage (MA) plans must provide a minimum 90-day transition period for enrollees in active treatment who are switching MA plans.

Medicare Advantage

New Medicare Advantage Pharmacy Programs

January 4, 2024

Introducing two new pharmacy vendors to help members manage the cost of their prescription medications.

Medicare Advantage

Premera Medicare Quality Stars Program

December 7, 2023

A provider recognition program for Medicare Advantage members.

Medicare Advantage

Prepare Your Patients for their Annual Wellness Exams

December 7, 2023

These visits can lead to disease prevention and detection.

Medicare Advantage

Medicare Advantage Code and Policy Updates for December 2023

December 7, 2023

The Medicare Advantage policies and code list have been updated.

Medicare Advantage

Dental Secure Tools for Medicare Advantage Plans

Premera Blue Cross Exiting Medicare Advantage Market in 2025

PrEP Treatment Transitions From Medicare Part D to Medicare Part B

Medicare Advantage Policy Updates for September 2024

Manage Osteoporosis to Reduce Future Factures

Wegovy® Coverage with the New Cardiovascular Indication

Medicare Advantage policy updates for July 2024

Medicare and Medicaid Can Help You Better Understand Patients’ Perspectives

Medicare Advantage Code and Policy Updates for May 2024

Premera Medicare Advantage Expands Behavioral Health Specialist Network

The FDA Has Announced a New Cardiovascular Indication for Wegovy®

Transitions of Care HEDIS Measure: Medication Management and Care Coordination

Follow Up After People with Complex Conditions Visit Emergency Department

2024 Pharmacy Star Measurement Changes

Discuss Fall Risk, Bladder Control, and Physical Activity with Your Medicare Patients

Understanding Star Ratings

Prepare Your Patients for Their Annual Wellness Visits

Advanced illness and Frailty Exclusions Allowed for HEDIS® Star Measures

Medicare Advantage Code and Policy Updates for February 2024

Medicare Advantage Code and Policy Updates for January 2024

New Medicare Advantage Prior Authorization Rules Effective January 1, 2024

New Medicare Advantage Pharmacy Programs

Premera Medicare Quality Stars Program

Prepare Your Patients for their Annual Wellness Exams

Medicare Advantage Code and Policy Updates for December 2023