Affinia News

Payer Updates Sent on behalf of Brenda R. Lever, Director, Provider Network Management, Blue Cross Complete of Michigan Effective September 1, 2020, Blue Cross Complete will implement two policy updates. The updates are as follows: Modifier 25 policy update – Blue Cross Complete will pay...
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Payer Updates On September 14, we’re launching GuidingCare, a new authorization tool that will replace Clear Coverage. Make sure you’re ready to successfully request authorizations this fall by registering for webinar trainings. What steps do you need to take to ensure success? The GuidingCare tool...
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Written by: Courtney Sorenson, PharmD Candidate, Paige Thomey, PharmD Candidate, and Julie Earby, PharmD Key Points Medication Therapy Management (MTM) includes a wide variety of clinical services, usually provided by a pharmacist In 2019, Affinia Health Network had partnered with Priority Health and pharmacists within...
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Key Points The risk of cancer from taking NDMA contaminated products is low. Patients should continue taking metformin, even if affected by the recall, until they have a replacement or different treatment option from their doctor or pharmacist. Metformin Recall In late 2019, the Federal...
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Key Points Many payers use CMS Performance Measures and STAR ratings to provide incentives to increase quality of care. Medication adherence is one of the performance measures that is monitored. Implementation of this initiative will increase quality of care with the additional bonus of increasing...
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