Quality Programs - Provider News

Policy updates

Find recent medical policy and coding updates and payment policy updates.

News
Quality programs

Premera Programs Help Members Choose High Quality Providers | 11/6/2023
Learn about our Centers of Excellence and Blue Distinction Specialty Care Programs
Blood Pressure Coding Can Reduce HEDIS® Medical Record Requests | 10/5/2023
Add CPT^®II codes to patient claims to close gaps in care for patients
Remind Your Eligible Patients to get Regular Mammograms | 10/5/2023
Regular screenings lead to better outcomes
September Care Gap Member Outreach | 9/7/2023
Members may receive mailings on cancer screening and chronic conditions reminders
Well-Child Member Outreach | 8/3/2023
Premera will continue to send communications about the importance of well-child checkups
Chronic Condition Member Outreach | 8/3/2023
This summer, members will receive communications about monitoring their asthma and diabetic HA1c testing
Outreach for Closing Member Care Gaps | 7/6/2023
Educating members on the importance of preventive cancer screenings and routine checkups
Engaging with Frequent Emergency Room Users | 7/6/2023
Informing members of quality care options for an urgent need vs. an emergency
Statin Therapy for Patients with Cardiovascular Disease and Diabetes | 6/1/2023
Read about how important statins are for people with diabetes
Revised HEDIS® Measure Focuses on Helping Prevent Unnecessary Hospital Readmissions | 5/4/2023
Coordinating care from the hospital to home and ensuring a follow-up visit with the primary care physician can help your patients avoid a readmission
2022 Practitioner Survey Results: Medical and Behavioral Health Collaboration | 4/6/2023
Sharing information about the patient’s treatment plan and prescribed medications improve coordination and safety for patients accessing behavioral healthcare services
Outreach to Close Gaps in Care for Premera Members | 4/6/2023
Members will receive personalized communication about needed cancer screenings and diabetic HA1c testing
Well Child Checkup Outreach | 4/6/2023
Learn how we’re engaging with parents to keep children on track with well child checkups
Helping Patients Who Use the Emergency Department for Migraines | 3/2/2023
Learn about informative migraine materials you can share with your patients
Outreach Mailings to Members with Children | 2/2/2023
Premera is reaching out to members to keep children on track with vaccines and checkups
High Blood Pressure Educational Mailing | 12/2/2022
Premera is providing members with winning tips for a healthy heart
October Care Gap Member Outreach | 10/6/2022
Outreach to members includes well-child checkups, cancer screening, reduced ED utilization, and improved care for chronic conditions
September Care Gap Member Outreach | 9/1/2022
Care gap reminders and asthma information are being sent to some members
Helping Patients Who Use the Emergency Department for Migraines | 9/1/2022
Informative Migraine Materials to Share with Your Patients
August Care Gap Member Outreach | 8/4/2022
Learn more about home test kit and well-child checkup outreach for members
Teaming Up for a Better Member Experience | 8/4/2022
Premera Quality Programs is working the providers to improve care for our members
Diabetic Retinal Eye Exam Results Form | 8/4/2022
Check out this simple tool for providers to document and share Diabetic Retinal Eye Exam (DRE) results
Annual Risk Adjustment Data Validation Audits | 7/7/2022
Provider offices may receive a request for medical records from Cognisight or directly from Premera
Well Child Informational Mailings and Growth Chart | 6/2/2022
Members in Washington and Alaska will receive mailings about well-child checkups
Care Gap Member Outreach | 5/5/2022
Members will be receiving cancer screening, diabetes, asthma, and preventive care communications
Medical and Behavioral Health Collaboration: 2021 Practitioner Survey Results | 2/24/2022
Sharing information about the patient’s treatment plan and prescribed medications improve coordination and safety for patients accessing behavioral healthcare services
Premera Programs Help Members Choose High Quality Providers | 11/18/2021
Learn about our Centers of Excellence and Blue Distinction Specialty Care Programs
Medical Record Requests | 10/21/2021
This fall, your office may receive medical record requests from Change Healthcare and Cotiviti.
Care Gap Member Outreach | 10/21/2021
Member communications sent about cancer screenings, care for chronic conditions, and well-child checkups.
Fall Care Gap Member Outreach | 10/7/2021
Results from the provider survey on the collaboration of primary care and behavioral health practitioners
2020 Practitioner Survey: Medical and Behavioral Health Collaboration | 9/16/2021
Results from the provider survey on the collaboration of primary care and behavioral health practitioners
Member Outreach Addressing Care Gaps | 8/19/2021
Premera is reaching out regarding care gaps in diabetes, emergency department utilization, and colorectal cancer screenings
Care Gap Outreach for Federal Employee Members | 7/1/2021
Cancer Screenings and Diabetic HbA1c Testing
Introducing the Premera Premier Provider program | 6/3/2021
Recognizing providers for high quality and cost-efficient care
Diagnosis Coding for Immuno-compromise | 4/30/2021
A common error in coding is not considering whether the condition is caused by medication or by an underlying chronic condition
Coagulopathy: Medication-induced or Systemic? | 4/1/2021
How to submit diagnosis codes for patients on anti-coagulant medication therapy.
Virtual Care Benefits Extended | 3/18/2021
Premera is a covering applied behavioral analysis in a virtual setting until December 31, 2021.
HEDIS Measure: Medication Reconciliation Post-Discharge | 3/18/2021
Medication reconciliation post-discharge is critical to patient safety and care coordination efforts.
Annual HEDIS® Medical Review | 3/18/2021
This spring you may be contacted by COTIVITI to request medical records.
Upcoming Medical Record Request | 11/5/2020
Plan for risk adjustment and HEDIS medical record requests coming this winter.
Well-Baby Checkups: Parent/Guardian Education | 10/1/2020
We’re taking a new approach to educating parents/guardians on the recommended checkup and vaccine schedule.
Helping Members with Asthma Manage Their Condition | 10/1/2020
Premera is sending an educational mailer to help members with asthma.
A New Approach to Engaging Members with Multiple Care Gaps | 9/17/2020
Members will receive scorecards for their open and closed care gaps.
Home Test Kits for Members in Alaska and Washington | 9/17/2020
Annual FIT and HbA1c home test kit program launches in mid-September.
Home Test Kits During COVID-19 Pandemic | 7/2/2020
Members can complete important health tests at home.
Not finding what you're looking for here? Search our news archive.

Quality Programs - Provider News

Policy updates

News

Quality programs

Premera Programs Help Members Choose High Quality Providers | 11/6/2023

Blood Pressure Coding Can Reduce HEDIS® Medical Record Requests | 10/5/2023

Remind Your Eligible Patients to get Regular Mammograms | 10/5/2023

September Care Gap Member Outreach | 9/7/2023

Well-Child Member Outreach | 8/3/2023

Chronic Condition Member Outreach | 8/3/2023

Outreach for Closing Member Care Gaps | 7/6/2023

Engaging with Frequent Emergency Room Users | 7/6/2023

Statin Therapy for Patients with Cardiovascular Disease and Diabetes | 6/1/2023

Revised HEDIS® Measure Focuses on Helping Prevent Unnecessary Hospital Readmissions | 5/4/2023

2022 Practitioner Survey Results: Medical and Behavioral Health Collaboration | 4/6/2023

Outreach to Close Gaps in Care for Premera Members | 4/6/2023

Well Child Checkup Outreach | 4/6/2023

Helping Patients Who Use the Emergency Department for Migraines | 3/2/2023

Outreach Mailings to Members with Children | 2/2/2023

High Blood Pressure Educational Mailing | 12/2/2022

October Care Gap Member Outreach | 10/6/2022

September Care Gap Member Outreach | 9/1/2022

Helping Patients Who Use the Emergency Department for Migraines | 9/1/2022

August Care Gap Member Outreach | 8/4/2022

Teaming Up for a Better Member Experience | 8/4/2022

Diabetic Retinal Eye Exam Results Form | 8/4/2022

Annual Risk Adjustment Data Validation Audits | 7/7/2022

Well Child Informational Mailings and Growth Chart | 6/2/2022

Care Gap Member Outreach | 5/5/2022

Medical and Behavioral Health Collaboration: 2021 Practitioner Survey Results | 2/24/2022

Premera Programs Help Members Choose High Quality Providers | 11/18/2021

Medical Record Requests | 10/21/2021

Care Gap Member Outreach | 10/21/2021

Fall Care Gap Member Outreach | 10/7/2021

2020 Practitioner Survey: Medical and Behavioral Health Collaboration | 9/16/2021

Member Outreach Addressing Care Gaps | 8/19/2021

Care Gap Outreach for Federal Employee Members | 7/1/2021

Introducing the Premera Premier Provider program | 6/3/2021

Diagnosis Coding for Immuno-compromise | 4/30/2021

Coagulopathy: Medication-induced or Systemic? | 4/1/2021

Virtual Care Benefits Extended | 3/18/2021

HEDIS Measure: Medication Reconciliation Post-Discharge | 3/18/2021

Annual HEDIS® Medical Review | 3/18/2021

Upcoming Medical Record Request | 11/5/2020

Well-Baby Checkups: Parent/Guardian Education | 10/1/2020

Helping Members with Asthma Manage Their Condition | 10/1/2020

A New Approach to Engaging Members with Multiple Care Gaps | 9/17/2020

Home Test Kits for Members in Alaska and Washington | 9/17/2020

Home Test Kits During COVID-19 Pandemic | 7/2/2020