Featured story: Resources that meet members on their gender affirmation journey

At AllWays Health Partners, we want our members to live their healthiest life in alliance with our commitment to diversity, equity, and inclusion. That’s why we offer gender-affirming care management for members in need of help navigating healthcare, answers to questions, or support along their gender journey. Continue reading to learn more about our gender affirmation care management program available to members of AllWays Health Partners.

Featured story: tips for taking your medication for depression—from a psychiatrist

If you have patients that have questions about depression medication, we've put together some best practices along with lifestyle habits to share with insight from board-certified general and child adolescent psychiatrist, Debra Katz.

Featured story: Providers can deliver quality healthcare by focusing on this fundamental

Although innovations in diagnostics and treatment are essential to moving medicine forward, there's one aspect of healthcare that will always remain foundational: the connection between patients and their healthcare providers.

Featured story:

Do your patients know about our Healthier You program?

Have you heard of our Healthier You program? As a provider, you can recommend this program to your patients who are looking to lose weight, eat more healthfully, increase physical activity, and reduce the risk of conditions such as diabetes and heart disease. In recognition of National Nutrition Month, learn more about the Healthier You program at AllWays Health Partners.

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In this issue:

• Advance explanation of benefits (AEOB)
• Formula recall
• Rx Savings Solutions
• Medical policy updates
• Formulary updates
• Code updates
  

Featured story:

Refer your patients to iHeart Champion, a personalized heart disease management program

Did you know that AllWays Health Partners offers our members a heart-health program in collaboration with Brigham and Women's Hospital—at no cost to them? In recognition of American Heart Month, learn more about the program designed to help your patients reduce their bad cholesterol, blood pressure, and risk of heart attacks.

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In this issue:

• New hours for our provider service line
• COVID rates
• Coverage for blood pressure cuffs 
• New credentialing vendor
• Acute Hospital Care at Home Program
• Mandated reimbursement for services related to testing and treatment for COVID-19 
• Medical policy updates
• Code updates

Featured story:

Federal changes providers should know about in the new year

There are two federal changes that impact the health care industry, effective January 1, 2022: the No Surprises Act (as part of the Consolidated Appropriations Act of 2021) and the Transparency in Coverage rule. Both directly apply to commercial and self-insured coverage. Continue reading to learn more about how these federal changes impact you as a provider.

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In this issue:

• Verify your directory entry 
• Mandated reimbursement for services related to testing and treatment for COVID-19
• Site of service feature
• Hospital inpatient utilization report 
• New ID cards
• My Care Family transplant process
• Annual Updates to Physician and Outpatient Fee Schedules
• Available provider resources
• Medical policy updates
• Code updates

Featured story:

What to know about kids and COVID-19

As part of an integrated health system, our team at AllWays Health Partners remains committed to ensuring access for our members to critical healthcare services throughout the COVID-19 pandemic. Now that children ages 5 to 11 who live or go to school in Massachusetts are eligible to get the Pfizer vaccine, we wanted to share some recent findings from one of our system’s experts: Lael Yonker, MD Director, Pediatric COVID-19 Biorepository and Director, MGH Cystic Fibrosis Center at the Massachusetts General Hospital for Children. 

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In this issue:

• New federal requirements for provider directory information
• New ID cards
• Available resources
• Preventative behavioral health service for Mass Health patients
• Medical policy updates
• Code updates
• Formulary updates