Headlines

COVID-19 Payer Updates 4/1/20 – Access Advantage

Payer COVID-19 policies continue to come in, with anticipated additions over the days and weeks ahead. Payers are relaxing their policies and implementing emergency actions to accommodate the influx of healthcare services needed at this time. Please see below for the latest update(s) since our last alert. Anthem – Beginning March 26, 2020 Anthem health

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COVID-19 Payer Updates – Access Advantage

Payer COVID-19 policies are beginning to come in, with anticipated additions over the days and weeks ahead. Please note several payers have made changes to their prior authorization (PA) protocols. Aultcare – Recently developed a policy to make it easier to access medical care virtually. The policy, applicable to all medically necessary services, will be

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Managed Care Plans and COVID-19

The Centers for Medicare and Medicaid Services (CMS) has issued guidance to Medicare Advantage Plans to address their obligations and flexibilities with regards to the emergency caused by COVID-19. This article includes Medicare Advantage special requirements, permissive actions and an Ohio bulletin notifying companies of their obligation to provide access to the healthcare services to

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CMS Coverage And Payment Information For COVID-19

Late last week The Centers for Medicare and Medicaid Services (CMS) posted information regarding COVID-19 Medicare coverage and payment. This article focuses on coverage for diagnostic tests, vaccines, inpatient hospital care services, quarantines and much more. Please see below post. View Article Here

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Nursing Home Closures Accelerating

A study by Leading Age recently showed that over 500 nursing homes in the US have closed in the past four years. These closures caused by several factors including, but not limited to, rising costs, pressures from payers and increased competition. This article highlights changes the industry is facing, as well as how managed care

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