Provider Resources

News and Announcements

October 2019

Reminder to Complete Our Annual Provider Satisfaction Survey

At Network Health, it’s essential to us that we continue to improve and enhance the service we provide to you. As a valued partner of Network Health, provider feedback is extremely important to us and we carefully review the results to implement improvements. In 2018, providers rated Network Health well above other plans and your feedback was key in helping us to focus on what’s most important.

For 2019, you should have received our annual Provider Satisfaction survey through SPH Analytics. The survey started at the beginning of October. Please complete the survey and provide your feedback. All surveys were emailed to the contract contact. If you have any questions or did not receive your survey, contact Melissa Anderson at meanders@networkhealth.com

Read more in the latest issue of The Pulse

 

 

Every month, The Pulse newsletter delivers the latest industry news, claims updates, tips about programs available to you and your patients, pharmacy notifications, treatment information, code changes and more. 

Check out the latest issue of The Pulse


Pulse Newsletter Archives

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October 2019
September 2019
August 2019

July 2019

June 2019
May 2019
April 2019
March 2019
February 2019
January 2019

 

October 2019

Network Health Outscores National Averages in Quality Ratings

Network Health earned a 4.5 out of 5 overall Star rating for its Medicare Advantage PPO plans from the Centers for Medicare & Medicaid Services (CMS), outperforming the national average of 4 Stars. Every year, Medicare evaluates plans based on a 5-star rating system. In addition, the National Committee for Quality Assurance (NCQA) awarded Network Health a 4.5 out of 5.0 rating for both Medicare and commercial lines of business for 2019-2020. Network Health is one of only four health plans in Wisconsin receiving this score for Medicare and commercial plans, and no other plans in Wisconsin are rated higher. The Medicare Advantage Five-Star Quality Rating System was implemented to drive improvements in quality of care and to help consumers make plan comparisons. CMS evaluates plans annually and bases the Five-Star ratings results on clinical data, customer survey responses and plan performance scores spanning the previous two years. This information is timely as consumers start evaluating available health plans during open enrollment for 2020 insurance coverage.

Read more in the latest issue of The Consult

 

Every month, The Consult tells you about our member programs designed to close care gaps and initiatives around specific quality measures, and shares highlights from our health management teams and network providers.

Check out the latest issue of The Consult

Consult Newsletter Archives

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October 2019
September 2019
August 2019
July 2019
June 2019

 

 

June 2019

Retail Pharmacy Network to Transition from CVS to Walgreens

On January 1, 2020, Network Health will transition to Express Scripts (ESI) as the pharmacy benefits manager for all lines of business. ESI has provided pharmacy benefits management for Network Health Medicare members since 2005. Through the transition, the major retail pharmacy network will switch from CVS/caremark™ to Walgreens.

For our members’ convenience, Network Health will provide access to Walgreens pharmacies beginning August 1, 2019. CVS/caremark™ will continue to be in-network until December 31, 2019. This gives you and your patients time to work with a Walgreens pharmacist to transition pharmacy files from CVS/caremark™ (or any pharmacy).

If members decide not to participate in the early transition to Walgreens, we have advised them to refill prescriptions the last week of December 2019 to cover their medication needs until they can transfer their pharmacy files to an in-network pharmacy on January 1, 2020.

Members and providers can search the entire updated pharmacy network, both retail and mail order, through Find a Pharmacy starting November 1, 2019.

Read more in the latest issue of The Script

 

The Script is the quarterly newsletter produced by the Network Health pharmacy department to inform providers of current and upcoming pharmacy-related news.

Check out the latest issue of The Script

Script Newsletter Archives

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June 2019
January 2019


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