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April 2025

Transform Patient Experience: Unlock the Power of CAHPS Surveys

Missed our CAHPS webinar? Watch the recording now to learn effective strategies for enhancing patient satisfaction and care quality. 
April 2025

New GLP-1 Payment Rules for Providers

Payment determination is now required for GLP-1 medications (Mounjaro, Ozempic, Rybelsus, and Trulicity) to address potential misuse. 
April 2025

Empower Your Patients on National Health Care Decisions Day

April 16th is National Health Care Decisions Day (NHDD). As health care providers, you play a crucial role in guiding your patients through advance care planning.  Why It Matters  NHDD encourages individuals to express their health care wishes and document decisions. Your support ensures patients’ preferences are respected and honored.  How You Can Help  Resources  […]
April 2025

Expanding Access to Urgent Care: Your Role in Educating Members 

Our network is growing to better serve our members.  Benefits for Providers:  Your Role:  We appreciate your ongoing efforts and commitment. For any questions or further information, please contact Provider Services at 1-866-783-0222. TTY users call: 711, Monday-Friday, 8 am-5pm.   Thank you for your continued partnership. 
Diciembre de 2024

Key Tips on Ensuring Quality Care

We’d like to take a few minutes of your time to remind you of the importance of closing gaps in care and ensuring all eligible patients complete their Annual Wellness Visits (AWVs).
Diciembre de 2024

2025 Prior Authorization Guidelines for Certain Medications

As of 1/1/2025, some medically administered drugs like injectables may require utilization management such as a prior authorization to determine appropriateness of care, while ensuring safe and effective use.
Diciembre de 2024

Complete this SelectHealth Provider Survey to Help Increase Cancer Screenings

We would like to work with you to improve the rate of cancer screenings among SelectHealth members. To that end, we are asking about any barriers you’ve experienced in coordinating screenings as well as about any onsite screening services your practice may provide.
October 2024

2025 Medicare Plans: More Benefits and Support For Your Patients

VNS Health Medicare Advantage plans are designed to meet the needs of people facing complex health and financial challenges. Our plans include extra benefits to make health care more affordable and easier to access for this population as well as allowances to help members buy health items they need. We’re pleased to introduce our benefits for 2025.
August 2024

Provider Portal: Fastest, Easiest Way to Manage Authorizations

Our Health Plans provider portal gives you easy access to submit authorization requests and check the status of existing authorizations.   This guide will help you request new authorizations on our portal.   Our provider portal offers you 24/7 access to claims, eligibility, and more — without picking up the phone. Perform key functions and get the information you need, all in one place.
August 2024

Medicare Patients May Be Surveyed About the Care You Provide

From July to November, the Centers for Medicare and Medicaid Services (CMS) mails the Health Outcomes Survey (HOS) to some members of VNS Health Medicare plans.     The HOS asks about the member’s mental and physical health, physical activity, incontinence, and falls risk and prevention. The survey is used by CMS to assess health plan performance in […]