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PROVIDER CONNECTION NEWSLETTER

Welcome to the Gundersen Health Plan Provider Connection newsletter. The purpose of the newsletter is to enhance your understanding of the health plan and provide you with useful information to help you care for Health Plan members.

2017 Fall / Winter Provider Connection
  • Say Goodbye to the Provider Connection and Hello to Quartz
  • Our Medical Director Leadership
  • 2018 Senior Preferred (HMO) Star Rating
  • NCQA Ratings
  • Quality Management Updates
    • Provider Survey Results
    • Complaint Resolution by Providers
    • Communication Among Network Providers
  • Clinical Practice Guideline Updates
    • Preventive Care Guidelines
    • Routine Prenatal Care Guidelines
  • Pharmacy Updates
    • Pharmacy and Therapeutics Committee
    • Not All Statins are Created Equal
    • Choosing Wisely - New App Available
  • Vaccinating Your Adult Patients
  • UW Behavioral Health Care Management Prior Authorization Process
  • Osteoporosis Management in Women Who Had a Fracture
  • Access to Specialty Care and Outreach Referrals - HMO Products
  • Case Management
  • Disease Management
  • Member Rights and Responsibilities
  • Discrimination Against Members is Prohibited
  • Link to Issue PDF
2017 Provider Connection Spring / Summer
  • Prior Authorization Now Updated Monthly
  • Our Medical Director Leadership
  • Our New Quartz Brand
  • Quality Management Department Updates
    • 2016 HEDIS® Results
    • Gundersen Health Plan Provider Access Standards
    • The Voice of Your Patients
  • Clinical Practice Guidelines Updates
  • Improving HPV Vaccination Rates
  • Pharmacy Department Updates
    • OutcomesMTMTM​
    • "I Can't Afford My Medications"​​​​
    • Tobacco Cessation
  • Contact Information
  • Link to Issue PDF
2016 Provider Connection Newsletter - Fall/ Winter
  • General Health Plan Updates
  • CMS Star Rating
  • NCQA Ratings
  • Pharmacy Department Updates
    • Updates for Commercial Members
    • Updates for Senior Preferred Members
    • Pharmacy and Therapeutics Committee and formulary updates
    • Senior Preferred Part D Formulary Updates
  • Quality Management Department Updates
    • Disease Management
    • Case Management
    • Clinical practice guideline update
    • Preventative care guidelines and routine prenatal care guidelines
  • Quality improvement project updates
  • Provider survey results
  • Provider Network Management Department Updates
    • Complaint Resolution by Providers (Policy 11.218)
    • Access to Specialty Care and Outreach Referrals - HMO Products (Policy 11.200)
    • Member Rights and Responsibilities
    • Communication Among Network Providers (Policy 11.225)
    • Discrimination against members is prohibited
    • Employee Trust Funds Preferred Insulin Benefit
    • GundersenOne Open Enrollment Began November 1
    • 2017 Open enrollment
    • GundersenOne Enrollment
  • Link to Issue PDF
2016 Provider Connection Newsletter - Spring/Summer
  • Quality Management Department Updates
    • Clinical Practice Guidelines
    • 2015 CAHPS Results
    • 2015 HEDIS Results
  • Pharmacy Department Updates
    • Pharmacy and Therapeutics Committee - Formulary Updates
    • Proton Pump Inhibitors
    • Treating Insomnia
    • Medication Tidbits: Most Cost-Effective Versions
    • Digoxin Use in the Elderly Population
  • Medical Management Department Updates
    • Prior Authorization
    • Timeliness of Utilization Management Decisions and Notification
    • Denial Notices
    • Incentives
    • Accessibility of the Medical Management Department
    • Policy Update - CardioMEMS Heart Failure Remote Monitoring Device
  • Provider Network Management Department Updates
    • Gundersen Health Plan Provider Access Standards
  • Choosing Wisely
    • Fifteen Things Physicians and Patients Should Question
  • Link to Issue PDF
2015 Provider Connection Newsletter - Fall / Winter
  • Welcome to the Provider Connection
  • General Health Plan Updates
    • Senior Preferred receives 5-star rating from Medicare for 5 years in a row
    • GundersenOne open enrollment​​​​
  • Pharmacy Department Updates
    • Generic does not necessarily equal inexpensive
    • Medicare and vaccines
    • Medication Therapy Management
    • Senior Preferred prescription drug copayment changes
    • ​​​​Commercial step-therapy changes
    • Formulary updates
  • Quality Management Department Updates
    • The impact of osteoporosis screening and treatment
    • Clinical Practice Guidelines
    • Provider survey results​
    • Case Management and Disease Management Programs​
    • Provider Network Management Department Updates
    • Complaint resolution by providers​
    • Access to specialty care and outreach referrals
    • Member rights and responsibilities
    • Communication among network providers
    • Discrimination against members is prohibited
  • Link to Issue PDF
2015 Provider Connection Newsletter - Spring/Summer

 

    Link to Issue PDF

    • Welcome to the Provider Connection
    • General Health Plan Updates
      • Gundersen Health Plan, Unity Health Plans Insurance explore new partnership
    • Quality Management Department Updates
      • The voice of your patients
      • HEDIS® 2014 – Quality Update
      • Coulee Region Immunization Coalition works to improve HPV vaccination rates
    •  
    • Clinical Practice Guidelines
    • Medical Management Department Updates
      • Prior Authorization
      • Timeliness of Utilization Management decisions and notification
      • Denial Notices
      • Incentives
      • Accessibility of the Medical Management Department
      • Policy Updates: Part B Outpatient Therapies
    • Provider Network Management Department Updates
      • Gundersen Health Plan provider access standards
      • Contract reminder
    • Pharmacy Department Updates  
      • Gundersen Health Plan Drug Formulary Updates
      • Senior Preferred Part D Formulary Updates
      • MedWatch Reporting
      • Medicare patients and vaccines
      • Specialty medication costs soar
      • Gundersen Health Plan Partners with the Wisconsin Pharmacy Quality Collaborative