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December 04, 2024
New Genetic Testing Authorization Process with HealthHelp
Effective January 1, 2025, CDPHP is proud to team up with HealthHelp as our new genetic testing management vendor. This new collaboration will enhance the provider experience, streamline the prior authorization (PA) process, and help deliver high-quality, personalized care to our members. Transition Details: What Providers Need to Know To ensure a smooth transition, here’s…
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February 19, 2024
Four New or Expanded Benefits for 2024
CDPHP is more than just your average health plan. In addition to coverage you can count on when you’re sick, you also have access to programs and services designed to help you and your family live your healthiest lives. New for 2024, CDPHP members on most fully-insured commercial plans (those who have fully-insured coverage through…
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November 27, 2023
How providers and CDPHP work together for patients in foster care
High-quality care is critical CDPHP® reminds providers that access to comprehensive, high-quality health care is especially critical for foster children and youth. Your role and responsibility As a CDPHP network provider, you may find yourself in a position to provide trauma-informed care to Medicaid Managed Care (MMC) enrolled children or youth in direct placement foster…
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July 03, 2023
How in-house retinal exams can increase access to care for your patients
“Some patients don’t even know that they’re supposed to have an annual retinal exam,” says family practitioner Rachel Siffring, DNP, FNP (seen above). “I’ll say, ‘Do you have an extra ten minutes? We’ll do that now.’” Siffring is part of the dedicated medical staff at Koinonia Primary Care on Clinton Avenue in Albany, where easy…
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May 11, 2023
How Drug Makers Want to Limit Cost Savings Opportunities
The trend of rising prescription medication costs has continued to outpace the rate of inflation for decades. In addition, the drug development pipeline has an ever-increasing percentage of specialty drugs which tend to command very high price tags. Indeed, the percentage of spend on specialty medications in the U.S. is closing on 50%, but only…
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March 08, 2023
Providers can influence depression treatment outcomes
It’s critical that patients on antidepressants be closely monitored. The National Committee for Quality Assurance (NCQA) has developed quality metrics enabling CDPHP® to gauge our network’s compliance with recommended guidelines. The information is collected annually, based on claims data, and reported in our Healthcare Effectiveness Data and Information Set (HEDIS®). The following measurement has been…
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