When patients, providers, and health insurance companies work together, we can create happier, healthier communities. CDPHP values the partnership we have with you and wants to ensure you have the resources you need to get your job done. From easy access to patient benefit and claims information through the provider portal to in-office visits from our provider relations team, CDPHP is committed to working with you.
Chances are the health care landscape today looks much different than when you started your career: regulations are implemented and then change, quality measures evolve and shift, and patients face an increasingly complicated and costly system. We’re committed to keeping you up to date with news you need to know. Visit here often for the information and resources you need to stay current on the local health care landscape.
Due to the increased prevalence of substance abuse and misuse, CDPHP is taking steps to work with you to initiate and engage members in care. Many people who misuse alcohol and other drugs disclose their substance use concerns to their health care providers. If you determine your patient needs help, please make a referral to a local substance abuse program. (You can use CDPHP® Find-A-Doc to find in-network programs in your area.) In the Capital Region, Conifer Park, SPARC, and Senior Hope are among the treatment facilities most often selected for referral.
When treating patients with persistent asthma, it’s important to monitor whether they are using the appropriate medications and in the correct ratio. NCQA/HEDIS asthma measures provide important benchmarks for ensuring optimal health outcomes in these patients.
Patients, particularly the elderly and those with complex health needs, are at increased risk of complications and poor health outcomes when communication between care settings and providers is not well coordinated and documented. The NCQA/HEDIS Transitions of Care (TRC) measure is intended to improve patient outcomes by reducing or eliminating the incidence of medication errors, unnecessary or duplicate testing, increased emergency room visits, and readmissions to the hospital.
The HPA/LiveWell intensive outpatient program (IOP) is widely regarded in the Capital District and Hudson Valley as the standard for outpatient treatment of eating disorders, including anorexia nervosa, bulimia nervosa, binge eating, and other conditions related to eating and feeding. In contrast to inpatient therapy programs for eating disorders, which are often costly and located at a distance from the patient’s home community, the IOP approach offers innovative, dynamic, and cost-effective treatment that supports patients in their recovery efforts while allowing them to maintain their daily lives and personal relationships.
CDPHP supports the NYS Department of Health (DOH) initiative to remove barriers and combat the stigma associated with human immunodeficiency virus (HIV) testing, pre-exposure prophylaxis, and treatment. In 2018, the DOH updated HIV testing regulations, removing the requirement to obtain either written or verbal consent from patients. This change has helped to streamline access to HIV testing and has resulted in increased testing rates at regulated settings.
CDPHP has offered case management services to our Medicaid Health and Recovery Plan (HARP) members since 2016. These are members who are identified as having significant behavioral and medical health needs. Our HARP case management team works to connect these members to providers and services in an effort to improve their health outcomes.