Provider Connection Newsletter Fall / Winter 2017

  • General Gundersen Health Plan Updates
    • Say Goodbye to the Provider Connection and Hello to Quartz
    • 2018 Senior Preferred (HMO) Star Rating
    • NCQA Ratings
  • Quality Management Updates
    • Disease Management
    • Case Management
    • Preventive Care Guidelines and Routine Prenatal Care Guidelines
    • Vaccinating Your Adult Patients
    • Provider Survey Results
    • Clinical Practice Guideline Updates
  • Pharmacy Department Updates
    • Pharmacy and Therapeutics Committee
    • Not All Statins are Created Equal
    • Choosing Wisely - New App Available
    • Synchronized Medication Renewal is Win/Win
    • UW Behavioral Health Care Management Prior Authorization Process
  • Quality Improvement Project Updates
    • Osteoporosis Management in Women Who Had a Fracture
  • Provider Relations Department Updates & Notices
    • 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

Provider Connection Newsletter - Spring / Summer 2017

  • 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

Provider Connection Newsletter - Fall / Winter 2016

  • General Gundersen 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 updates
    • Preventive 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 Center

Provider Connection Newsletter - Spring / Summer 2016

  • Quality Management Department Updates
    • Clinical practice guideline updates
    • 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