I’m completely fascinated by the thought of a pharmacy chain buying a major payer. I read somewhere that they want to add small walk in clinics to all the stores and steer people there for services like preventive service and other non urgent treatments.
CMS released images of the new Medicare card along with some details on the new design. The release is still several months away but they’ve started sending out marketing materials already. I really wish some of those materials would include telling them to stop carrying their old card. Details of the new design: Consumer […]
CMS will be releasing some changes on November 4th for the HETS eligibility response that are pretty significant. I’ve summarized the items below and included a link to the full document. Numbers 3, 4, and 6 were particularly interesting to me. CMS 270/271 Release Notes November 4th 1. The following new preventative benefits will be […]
All of the BCBS plans have been posting announcements about the new alpha/numeric prefixes that they’re going to be rolling out next year. Below is the announcement that Anthem put in a recent newsletter: New member ID prefixes coming in 2018 The Blue Cross and Blue Shield Association (BCBSA) assigns member ID prefixes for all […]
I’ve been seeing a lot of emails about this lately so I thought I would share some of the information I’ve received recently. This is a bulletin CMS sent recently: New Medicare Cards with New Numbers: 3 Changes You May Need to Make The Medicare Access and CHIP Reauthorization Act of 2015 requires CMS to remove Social […]
A judge has blocked the Anthem/Humana merger but Aetna may appeal. https://www.bloomberg.com/news/articles/2017-01-23/aetna-s-humana-takeover-is-blocked-by-judge-as-anticompetitive UHC announces Change to the eligibility response effective 3/1. UNITEDHEALTHCARE SYSTEM NOTIFICATION Date: 02/06/2017 Re: Referral Required Message to Display on Eligibility and Benefit EDI Response (271) Transactions UnitedHealthcare is adding an Electronic Data Interchange (EDI) referral indicator to eligibility response (271) transactions as […]