Here is the latest edition of Model Consulting's Week in Review Newsletter. We
hope you find the Newsletter informative and helpful.
Your feedback is
extremely important to us. Please contact Tracy Duffield at 215.947.7167 or tduffield@modelconsultinginc.com to share your ideas, comments
and/or suggestions. We look forward to hearing from you!
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Aetna: H1N1 and Seasonal Flu Vaccines
The
vaccine for H1N1 (swine flu) is expected to be available in October, and the
country is gearing up for the fall flu season. What is Aetna
is doing, and how can your own organization prepare?
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Capital
BlueCross: Express Scripts Security
Breach
Due to the recent extortion attempt against Express Scripts, Inc.
(ESI), Capital BlueCross has decided to send a notification letter (Attachment
A) to all groups who currently have ESI Rx coverage through Capital BlueCross.
The letter contains a brief description of what has occurred, how private
information is being protected, and where additional information on this topic
is available. The letter will be mailed to the groups on November 21, 2008.
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Horizon BCBS of NJ: Newsletter Fall 2009
This issue
of Horizon's newsletter includes articles on:
-
Convenient access to nurses 24/7
- Updates to the Mental Health Parity and Addiction
Equity Act
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Student Verification process simplified
-
Children's Health Insurance Program Reauthorization
Act
-
Health Care Dollars & Sense campaign supports
understanding of health care costs
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Independence Blue Cross: Michelle's Law
Independence Blue Cross has issued the following clarification
regarding Michelle's law. The law is
effective October 9, 2009 and begins on or after your renewal.
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Independence Blue Cross:
Flu Vaccinations
IBC
will offer coverage for the administration costs of the H1N1 (swine flu)
vaccine when it becomes available. In addition IBC will continue to cover
seasonal flu vaccine. Managed care members who receive an influenza
vaccine in a setting other than a physician's office or hospital (e.g., in a
supermarket, pharmacy, etc.) are eligible for reimbursement of their
out-of-pocket costs up to $25. Member reimbursement for this type of
service requires submission of the paid receipt or bill, along with a
specially-designed claim form which is attached.
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UnitedHealthcare/Oxford: Employer Retirement Income Security Act of
1974 (ERISA)
The attached materials were provided by Oxford to assist
employers with disclosing employee information required by the Department of
Labor regarding an insured welfare plan.
The materials were not designed to establish full compliance with all
ERISA laws and regulations; they were provided as a courtesy.
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UnitedHealthcare/Oxford: Medicare Part D Creditable Coverage
Under The Medicare
Modernization Act, if a business offers a prescription drug plan to Medicare
eligible individuals, they are required to:
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UnitedHealthcare: Prescription Drug List Tracker
To help you
stay informed about the latest updates to our Prescription Drug List (PDL),
we've developed a new PDL Tracker communication. It provides customers a
recap of new generic and brand launches and their respective tier placements,
new exclusions upon launch and new down-tierings outside of our regularly
scheduled PDL changes.
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