Coverage UDPATE—Mental Health and Substance Use Disorder
  • Posted

Coverage UDPATE—Mental Health and Substance Use Disorder

MEDICAL PROVIDERS: Please review these updated guidelines for our Outpatient Therapy for Mental Health & Substance Use Disorder medical coverage policy (BI273).

Final AutoAuth Drawing Winners
  • Posted

Final AutoAuth Drawing Winners

Thank you for the great participation in our AutoAuth® online pre-authorization system! We’re proud to offer you this improvement, to help make healthcare better.

Congratulations, November AutoAuth Prize Winners!
  • Posted

Congratulations, November AutoAuth Prize Winners!

Thank you to all providers who are using our AutoAuth® online pre-authorization system! To encourage even more use, we’ve been drawing names from users of the system and awarding cash gift cards!

HEDIS Medical Records Review
  • Posted

HEDIS Medical Records Review

Healthcare Effectiveness Data and Information Set (HEDIS) is a set of standardized performance measures designed to enable consumers to compare performance across health plans.

Value-Based Care Program Reminders
  • Posted

Value-Based Care Program Reminders

Thank you to our CPC+ and PCMH program participating providers for helping us improve healthcare! To complete our 2018 programs, please remember these points.

Thank You and Congratulations, AutoAuth Users!
  • Posted

Thank You and Congratulations, AutoAuth Users!

Thank you to all providers who are using our AutoAuth® online pre-authorization system! To encourage even more use, we’ve been drawing names from users of the system and awarding cash gift

Coverage Guidelines—Mental Health and Substance Use Disorder
  • Posted

Coverage Guidelines—Mental Health and Substance Use Disorder

MEDICAL PROVIDERS: Please review these guidelines for our Outpatient Therapy for Mental Health & Substance Use Disorder medical coverage policy (BI273).

Improving Healthcare with PCMH
  • Posted

Improving Healthcare with PCMH

At QualChoice, our goal is to make health insurance simple and to make healthcare better. We’re working with providers, payers and state and federal groups to move from volume-based to value-based care.

It Pays to Use AutoAuth!
  • Posted

It Pays to Use AutoAuth!

Thank you to all providers who are using our AutoAuth® online pre-authorization system! To encourage even more use of the system, we’re sweetening the pot.

Employer’s Healthcare Costs Have Plateaued
  • Posted

Employer’s Healthcare Costs Have Plateaued

PwC’s Health Research Institute predicts that, without benefit design changes, large employers will see a 6 percent increase in health plan costs in 2019, the same rate of increase as in 2018. Costs for the previous five years have increased between 5.5 percent and 7 percent.