Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

July 2019

Highlights
July Webinars on Electronic Authorization & Use of InterQual®

Sign up for a webinar to learn more about Harvard Pilgrim’s updates to our HPHConnect electronic authorization screens — including adding an upload feature for clinical documentation — and expanding our use of InterQual® criteria and tools.

Read more


Harvard Pilgrim Hosts Annual Service Day in New Hampshire

Harvard Pilgrim — in partnership with Dartmouth-Hitchcock, Benevera Health, City Year New Hampshire, and other local organizations — hosted our 11th annual service day at Cullerot Park in Manchester, NH in June.

Read more


Coverage of Elzonris & Panzyga

Harvard Pilgrim now covers Elzonris (HCPCS J3490 – unclassified drugs) and Panzyga (HCPCS J1599) for our commercial plans with prior authorization.

Read more


Update to Spinraza Medical Policy

Harvard Pilgrim has updated our commercial prior authorization policy for Spinraza (J2326) to clarify that the medication is not covered for individuals currently undergoing or previously treated with gene therapy (for example, Zolgensma) for spinal muscular atrophy, as the medication is not considered medically necessary for these patients.

Read more


Pharmacy and Therapeutics Committee Meeting Update

At the June 10, 2019 meeting, the Harvard Pilgrim Pharmacy & Therapeutics Committee reviewed the medications below and decided the following...

Read more



Acrobat Reader *Acrobat Reader required to view PDF files. Download latest version free.

Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

July Webinars on Electronic Authorization & Use of InterQual®

Harvard Pilgrim Hosts Annual Service Day in New Hampshire

CLINICIAN CORNER

Coverage of Elzonris & Panzyga

Monitored Anesthesia Care for GI Endoscopic Procedures: Expanded Coverage

Update to Spinraza Medical Policy

Clarification on Varicose Vein Procedures

Yervoy Medical Policy Updates for Sept. 1, 2019

Pharmacy and Therapeutics Committee Meeting Update

Appropriate Emergency Department Use

PUBLICATION INFORMATION

Robert Farias,
Senior Vice President, Corporate Network Strategy

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator