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

July 2017

Highlights
Webinars for New Sleep Diagnostic and Sleep Therapy Program

As a reminder, effective Sept. 1, 2017, Harvard Pilgrim is updating our sleep studies and sleep therapies authorization program.

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Eric Schultz Signs on for CEOs Against Stigma

Harvard Pilgrim’s CEO, Eric Schultz, has signed on to be a part of the CEOs Against Stigma campaign led by the National Alliance on Mental Illness – Massachusetts (NAMI Mass).

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CVS Health–NovoLogix: Prior Authorization for Overlapping Medical/Pharmacy Drugs

As we communicated in the May and June issues of Network Matters, prior authorizations for select medical drugs for Harvard Pilgrim’s commercial members are now required through CVS Health–NovoLogix.

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Benefits of Medication Therapy Management Program

Harvard Pilgrim’s Medication Therapy Management program is an excellent resource for eligible StrideSM (HMO) Medicare Advantage patients who may need help managing treatment plans that include several Part D covered medications.

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HPHCURRENT EVENTS

Webinars for New Sleep Diagnostic and Sleep Therapy Program

Eric Schultz Signs on for CEOs Against Stigma

CLINICIAN CORNER

Updates to Medical Policies

CVS Health–NovoLogix: Prior Authorization for Overlapping Medical/Pharmacy Drugs

Benefits of Medication Therapy Management Program

P&T Committee Updates

Specialty Pharmacy Program Updates

OFFICE ASSISTANT

ACA Risk Adjustment Data Validation: Medical Chart Requests Underway

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Vice President, Network Services

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator