Newsletters

Provider News

As a way to communicate important messages with our providers, Security Health Plan regularly publishes Provider News. This newsletter features ways Security Health Plan can partner with you to drive health care quality improvement and control costs. Articles focus on ways we can enhance our members' (your patients') health and overall health care experience.

Winter 2009/2010 (Current issue)

Want to read more? Click on the links below to read the full version of the articles in this newsletter.

• Security Health Plan ranks among the best health plans in the nation
• Marshfield Clinic physicians receive national recognition for diabetes care
• Performance tool improves patient care
• Prior authorizations needed for swing bed reimbursement
• Clinical practice quidelines for chronic conditions
• Preventive service guidelines for patient care
• Referring patients for disease management and case management
• Completing advance directives
• Obtaining our Quality Improvement program evaluation
• Site visit/medical record keeping standards
• Appointment access standards
• Medical record documentation standards
• Contacting a medical director or pharmacist
• Obtaining a copy of the criteria use for utilization management decisions
• Pharmacy: Formulary, exception process, prior authorizations
• New technology: evaluation process and coverage decisions
• Policy and procedures update