This Weekly’s Hot Topics

  • Providers now required to use Noridian Medicare Self Service Portal. (Noridian News)
  • UnitedHealthcare Network Bulletin for February 2018 is now available. (National News)
  • Resources available to help students with cancer succeed in school. (Affiliate Association News)

 

CMA previously reported that the California Department of Managed Health Care (DMHC) issued a cease & desist order on December 26, 2017, requiring nine health plans to terminate their contracts with Employee Health Systems (EHS) Medical Group Inc. This order comes after SynerMed—a company closely affiliated with EHS—was accused of blocking patient access to specialists to hold down costs. CMA is working with the health plans to ensure claims for services that were authorized by EHS, Inland Valleys IPA and Multicultural Medical Group, but performed after the termination dates, are still honored by the plans. For more information click here and go to California News.

Effective yesterday, February 5, 2018, providers are required to use the Noridian Medicare Self Service Portal or the IVR for all Eligibility inquiries and to check the status of their enrollment application without having to call customer service. For more information click here and go to Noridian News.

The deadline is now March 2, 2018 for reporting offers of health coverage made during the 2017 calendar year. The Internal Revenue Service (IRS) issued an extension of the due date. Previously, insurers and employers had until January 31, 2018, to provide individuals with either Form 1095-B, Health Coverage, or Form 1095-C, Employer-Provided Health Insurance Offer and Coverage. For more information click here and go to National News.

CMS has proposed increasing baseline Medicare Advantage payment rates for 2019 by an average of 1.84 percent.  According to CMS, the proposed payment increase is based on better use of encounter data and changes to the risk adjustment model used to pay for aged and disabled beneficiaries. For more information click here and go to CMS News.

There is no doubt a cancer diagnosis and treatment changes a person, and that is true for college students as well. Their views on life, how they handle college, the accommodations they might need, and many other factors come into play when they choose to go to school. Fortunately, there are many resources available that are designed to help students with cancer succeed in school. For more information click here and go to Affiliate Association News.

To view the complete California Oncology Weekly Newsletter, click on the date below.

February 6, 2018.