Insurance company’s criteria are constantly evolving – requiring businesses to adapt to policy alterations that impact operations and patient treatment plans. That is why we keep a close watch on these changes, reporting them to you as soon as possible. Hansei Solutions is committed to the partnerships we have with our clients. A part of that commitment is keeping our clients informed and up-to-date on the latest payor policy changes, which are anticipated during the new year. A closer look at the payor rules introduced in 2023 reveals the groundwork for the changes coming during 2024.
This is a common question our clients ask – and there are plenty of reasons, including:
The change requires no action by Amerigroup/Wellpoint care providers, and there will be no changes to agreements/contracts, reimbursements, or level of support. This brand change will not cause any changes in coverage or access to care for members.
Members enrolled in BCBS of ALL Alabama Exchange policies must select a Primary Care Physician (PCP) to be eligible for coverage. Referrals are not required.
Effective January 1, 2024, MHN’s affiliate, Health Net of California, will take over the administration of behavioral health benefits.
The new addresses and contact information for this change, with distinctions for Individual and Family Plans (IFPs) and Employer Commercial Plans, can be found in the MHN Transition Update.
Oscar Health left Covered California in 2024 for financial reasons. Patients enrolled in an Oscar plan can select a new plan during a special enrollment period. They can also choose a new health insurance provider during the regular enrollment period.
Sharp Health Plan is partnering with Magellan on mental health and substance use disorder services for members with Commercial (HMO/PPO/POS), Exchange, and Medicare Advantage plans during 2024.
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