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Blue Bulletin

BlueCross BlueShield of WNY strives to provide our network of provider practices and facilities with the most current health plan information in a quick and easily accessible manner.

  • Blue Distinction Specialty Care Program

    June 29, 2021

    The Blue Cross Blue Shield Association’s Blue Distinction Specialty Care program recognizes providers that deliver high-quality, effective, and cost-efficient care. If you are affiliated with a hospital or Ambulatory Surgical Center, you may want to encourage them to apply for this designation.
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  • Getting to Know Highmark: Jason Renne, SVP, Provider Partnerships and Contracting

    June 29, 2021

    Our goal in affiliating with Highmark has always been to strengthen our local not-for-profit Blue plan and benefit Western New York providers. In this article, Jason Renne shares his perspective on new opportunities and advantages the affiliation will ultimately bring for providers. According to Jason, “We’re committed to giving providers the tools they need — truly actionable data that’s easy to navigate and clearly guides the highest quality care for each patient while enhancing provider reimbursement as well.”
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  • Medical Protocol Updates Available Online – June 2021

    June 29, 2021

    We recently reviewed 61 medical protocols. These will be posted online on or before July 1, 2021 and will have an effective date of August 1, 2021, unless otherwise noted.
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  • 2021 Fee Schedule Update

    June 29, 2021

    Our annual fee schedule update will be effective on October 1. Changes to reimbursement include an overall 2-3% increase in evaluation and management codes and other increases for midlevels and psychologists. Updates to certain reimbursement policies are also included.
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  • Getting to Know Highmark: Jim Benedict, EVP, Living Health Partnerships and Operations

    May 21, 2021

    Highmark’s Jim Benedict discusses how our current health care system offers significant opportunities to reduce waste and improve clinical outcomes. Highmark recently announced a partnership with Google Cloud and Alphabet’s Verily to help deliver more deeply transformative changes through Highmark’s Living Health model. Benedict’s optimism about Living Health comes from his more than 30 years of experience within clinician-led organizations, where he’s been looking at health care challenges from the provider angle for most of his career.
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  • Updated Lung Cancer Screening Recommendations

    May 21, 2021

    The US Preventive Services Task Force (USPSTF) has expanded its lung cancer screening recommendations. They now advise screening at an earlier age and for patients with a lower pack-year smoking history.
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  • New Diabetes Support Tools Available

    May 21, 2021

    We know patients with diabetes need extra support and guidance. To supplement your care plan, we’ve launched a new diabetes page on our website to help your patients access resources and successfully manage their condition.
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  • Routine Adolescent and COVID-19 Vaccine Guidelines

    May 21, 2021

    As COVID-19 vaccination eligibility expands, it’s important to close any gaps in routine vaccines for your adolescent patients. COVID-19 vaccines that require certain timeframes before and after administration may disrupt the standard vaccine schedule for children and adolescents if they are not up-to-date.
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  • Updated Drug Therapy Guidelines for Duchenne Muscular Dystrophy

    May 21, 2021

    Updated drug therapy guidelines for the treatment of Duchenne Muscular Dystrophy (DMD) will be posted by May 25, 2021 and effective on June 25, 2021.
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  • Getting to Know Highmark: What the Affiliation Means for Local Providers

    April 23, 2021

    When our affiliation with Highmark was announced in March, it completed a years-long search for the right partner -- one that could embrace the “localness” of BlueCross BlueShield of Western New York and offer the resources to patients and providers that only a larger organization could. Mike Edbauer, DO, who serves as President, Highmark Blue Cross Blue Shield of Western New York, appreciates the shared philosophy of the two plans. “Highmark has more advanced systems and is making major technological investments that will bring an entirely new level of meaningful clinical support,” Dr. Edbauer said.
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