HMSA Payment Transformation RatesHMSA published the Payment Transformation global rates that will go into effect October, 1, 2018. We will mail or hand deliver your rate sheets tomorrow. HMSA will distribute contracts for your signature shortly. Signed agreements must be returned to them before September 1, 2018. If you have questions about the rate calculations, please contact Joyce at jvitales@ehiipa.com or 808-797-3113 to schedule a time to discuss. East Hawaii IPA is continuing to negotiate with HMSA for additional funding to supplement the global PMPM compensation and quality performance dollars for PCPs.
The Doctor Is In!Scott Kronlund, MD started as East Hawaii IPA’s first full-time Chief Medical Director on Monday, July 23. Dr. Kronlund will be “rounding” to meet everyone. In the meantime, please feel free to reach out to him at 808-895-0714 or skronlund@ehiipa.com.
United Healthcare Request for Refund Billing IssueUnitedHealthcare (UHC) has been rejecting claims for billings sent over 90 days from the date of service under their DSNP contracts. Providers have 365 days to submit claims. There was a “glitch” in their system which is being corrected. Raul Castro of AkamaiMD informed us of this issue. Please contact him at raul@akamaimd.com or 808-238-0947 if you have any questions. He is willing to share a template letter for providers to send to UHC to stop the billing rejections.
COREO Release Notes Deadline for completion of Review of Chronic Conditions measure has been extended from September 30 to December 21, 2018. Attached are the Coreo Release Notes regarding the EPSDT Engagement measure, member search functionality, and health center selection when adding an HMO.
SBIRT Workshop – July 31, 2018, 12:00 PM“Check In” workshop to review screening, brief intervention and referral to treatment progress and process. Open to currently participating offices. Details to be FAXED and emailed to individual offices. EVENING SESSION CANCELLED. If you have not yet passed out screening surveys in your office and are interested in participating, it’s not too late. Offices can receive up to $2500 for their participation in this program. Please RSVP by Friday, July 27. You can contact Jane at jbontuyan@ehiipa.com.
Membership Dues Reminder Invoices were mailed to members the first week in July. Members have the option to pay $600 for 2018 (July 1-December 31) or pay $100 monthly. Please contact Joyce at jvitales@ehiipa.com if you have not received your invoice.
Hilo Medical Center CME Activity: “Opioid Alternatives: A Fresh Approach to Old Therapies in a Time of Heroin’s Comeback and Drug Shortages” – Friday, August 3, 12:15-1:15 PM, Ground Conference Room B/C. Flyer attached.
Hilo Medical Center CME Activity: “Tuberculosis in Hawaii” – Friday, August 10, 12:15-1:15 PM, Ground Conference Room B/C. Flyer attached.
22nd Annual East Hawaii IPA Healthcare Symposium – August 17-19, 2018 – Deadline: August 3, 2019 – This year’s theme is “Advancing Wellness for Patients, Providers and Organizations.” Please see attached for the latest schedule of events, topics & speakers. EHI IPA members receive a discounted rate of $75 which includes AAFP CMEs, all sessions, trade show attendance, pau hana event and two breakfasts. Flyer attached.
