[Welcome Industry Radar readers!]
Sometimes, carriers surprise us by "doing the right thing" without being asked. Case in point: Just received an email from Anthem Blue Cross/Blue Shield outlining their response to the Swine Flu kerfluffle:
· Making changes to our formulary to ensure members with pharmacy benefits are covered for Tamiflu® or Relenza® without the need for prior authorization.
· Complying with state and federal regulatory guidelines for care, including those that override benefit language.
· Providing educational information to our employer groups and members about swine flu.
Of these, the most critical is the change on rx benefit: this saves the client an office visit co-pay, and (more importantly) gets the med to the patient much more quickly.
Kudos!
Posts
