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Reminder: New Musculoskeletal Surgery and IPM Services Program Starts Oct. 1

Working with health care providers, we are helping to institute nationally accepted, evidence-based care guidelines. Often, these approaches only require small changes to the way most practitioners already deliver care. And more importantly, they are proven to add up to better patient outcomes and lower costs.

Beginning Oct. 1, 2018, Highmark is working with eviCore healthcare to implement a musculoskeletal (MSK) surgery and interventional pain management (IPM) services program. The new program includes a comprehensive clinical review, including predictive intelligence, clinical decision support, and peer-to-peer discussions.

This process confirms our members receive only medically necessary and appropriate MSK surgical and IPM services in the least intensive setting to promote the best outcomes.

Thank you for your continued assistance in ensuring that Highmark members receive appropriate, medically necessary services in a quality, clinically appropriate fashion.

See Issue 4, 2018 , of Provider News for additional details. Also, the new MSK-IPM page is available on the Provider Resource Center under Care Management Programs.

 

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