jvhl 2014 summary october 31, 2014 diane cicchini director of business services

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JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

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Page 1: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

JVHL 2014 Summary

October 31, 2014Diane CicchiniDirector of Business Services

Page 2: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

January

Consumers Mutual Insurance of MI and JVHL sign participation agreement

JVHL and BCBSM-MPPO renew agreement

Page 3: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

February

JVHL welcomes to the network:

Deckerville

Spectrum Big Rapids

Spectrum Health Zeeland

L1 Modifier confuses everyone!

Page 4: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

March

JVHL expands efforts to curtail lab leakage, collaborating with:

Aetna, Blue Cross Blue Shield MPPO, Cigna, Health Alliance Plan, Molina

and United HealthcareJVHL & Priority Health refresh

agreement

Page 5: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

April

BRCA testing becomes available in JVHL network

CMS announces ICD-10 implementation postponement

CMS modifies L1 modifier usage

Page 6: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

May

Healthy Michigan: 206K previously uninsured Michiganders enrolled

Page 7: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

June

Continuation of 2% sequestration through 3/31/2015 announced:

Medicare Fee for Service products JVHL CEO and JVHL Medical Director:

Featured speakers at 2014 War College

JVHL adds Molina Marketplace to Molina agreement

Page 8: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

July

JVHL releases updated Contract Term Sheets

JVHL programmed to accept electronic COBs

JVHL and HealthPlus extend existing agreement

Page 9: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

August

JVHL converts manual vouchers into 835 files

Page 10: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

September

JVHL provides Patient & Satisfaction Survey Results to network

JVHL agreement with Harbor Health of MI effective 9/9/2014

Page 11: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

Looking to 2015

On-line prior authorization On-line status inquiry On-line grievance filing New web-site JVHL will continue to offer informational

webinars and guest speakers

Page 12: JVHL 2014 Summary October 31, 2014 Diane Cicchini Director of Business Services

The End

Happy Halloween

Happy Thanksgiving

Happy Hanukkah Happy Kwanzaa

Merry Christmas

Happy New Year

from you friends and partners at JVHL