Insights and Updates for Providers
November 2024Reminder: StrideSM Medicare Advantage to be discontinued
As a reminder, we will no longer offer the Harvard Pilgrim Stride Medicare Advantage plan as of Jan. 1, 2025.
Read morePharmacy coverage changes
The following changes to Point32Health’s Pharmacy program take effect on Jan. 1, 2025, including prior authorization, drug status, and formulary updates for various products.
Read moreObservation Stay Payment Policy and process change
Effective Jan. 1, 2025, Point32Health is making a change to our review process for short inpatient stays and observation services.
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Additional Information
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Reference information on our vendor partners who conduct utilization management for certain services.