All Provider News
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Prescribing biosimilars.
Biosimilars provide safe and effective alternatives to biologics. Review formulary options, cost savings, and FDA educational resources for providers and patients.
09/08/25
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TRICARE® prescription copay changes effective January 1, 2026.
TRICARE prescription copays increase January 1, 2026 for most members. Providers can help patients prepare by reviewing lower-tier medication options.
09/08/25
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REMINDER: Continuity of care: CMS 90-day rule reminder.
Medicare Advantage plans must honor a 90-day continuity of care rule for members in active treatment. Learn how this protects patients during plan transitions.
09/08/25
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100-day supply for select generic drugs available in 2026.
Starting in 2026, Generations Advantage members can fill 100-day supplies of Tier 1 and Tier 6 generics at the same cost as 90 days, with $0 copay at preferred pharmacies.
09/08/25
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Emergency Department (ED) Evaluation and Management Coding Policy.
Martin’s Point is implementing a new ED coding policy with Optum’s EDC Analyzer tool to improve accuracy and transparency in reimbursement practices.
09/08/25
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The importance of chlamydia screening: A key step in sexual health.
Routine chlamydia screening detects infections early, prevents serious complications, protects pregnancies, and reduces community transmission.
09/08/25
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Immediate crisis support: 988 Suicide & Crisis Lifeline.
US Family Health Plan & Generations Advantage: The 988 Suicide and Crisis Lifeline provides 24/7 confidential support for individuals in crisis, including direct connections to the Veterans Crisis Lifeline. Learn how this essential service can help those in need.
09/08/25
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Measles: Your important role in prevention and early detection.
Guidance for providers on measles prevention and early detection. Includes vaccination recommendations, referral to CDC guidelines, and best practices to protect vulnerable populations.
09/05/25
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Antibiotics for pharyngitis? Test first, prescribe after.
Antibiotics should not be routinely prescribed for pharyngitis. Learn when testing confirms bacterial infection, when antibiotics are appropriate, and how supportive care can reduce risks.
09/05/25
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Concurrent use of opioids and benzodiazepines quality measure.
Opioid and benzodiazepine co-use increases risks like falls, overdose, and respiratory depression. Learn how the COB measure guides safer prescribing practices.
09/05/25