SEHBP Update

03/13/2020SEHBP Update You may have seen articles recently announcing an agreement between Senate President Steve Sweeney and the NJEA on changes to the School Employee Health Benefits Program.  There are many details not yet available regarding these changes but...

Medicare Acupuncture Update

We had previously advised membership that Medicare had begun covering acupuncture in certain specified situations as of Jan. 21, 2020.  Acupuncture is to be allowed for chronic low back pain for 12 visits with an additional eight if improvement is shown, with no more...

Inovalon-Horizon Letters

Many members have reported receiving a letter, phone call or both from Inovalon on behalf of Horizon. Inovalon is a company that has performed what are called Risk Adjustment Reviews for various carriers over the years. There are several companies that have done these...