January 10, 2021
Provider Update
Medicare Sequestration Reinstatement
Medicare and all Medicare Advantage Plans suspended the 2% sequestration reduction in payments made to providers to support them during the COVID-19 pandemic. This applied to provider claims reimbursements in fee-for-service arrangements. The suspension aligned with the CARES Act legislation requiring all health plans to suspend the 2% sequestration reduction in payments from May 1, 2020 until December 31, 2020. The suspension has been extended until March 31, 2021.  SEC. 4408. Adjustment of sequestration 

Click here to see payer telemedicine extensions.
Pharmacy Update
Disclaimer: We are receiving frequent COVID-related questions about drug concerns and potential interactions. This information is as of January 6, 2021. We will do our best to keep you up to date with this ever-evolving situation. This is the most current information at the time of publication.
In this issue:

COVID-19 Related Updates:
  • Texas Differs from ACIP Recommendation for Vaccine Prioritization
  • Moderna Vaccine Rollout

General Pharmacy Update:
  • 2021 Select Medicare Advantage Formulary Updates
  • Insulin Generics Available


PROVIDER ALERT
Numerous payer telemedicine extensions have been noted on the Telemedicine Payer Grid. Review the details here →

To see the comprehensive payer grid, go to the
Contact Us
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