Better Care, Better Practices
CAIPA Connection
Health Plan Updates
Healthfirst
Healthfirst PCP Scope of Reimbursement Policy and OBGYN billing changes take effect January 1, 2027. REGISTER for Important “Billing Updates and Quality Gaps for OBGYNs” educational session on Oct 30, 2026.
Oscar’s Summary of Changes in 2027
Key changes affect dental and vision coverage, participating vendors, and utilization management services.
Fidelis Care
New Authorization Requirements for Cardiac and Vascular Services.
Reminder to complete the 2026 Model of Care (MOC) and Cultural Competency Trainings
Providers participating with the listed health plans must submit a separate attestation for each contracted plan. To receive credit, every provider must have an individual attestation submitted under their own name and credentials.
Quality Updates
2026 Quality Touchpoints
2026 Quality Touchpoints are NOW underway: one-on-one meetings on performance updates and improvement strategies with Quality and Provider Engagement teams.
VNS Choice
VNS Health has launched a Q4 Quality & Risk Adjustment Incentive Program for CAIPA providers.
Healthfirst
Healthfirst updates include additional Q4 quality incentives and medication adherence updates.
Provider Engagement Updates
Provider Engagement Updates
Breast Cancer Screening, Cervical Cancer Screening and EMR Configuration, Medication Adherence quality scores and more…
MSO Updates
MSO Updates
Catch up on CAIPA’s recent events and community initiatives, with a focus on health education, collaboration, and outreach.
