May is Children’s Mental Health Awareness Month, part of a national effort to raise awareness, break stigma, and highlight resources available to improve our children’s mental health. UHA’s own Taylor Dombek, reflects on certain resources available to Douglas County families. Click…

The Americans with Disabilities Act (ADA) was signed into law on July 26, 1990 and each year on July 26th we celebrate the passing of this law as the National Disability Independence Day. The importance of this law is that…

BENEFIT BASICS CALL SATISFACTION SURVEY Umpqua Health Alliance wants to ensure that we are creating a customer service focused organization committed to making a difference in the lives of our members.  One way to achieve this goal is to collect…

BENEFIT BASICS UPCOMING UHA OFFICE CLOSURES Please see below for a list of upcoming office closures due to the holiday season. ENSURING YOUR RIGHT TO KNOW As your Health Plan, Umpqua Health Alliance (UHA) is committed to ensuring that you…

Medical Management: A Note from Dr. Bruce Croffy Getting at the Waste in Health Care The 2017 Plan year was frustrating from the standpoint of significant over-expenditures with not only excesses in numbers of services billed but in many areas,…

Medical Management: A Note from Dr. Bruce Croffy Should patients with stable ischemic heart disease undergo coronary intervention?. The Appropriate Use Criteria (AUC) for Coronary Revascularization were developed to critically examine and improve patient selection for PCI as well as…

Medical Management: A Note from Dr. Bruce Croffy Carotid Artery Stenosis- Choosing Wisely with Screening The U.S. Preventive Services Task Force guidelines currently state that the use of carotid Doppler Ultrasound should be limited to symptomatic cases of carotid stenosis.…

Practice Tactics Welcome to a new section of Umpqua Health Alliance’s provider newsletter. In this section, we’ll detail any changes that may affect practice management or operations. This month, we’ll take a look at changes to the Prior Authorization Grid for…

Practice Tactics Prior Authorizations The communication about the changes to the Prior Authorization grid (effective 7/1/2018) has prompted healthy dialogue with provider offices. Our Provider Forum on May 22 was well attended and generated lots of questions at the event,…

Practice Tactics CCO Quality Metrics for 2017 Umpqua Health Alliance (UHA) has met the benchmark or improvement target on 14 of the 17 CCO incentive measures for calendar year 2017; earning 100% of the quality pool. UHA final metrics are…