Provider Focus Newsletter
News & information for Magellan network providers

Michigan is Part of the Tristate Care Management Center

I'm a Michigan provider. Why am I seeing information about the Tristate Care Management Center? Magellan is pleased to announce that the Michigan Care Management Center now is part of the Tristate family. Therefore, we merged Michigan provider survey and quality data with . . . Read more

Clinical Practice Guideline Compliance Scores High

To monitor the quality of care delivered to members, Magellan's Tristate Care Management Center reviews treatment records from our high-volume providers to determine how well they follow recommendations in our adopted clinical practice guidelines. Our Major Depression - Su . . . Read more

Provider Satisfaction Survey Scores Remain High

Results of the Tristate Care Management Center's annual survey of providers in its commercial and Medicaid networks showed an overall provider satisfaction rate of 91 percent in 2011. In total, 629 providers gave us their feedback; which represents a 16.5 percent response . . . Read more

Treatment Record Reviews Reveal Opportunities

The Tristate Care Management Center's review of 476 provider treatment records between January and December 2011 resulted in an aggregate score of 88 percent compliance with Magellan's treatment record review standards, which exceeds our goal of 80 percent. Records we revi . . . Read more

2011 QI/UM Program Results Released

Magellan's Tristate Care Management Center annually evaluates its quality improvement (QI) and utilization management (UM) programs, with an emphasis on assessing the quality and safety of clinical care and service, and promoting network-wide safe clinical practices. . . . Read more

Some Magellan Care Management Centers listed above may manage services for health plan, employer and public sector customers not located in the same geographic area as the service center. Check the state listings in parentheses to be sure you’re reading all the information pertinent to you in serving your Magellan members.

About our Provider Focus newsletter

Welcome to Provider Focus, our e-newsletter for providers! You’ll find current articles and information relating to Magellan and our local service centers. You’ll also find past issues of Provider Focus. Check back as a new issue of our newsletter is released each quarter.

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