like us on facebook connect with us on linkedin connect with us on instagram July 15, 2026

Lilly Medicine

To learn more, Click Here

Section Header Section Header Section Header

Patient Assistance Programs

• Exact Sciences' Access Program
• Exelixis' Access Services® (EASE) 
• Foundation Medicine's Patient Assistance

Details >
Section Header

WPS Recent Oncology Related News

• HOPPS Proposed Rule
• Updates on Fee Schedules Part B

Details >

WPS Educational Offerings

New Education Tracks - Check Them Out!

• Live Trainings
• Encore Presentations
• YouTube Videos

Details >
Section Header

CMS-Medicare

Recent Oncology Related Articles

• Expanding Access to GLP-1 Medications
• Hospital Price Transparency: New Resources
• Proposed Rule Locks in Lower Prices & Fosters Innovation
• And More

Details >

Quality Payment Program (QPP)

• 2026 MIPS Value Pathway (MVP) Registration Now Open

Details >

Medically Unlikely Edit (MUE)

• NCCI Add-on Code Edits
• Procedure-to-Procedure Edits
• Medically Unlikely Edits
• Add-on Code Edits

Details >

Recent RAC Monitor Article

This edition includes articles on

• Aetna’s Severity Adjustment Policy
• Medicaid Work Requirements Face Legal Test
• AI’s Benefits vs Harms for Healthcare

Details >
Section Header

Blue Cross Blue Shield

Recent Oncology Related News

• New Requirements for Oncology Drugs
• Changes to Radiation Oncology and Radiopharmaceuticals
• 2026 CPT 2nd Quarter Update: New Codes
• And More

Details >

Blue Care Network

Publications - Important Articles to Note

Details >
Section Header

Aetna

• July OfficeLink Updates
• Operational Resources
• 2026 Member Handbook
• Provider Summer Newsletter

Details >

Health Alliance Plan

• Drug Formulary Changes
• Policy Updates
• Prior Authorization Requirement Update
• Update to High Dollar Claims
• And More

Details >

Medicaid

• MMP Bulletins 
• Expansion of Coverage for Pharmacist-Provided Services
• Reimbursement of Specialty Behavioral Health Services
• CPT & HCPCS Code Updates
• Updates to MDHHS Medicaid Provider Manual

Details >

Molina

• Provider Bulletins
• Preferred Drug List May-July
• Billing & Reimbursement Policies

Details >

Priority Health Update

• Guide to Provider Communications
• Member eligibility response (271) Changes
• New Provider Portal all-user Account Registration Training

Details >

United Healthcare

• July Medical & Reimbursement Policy Updates
• Pharmacy & Clinical Updates
• Specialty Drugs & Benefit Updates 

Details >
Section Header

Recent Oncology Related FDA Approvals and Expanded Indications

• Pfizer's IBRANCE
• Gilead's Trodelvy®
• AstraZeneca's Truqap combination 
• AstraZeneca's Datroway

Details >
Section Header Section Header

ASK MSHO

July 2026 Frequently Asked Questions

• BCBSM/BCN Policy on Manufacturer Copay Assistance
• Hydration (96360/96361)
• Coding Active Primary Cancer and Documented Metastasis

Details >