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Sep. 2024Important Notices
Improving antibiotic prescribing is a priority as antibiotics are still widely overprescribed for conditions where they are not indicated. Beginning or building an antibiotic stewardship program is an effective way to improve health outcomes and reduce costs related to antibiotic resistance. Providers can embrace antibiotic stewardship efforts using these and other best practices:
- Follow HEDIS® quality measures such as Appropriate Testing for Pharyngitis (CWP), Appropriate Treatment for Upper Respiratory Infection (URI), and Avoidance of Antibiotic Treatment for Bronchitis/Bronchiolitis (AAB).
- Adhere to clinical practice guidelines by prescribing antibiotics strictly in accordance with evidence-based national and local clinical practice guidelines, taking care to prescribe per population.
- Close knowledge gaps by reviewing the Centers for Disease Control and Prevention antibiotic stewardship bundles for online training modules and tools and guidance by care setting, audience, and resource type.
Read Provider Partner Update (see page 19) for more tips to help strengthen antibiotic stewardship efforts and improve health outcomes.
HEDIS® The Healthcare Electiveness’ Data and Information Set (HEDIS®) is a registered trademark of NCQA.
Recent Announcements
PA DOH Antibiotic Stewardship Resources
Order antibiotic stewardship resources at no costJun. 2026Important Notices
Medical device correction: Omnipod (Insulet – May 2026)
Insulet Corporation Inc. has announced a medical device correction for certain Omnipod Pods. These pods are wearable devices that are used to deliver insulin.Jun. 2026Pharmacy Updates
Clinical documentation required for medical policy prior authorizations
As you know, UPMC Health Plan requires certain clinical documentation/notes in support of a request for prior authorization for the listed procedures below in accordance with its established policies and procedures, in addition to CMS requirements that medical record documentation must support the medical necessity of the services requested.Jun. 2026Important Notices