globalhealth policy updates
Track new and updated globalhealth policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Prior authorization and coverage criteria for specialty pharmacy products (partial) | Globalhealth | Clinical | Pharmacy & Specialty Drugs | Modified | Aug 1, 2026 |
| Introduction of Prescription Oral Antivirals for COVID-19 to the Commercial Market | Globalhealth | Reimbursement | — | Modified | Feb 20, 2024 |
| Part B Drug Transition Period | Globalhealth | Administrative | — | Modified | Jan 1, 2024 |
| Seat Elevation Equipment (Power Operated) on Power Wheelchairs — Coverage Criteria | Globalhealth | Clinical | Durable Medical Equipment (DME) | Modified | May 16, 2023 |
| Lumbar Spinal Fusion | Globalhealth | Clinical | Orthopedics/Musculoskeletal | Modified | Jun 1, 2019 |
| Site of Care (hospital outpatient infusion) coverage criteria | Globalhealth | Clinical | Pharmacy & Specialty Drugs | Modified | Mar 1, 2019 |
| Total Knee Arthroplasty (TKA) Coverage Criteria | Globalhealth | Clinical | Orthopedics/Musculoskeletal | Modified | Jan 1, 2019 |
| Medicare coverage for PrEP (pre-exposure prophylaxis) and associated preventive services | Globalhealth | Clinical | Infectious Disease | Modified | — |
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OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
OpenPayer by Trek Health — Policy intelligence for billing and revenue cycle teams.
Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.