CommercialAdministrativeMedium impact
Medical Director Perspectives: Sandra Rivera-Luciano MD, MHSA
EmblemHealth·Oncology, Internal Medicine, Family Medicine +5 more·Provider News
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare introduced a new informational series featuring medical directors, with focus on utilization management processes and site of service preferences for infusions. The policy emphasizes shifting hospital-based infusions to lower-cost ambulatory settings and highlights their proactive outreach program.
Action Required
Review EmblemHealth/ConnectiCare infusion site of service policies and expect proactive calls from the plan regarding members who could benefit from moving hospital-based infusions to office or ambulatory settings. Prepare to discuss alternative infusion locations when contacted by plan staff.