Insights and Updates for Providers - April 2025

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GLP-1 weight management medication coverage changes

We’re making changes related to coverage of GLP-1 weight management medications, to provide access to the most appropriate and efficacious health care options while managing health care costs.

Updates to Inpatient Hospital Admissions Payment Policy

Point32Health is making updates to our Inpatient Hospital Admissions Payment Policy, effective for dates of service beginning June 1, 2025.

Clarified billing reminder: ASC services

We’re offering a reminder and some additional clarification concerning correct coding practices to keep in mind when billing for ambulatory surgical center services.

Join the network

We invite you to join us in ensuring that our communities have access to high-quality, equitable health care by becoming a participating provider.

Become a contracted provider

Our plans

Learn more about the diverse range of health plans we offer under our legacy brands, Harvard Pilgrim Health Care and Tufts Health Plan.  

View our plans

  • Short video: Checking referrals, notifications, and authorizations in HPHConnect

    We’ll show you how to use the Harvard Pilgrim Health Care secure portal, HPHConnect, to check the status of a referral, notification, or authorizaton request. The video shares step-by-step instructions and time-saving tips.