Payer Updates

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Payer Updates | September 2026

For a curated summary of the latest payer updates* impacting Northern Michigan provider offices, grouped by payer, please see below:

Priority Health

Epic Launch Delayed Until January 1, 2027
Priority Health delayed their Epic launch from Sept.1, 2026, to Jan. 1, 2027. We’ll continue to work on readiness planning over the next four months.

Retrospective Authorization Program Change
Priority Health will be limiting retrospective authorizations and appeals, beginning Nov. 1.  Munson is working on a project plan to minimize the impact of this change. For additional information, please contact Laura Stuursma. SOURCE

 

*News items from the following payers were reviewed for this month’s highlighted articles: Aetna, BCBSM, Blue Care Complete, Blue Care Network (BCN), Health Alliance, McLaren, Molina, Nomi Health, and Priority Health.