Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement

Category: Medicare

The Blue Cross and Blue Shield Association issued a mandate requiring a change in the way we process Host and Home plan HEDIS® STARS Care Gaps, risk adjustment (RADV) and medical records requests. The goal of this mandate is to improve health outcomes and care management for Medicare Advantage out-of-area members.

More information about this mandate will be published in the December 2019 newsletter.

 

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
                                        
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