Quality Management Optimizing HEDIS & STARSAnthem Blue Cross and Blue Shield | Medicare AdvantageAMH Health, LLC | Medicare AdvantageJanuary 9, 2025

Advanced Illness and Frailty 2025

Purpose

For those with limited life expectancy or advanced illness, the services featured in some measures may not be relevant or in line with the patient’s goals of care. By implementing these exclusions, this population can focus on more appropriate care for their conditions and health status.

Refer to attachments to view full details.

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

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Plans offered by AMH Health, LLC., a joint venture between MaineHealth and Anthem Partnership Holding Company, LLC. AMH Health is an independent licensee of the Blue Cross Blue Shield Association.

MULTI-BCBS-CR-075414-24-CPN74690, MEAMH-CR-075404-24-CPN74690

ATTACHMENTS: Advanced Illness and Frailty 2025 - AMH Health, LLC (pdf - 0.33mb), Advanced Illness and Frailty 2025 - Blue Cross Blue Shield (pdf - 0.25mb)