Quality Management Optimizing HEDIS & STARSMedicare 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).

Medicare services provided by Anthem Blue Cross and Blue Shield, trade name of Anthem HealthChoice HMO, Inc. and Anthem HealthChoice Assurance, Inc., Anthem Blue Cross and Blue Shield HP, trade name of Anthem HP, LLC., or Anthem Blue Cross and Blue Shield Retiree Solutions, trade name of Anthem Insurance Companies, Inc.
Independent licensees of the Blue Cross Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MULTI-BCBS-CR-075414-24-CPN74690, MULTI-BC-CR-075412-24-CPN74690

ATTACHMENTS: Advanced Illness and Frailty 2025 - Blue Cross (pdf - 0.26mb), Advanced Illness and Frailty 2025 - Blue Cross Blue Shield (pdf - 0.25mb)