Medicare AdvantageOctober 31, 2019
Blue Cross and Blue Shield Association mandate about Medicare Advantage care management and provider engagement
Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.
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.
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.
PUBLICATIONS: November 2019 Empire Provider News
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