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).


EBCCRNU-0064-19 September 2019



Featured In:
November 2019 Empire Provider News