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December 2021

We appreciate your efforts in helping us achieve high Medicare Star Ratings

As we reported in a web-DENIS message in October and a November-December Hospital and Physician Update article, the Centers for Medicare & Medicaid Services gave Blue Cross Blue Shield of Michigan and Blue Care Network high Medicare Star Ratings for 2022. Here are highlights:

  • Our BCN Advantage℠ HMO plan received a 5-Star rating — the highest rating possible and the first 5-Star rating Blue Cross Blue Shield of Michigan has ever achieved.
  • Our Medicare Plus Blue℠ PPO plan received a 4.5-Star rating, an increase of one full star over last year.

These ratings reflect improvements made in several key areas, including adherence to HEDIS® measures and CAHPS® survey results.** We appreciate all you’ve done over the last few years to help ensure that practitioners adhere to HEDIS measures and that members are satisfied with the care provided by you — the physicians and practice staff who care for our members directly.

For more details, see the article in the November-December issue of Hospital and Physician Update. We’ll also provide additional details on our 2022 Star Ratings performance in future issues of our provider publications. If you haven’t already done so, we encourage you to subscribe to Hospital and Physician Update or other provider newsletters at bcbsm.com/providers/newsletters/subscribe.html.

**HEDIS®, which stands for Healthcare Effectiveness Data and Information Set, is a registered trademark of the National Committee for Quality Assurance. CAHPS®, which stands for Consumer Assessment of Healthcare Providers and Systems, is a registered trademark of the Agency for Healthcare Quality and Research.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.