BlueCross BlueShield of Western New York received positive Star Ratings from the Centers for Medicare and Medicaid Services (CMS) for its Medicare Advantage PPO and HMO plans.
The local health plan achieved a 4.5 out of 5.0 Star rating for its Medicare Advantage PPO plan, and a 4.0 out of 5.0 Star Rating for its Medicare Advantage HMO plan.
The rating system provides a way for consumers to objectively compare Medicare health plans based on 47 care and service quality measures, including staying healthy, managing chronic conditions, member satisfaction, customer service, and pharmacy services.
Over the past year, BlueCross BlueShield implemented a number of strategic partnerships and programs aimed at assisting members and providers to identify and take action on closing needed gaps in care, addressing member and provider experiences, improving data oversight and compliance, as well as enhanced clinical programming. BlueCross BlueShield now has a full team solely dedicated to helping members with diabetes—one of the most prevalent conditions locally. The team works one-on-one with members who have diabetes to ensure they are staying on track with screenings, and to help coordinate regular appointments with their primary care doctor.