Blue Cross Blue Shield of Georgia
www.bcbsga.com | Medicare, HMO
- #162
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in Medicare Health Plans
Rank and score of 0 to 100 indicate satisfaction of surveyed members and success relative to other Medicare plans in preventing and treating illness.
Available in: Georgia
| Overall Score: | 61.5 |
| Satisfaction: |  |
| Prevention: |  |
| Treatment: | |
| NCQA Accredition: | No |
How This Plan Performed (methodology)
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Treatment
Treating chronic and acute conditions.
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| Diabetes | |
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Blood pressure control (130/80)
Diabetic members up to age 75 with blood pressure below 130/80 at last visit.
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Blood pressure control (140/90)
Diabetic members up to age 75 with blood pressure below 140/90 at last visit.
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Retinal eye exams
Eye exam given to diabetic members to age 75.
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Glucose testing
Blood sugar level checked in diabetic members to age 75.
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Glucose control
Blood sugar level maintained at 9 percent or below in diabetic members to age 75.
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LDL cholesterol screening
Cholesterol checked in diabetic members to age 75.
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LDL cholesterol control
Cholesterol below 100 milligrams per deciliter maintained in diabetic members to age 75.
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Monitoring kidney disease
Kidney function checked in diabetic members to age 75.
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| Heart disease | |
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Beta blocker after heart attack
Heart-attack patients treated with beta blocker for at least six months.
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NA |
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Controlling high blood pressure
Blood pressure below 140/90 at last visit in hypertensive members to age 85.
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LDL cholesterol screening
Cholesterol checked in members with heart disease.
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LDL cholesterol control
Cholesterol level below 100 milligrams per deciliter maintained in members with heart disease.
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Smoking advice
Practitioners advised smokers to stop.
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| Mental and behavioral health | I |
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Depression--adhering to medication for 12 weeks
Newly diagnosed members who took prescribed drug for 12 weeks.
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NA |
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Depression--adhering to medication for six months
Newly diagnosed members who took prescribed drug for at least six months.
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NA |
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Follow-up after hospitalization for mental illness
Members followed up within a week and again within a month of discharge from a hospital.
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NA |
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Alcohol or drug dependence treatment initiated
Alcohol- or drug-dependent members received inpatient or outpatient care.
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NA |
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Alcohol or drug dependence treated for 30 days
Alcohol- or drug-dependent members received two or more services within 30 days after initial treatment.
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NA |
| Other treatment measures | |
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Managing risk of falls
Members who fell or had problems with balance or walking got intervention from practitioner to lower risk.
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Avoiding harmful drug and disease interactions
Drugs not prescribed if considered potentially harmful because of member's disease or condition.
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Avoiding high-risk medications
Drugs potentially risky to this age group not prescribed.
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Medication for rheumatoid arthritis
Members newly diagnosed with rheumatoid arthritis got appropriate drug.
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NA |
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Monitoring key long-term medications
Members with six-month prescriptions for certain drugs were clinically monitored.
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Steroid after hospitalization for acute COPD
Members received systemic corticosteroid within 14 days of diagnosis of chronic obstructive pulmonary disease following hospitalization.
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NA |
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Bronchodilator after hospitalization for acute COPD
Members diagnosed with chronic obstructive pulmonary disease given bronchodialator medication within 30 days of hospital discharge.
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NA |
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Testing for osteoporosis
Women had bone density test.
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Managing osteoporosis in women after fracture
Women ages 67 and above who had fracture and got bone mineral density test or appropriate drugs in next six months.
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NA |
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Testing for COPD
Members had spirometry test to confirm diagnosis of chronic obstructive pulmonary disease.
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NA |
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Discussing urinary incontinence
Members discussed urine leakage problem with physician in last six months.
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