Medicare AdvantageAdministrativeMedium impact
Blue Cross Medicare Advantage Dual Care Plus (HMO SNP)SM 2024 Program Summary
BCBS Texas·TX · Family Medicine, Internal Medicine, Geriatrics·Government Programs
We identified it
Jan 12, 2026
Summary
This is a performance summary report for Blue Cross Medicare Advantage Dual Care Plus (HMO SNP) showing 2024 results against program goals. It reveals significant gaps in care coordination services like health risk assessments (25% vs 100% goal) and care team meetings (47% vs 100% goal), which may affect member eligibility and reimbursement.
Action Required
Review current SNP member records to ensure proper documentation of health risk assessments, interdisciplinary care team meetings, and individualized care plans. Focus on improving completion rates for these required program elements as poor performance may impact future contract renewals and member eligibility verification.