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Well-managed chronic conditions can help members avoid ER visits, hospital stays
BCBS Michigan·MI · Cardiology, Endocrinology, Internal Medicine +2 more·Provider News
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Jun 26, 2026
Summary
This is an informational policy from Blue Cross Blue Shield of Michigan (BCBSM) and FEP Blue emphasizing resources and support programs to help manage chronic conditions (diabetes, hypertension, cardiovascular disease) and reduce ER visits and hospital admissions. The policy provides providers with HEDIS tip sheets, training videos, and patient resources, along with member support services including telemedicine, disease management programs, and care coordination. No new billing requirements, coverage changes, or code updates are mandated.
Action Required
No immediate action required. This is educational guidance, not a billing or coverage mandate. Billing teams should be aware that providers can leverage these resources (HEDIS tip sheets, training modules, disease management programs) to improve documentation and coding accuracy for chronic condition management, which may support claim submissions. Front desk and clinical staff may benefit from familiarizing themselves with available patient resources and support programs to improve member engagement in chronic disease management.