Medicare AdvantageAdministrativeLow impact
[Georgia] Statin Use in Persons with Diabetes: closing the statin gap for adults aged 40 to 75 with diabetes
Anthem BCBS·GA · Endocrinology, Cardiology, Internal Medicine +3 more·Provider Bulletin
Effective date
May 1, 2026
We identified it
May 3, 2026
Summary
This is an informational provider bulletin from Anthem Blue Cross Blue Shield (Georgia) emphasizing statin therapy for Medicare Advantage members aged 40-75 with diabetes to close care gaps and improve SUPD (Statin Use in Persons with Diabetes) Star measure performance. The bulletin outlines best practices for identifying, initiating, intensifying, and improving adherence to statin therapy but does not impose new billing requirements, coverage changes, or prior authorization mandates.
Action Required
No immediate billing or workflow changes required. This is an educational bulletin for clinical guidance. Billing team should be aware that providers may increase statin prescriptions for diabetic patients aged 40-75, which may result in higher pharmacy claims. Monitor for any follow-up policy updates that impose specific billing, prior authorization, or documentation requirements related to SUPD measure reporting.