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ExchangeAdministrativeMedium impact

[Ohio] EMR alerts aim to close gaps in care for Affordable Care Act members

Anthem BCBS·OH·Provider Bulletin
Effective date
Not stated
We identified it
May 3, 2026
Days to comply
—

Summary

Anthem is implementing EMR alerts to help providers identify and close care gaps for Affordable Care Act (ACA/Exchange plan) members. These alerts will appear in electronic medical records to prompt providers about needed preventive care, screenings, or follow-up services.

Action Required

Action needed
Monitor EMR system for new Anthem alerts related to ACA members. When alerts appear, follow through on recommended care gap interventions such as scheduling preventive screenings, vaccinations, or follow-up appointments. Document completion of recommended services to close care gaps and potentially qualify for quality bonuses.

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