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ExchangeAdministrativeMedium impact

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

Anthem BCBS·NY·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 (Exchange plan) members. These alerts will appear in the electronic medical record system to notify providers when patients need specific preventive care or follow-up services.

Action Required

Action needed
Immediately: Review and respond to new EMR alerts when they appear for Exchange plan patients. Train clinical staff to recognize and act on care gap notifications. Document completed preventive services and follow-up care in response to alerts to ensure proper quality reporting.

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