Reach Out to Members to Close Care Gaps and Support Wellness

Oct. 7, 2026

With the year coming to a close, it’s a good time to remind our members to receive any preventive screenings, follow-up care or immunizations they may need. We can provide you with data and support to help prioritize outreach efforts according to members’ needs.

Why year-end outreach matters: Closing care gaps goes beyond meeting Healthcare Effectiveness and Data Information Set (HEDIS®) measures. Receiving timely care may contribute to positive health outcomes while reducing avoidable complications.

Your office may make a meaningful impact by focusing outreach efforts on:

  • Well-child visits: Ensuring children receive age-appropriate preventive care, developmental screenings and anticipatory guidance
  • Immunizations: Supporting children, adolescents and adults in staying current with recommended vaccines
  • Cancer screenings: Encouraging eligible members to complete breast and cervical cancer screenings, which are vital for early detection
  • Diabetes management: Reminding members with diabetes to complete their HbA1c testing, retinal eye exams and kidney function testing to monitor and prevent complications
  • Other preventive and chronic care services: Reviewing member panels to identify any remaining screenings, tests or follow-up visits needed before the end of the year

Medicaid providers: If your team would like help identifying members with specific care gaps, please email us. 

Resource for you: We created a resource for you, Quality Care 2026, on coding and documentation for HEDIS measures. To access it, sign in to Availity® Essentials and download it from the Resources section in our Payer Space. 

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to Blue Cross and Blue Shield of Illinois.

HEDIS is a registered trademark of the National Committee for Quality Assurance.

BCBSIL makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.

The above material is for informational purposes only and is not a substitute for the independent medical judgment of a physician or other health care provider. Physicians and other health care providers should use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment, and to submit claims using the most appropriate codes based upon the medical record documentation, coding guidelines and reference materials. 

The fact that a service or treatment is described in this material is not a guarantee that the service or treatment is a covered benefit, and members should refer to their certificate of coverage for more details, including benefits, limitations and exclusions. Regardless of benefits, the final decision about any service or treatment is between the member and their health care provider.