4/22/2024

Highmark Wholecare Launches 2024 Care Gap Management Application & Provider Reporting

Highmark Wholecare providers are invited to use the 2024 Care Gap Management Application (CGMA). This application, live as of April 1st, supports Highmark Wholecare’s mission to improve the health and wellness of the individuals and the communities we serve by offering providers access to important care gap information. The CGMA can be accessed by reaching out to your Clinical Transformation Consultant (CTC) or by emailing:

ProviderEngagementTeam@HighmarkWholecare.com.

The CGMA has been designed to help providers by simplifying the flow of members’ care gap information between you and us. With this powerful, yet easy-to-use web application, you will be able to:

  • View member care gaps
  • Submit evidence for care gap closure
  • View your progress towards closing member care gaps
  • View your Highmark Wholecare Health member roster
  • View your Highmark Wholecare Practitioner Excellence (HWPE) Performance and Opportunity Reporting

New capabilities offered through the 2024 CGMA application include:

  • Bulk evidence submissions for a member
  • Bulk generation of member level gap PDF reports
  • Multi-provider gap report generation
  • Measure due date enhancement - Due date now available for applicable measures (e.g., W30, OMW).
  • Measure badge – Badge added to measures with a due date based on an event, with the remaining days to take action displayed on the measure banner.
  • Various new measures for 2024:
    • Depression Screening for Adolescents and Adults
    • Depression Screening for Adolescents and Adults – Follow-up on Positive Screen
    • Appropriate Treatment for Upper Respiratory Infection
    • Avoidance of Antibiotic Treatment for Acute Bronchitis/Bronchiolitis
    • Statin Therapy for Patients with Cardiovascular Disease
    • Statin Therapy for Patients with Diabetes  
    • Use of Imaging Studies for Low Back Pain

Please contact your CTC or email us at ProviderEngagementTeam@HighmarkWholecare.com to request changes in access or to setup a new user.

 

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