QUALITY CARE INITIATIVES
Working Together to Provide the Highest Level of Care
We know you’re committed to providing quality care to your patients. Here’s the information you need to help maximize your performance in our quality progams.
In 2009, BlueCross began working with primary care providers to implement the Patient-Centered Medical Home (PCMH) program. The PCMH model of care highlights the importance of the health care team and the patient’s role in their own health. The goal is to improve coordination of care among the medical system, community, family and patient resulting in better outcomes and patient satisfaction.
Between 2009 and 2019, the BlueCross PCMH program emphasized chronic condition management and primary prevention. Building off the success of the PCMH program, BlueCross launched the MHP program in 2020. The MHP program continues to reinforce the value of care coordination, quality improvement and utilization management. Participating PCPs must meet certain performance standards including taking part in the Commercial Quality Care Partnership Initiative and maintaining a 3-star rating. They must also achieve NCQA PCMH Recognition and meet annual submission requirements.
The BlueCross Performance Rating helps our members compare primary care providers by objectively rating how well they meet recognized health and wellness standards, deliver efficient care and manage patients' total health.Learn More