Home Administrative Billing & Reimbursement BlueCard® Health and Wellness Medical PEAR portal Pharmacy Products Quality Management

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​QIPS Resources​​​

QIPS is Independence B​lue Cross's value-based program for primary care practices. Eligible practices can earn financial incentives for providing quality health care and effectively managing the care of their HMO and P​PO members, as well as BlueCard® PPO members. Population Health Specia​lists (PHS) are assigned to each practice and can assist you in improving QIPS performance and overall patient health outcomes. ​

​ ​
Updates Quality MeasuresReference Materials

​​​​

  
  
  
Quality MeasuresQuality Performance Measure (QPM) score program - NEW!11/21/2022

The Quality Performance Measure (QPM) score program component of QIPS offers incentives for services provided during the measurement year (January through December of the measurement year, unless otherwise noted) for the measures listed below.

Adult program

  • ​​​​​Cancer Screenings:

  • Medication Management:
  • Other:

​Pediatric Program

  • Well-Visit Composite:
  • Vaccination Composite:
    • DTaP
    • IPV
    • HIB
    • MMR
    • VZV​
    • PCV
    • Flu
    • Rotavirus
    • HPV
    • Tdap
    • Meningococcal



​​​Key Terms​​​​
MY20​22
​Measur​ement Year 2022​
MY2023
​Measurement Year 202​3
PEAR
​Provider Engagement, Analytics & Reporting​
​PEAR AR
​PEAR Analytics & Reporting
QIPS
​Quality Incentive Payment System​​
QPM
​​Quality Performanc​e Measure​





S​uggestions? If you have topics you’d like covered in future posts, please contact Jenn​ifer Kennedy​.​​
​​​​Imp​ortant Reminders​

MY 2022 QPM feedback window is now closed.​
Adult Quality ​Mea​​sures for 2023
 

  • New: Primary Care Visit (Medicare Advantage members only) ​ This measure evaluates the percentage of your Medicare Advantage members who have visited a PCP within the measurement year.
  • Update: Colorectal Cancer Screening - Age range updated from 51 to 75 to 45 to 75. Targets related to this change will be evaluated this summer.


​​​QIPS Milestones
​​​​​Opt-In​​
​​October to December​​
Engagement Incentive​​
Monthly payment & reviewed quarterly for meeting requirements
Preliminary Reports ​April​
QPM Feedback Process
​April - May
Final Reports & Payments​
August
​​

This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
Connect with us     Facebook     Twitter     Flickr     YouTube     Walk the Talk    Independence Pinterest    Independence LinkedIn    Independence Instagram Site Map        Anti-Fraud        Privacy Policy        Legal        Disclaimer
© 2023 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.