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​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​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. ​

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Updates Quality MeasuresReference Materials

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Reference MaterialsQIPS Program Guide - NEW!11/30/2022
​New design for measurement year 2023! The QIPS Program Guide takes you through the basics of the program structure and clearly identifies which components are applicable to your practice – adult vs. pediatrics. Additional resources are also available below to aid in your QIPS performance.

QIPS Program Guide – measurement year 2023

 

QIPS program manual – Measurement year 2022  (Revised 11/30/2022)

QIPS program manual – Measurement year 2021  (Revised 9/16/2022)

Top Quality Practices – Measurement year 2021​

QIPS opt-in guide 

 

Additional resources

Standard and real-time reports that support the QIPS program are available in PEAR Analytics & Reporting in the “Output Manager" and “Report Center" – see section 3 for more information.

Navigational videos associated with these reports are available in the PEAR Help Center under PEAR Analytics & Reporting – QIPS/Stars Program. ​



​​​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.
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