The Physician Performance Insight (PPI) reports are coming soon! The Physician Efficiency, Appropriateness, and QualitySM (PEAQ) program evaluates physician performance in a transparent and multidimensional way. PPI reports show how physicians compare to peers and include information to improve future performance. Physicians that meet inclusion requirements are provided with PPI reports that show how they compare to peers. Beginning in 2024, members will be able to see a summary of the PEAQ results on Provider Finder®.
The PEAQ program measures a physician’s performance to achieve more optimal patient outcomes and efficient care delivery.
- Physician Insights: Deliver actionable insights to our providers
- Employer Insights: Deliver insights to our clients that include physician performance metrics
- Member Steerage: Show highly summarized performance results in Provider Finder to guide members’ care decisions
“Top Performing Physician”
The PEAQ model derives a composite result that reports an overall look at the physician’s cost efficiency, medical appropriateness, and quality of care performance. The composite results are normalized for fair comparison across the peer population. The highest rated physicians based on the composite results will be designated as a Top Performing Physician in Provider Finder beginning in 2024. Summarized results will be displayed for the physician in their PPI report.
PPI reports will be available via Availity Essentials for qualified physicians in the following specialties:
- Cardiothoracic Surgery
- Orthopedic Surgery
- Vascular Surgery
- Family Medicine
- Internal Medicine
PPI reports can be viewed with an Availity account. To get a free account, go to Availity.com and click “Register” in the top right corner.
PPI reports employ logic from the PEAQ Methodology.
BCBSMT is committed to continuous improvement and reevaluation of our methodology regularly based on feedback and recent clinical evidence. For more information about PEAQ, visit the BCBSMT PEAQ site or email PEAQ_inquiries@bcbsmt.com.
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 BCBSMT. BCBSMT makes no endorsement, representations or warranties regarding any products or services provided by third party vendors.