Physician Efficiency, Appropriateness, & QualitySM (PEAQSM) Program

Our PEAQ program evaluates physician performance in a transparent and multidimensional way. Its goal is to work with the physician community to maximize physician efficiency, appropriateness, and quality of care. BCBSMT initially developed PEAQ with input from practicing physicians and continues to collaborate with physicians to improve the program.

PEAQ program guiding principles include:

  • Metrics – Selecting meaningful measures that are evidence-based and nationally recognized to evaluate physician performance
  • Transparency – Sharing details to help physicians understand how the program works and ways it can support efficiency, appropriateness and quality of care for our members
  • Collaboration – Partnering with physicians to ensure measurement transparency and clinical relevance
  • Continuous Improvement - Reevaluating our methodology and measures regularly based on physician feedback and recent clinical evidence
  • Insights – Providing physician-level reporting to help improve overall performance
  • Member Focus – Use PEAQ program results to help our members identify physicians who are right for them

For more information, refer to the PEAQ Methodology.

Physician Performance Insights (PPIs)

PPI reports show how a physician was evaluated and where they rank in comparison to peers. They also include actionable insights to improve future performance.

PPI PDF reports will be loaded on Availity® Essentials for qualified providers. If you’re not registered for Availity, sign up now by going to Availity and selecting “Register” in the top right corner. Refer to the Availity User Guide for information on viewing reports and the Report User Guide for details about report construction.

Questions? Refer to the PEAQ FAQ or contact PEAQ Analytics for more information. We also welcome your comments and feedback. 

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.