Provider Quality Reports
The Provider Quality Reports use BCBSNC claims data to rank performance according to nationally accepted standards and measures. These new monthly reports replace all previous gap care reports and are designed to help point out patient care gap areas. These areas can range from telling when a patient is overdue for a screening to determining when a follow-up visit to the doctor's office is needed. Most importantly, the reports will help you improve patient care and keep your patients healthy.
Blue Distinction Centers and Blue Distinction Centers+
The Blue Distinction ® Centers and the Blue Distinction® Centers+ designations (BDC and BDC+) recognizes medical facilities providing a high level of specialty care within specialty areas. Blue Distinction Centers+ Designation recognizes medical facilities for providing a high level of specialty care at lower cost. Find facilities for a variety of procedures, such as cardiac care and spine surgery.
Blue Physician Recognition Program
The Blue Physician Recognition program recognizes physicians who have demonstrated a commitment to delivering safe, evidence-based and patient-centered care through participation in accepted national, regional, or local quality improvement or recognition programs and resources.
Physician Quality Measurement Overview
The Physician Quality Measurement program offers Blue members nationwide the online capability to view nationally endorsed physician quality measures via either the BCBSNC website or the Blue Cross and Blue Shield Association's Blue National Doctor & Hospital Finder.
Tiered Network Product
As the North Carolina health insurance marketplace evolves, so does Blue Cross and Blue Shield of North Carolina (BCBSNC). In order to respond to our customer's increasing demand for cost-efficient and high-quality health care, BCBSNC is announcing the creation of a new Tiered Network product. BCBSNC's Tiered Network product will offer consumers the opportunity to maximize benefits and coverage at preferred PPO facilities and providers that meet the quality and cost criteria set forth in the product design.
Hospital Quality Program
The Hospital Quality Program is focused on improving the quality of hospital care available to our members. The program is designed to evaluate hospital performance using a standard set of nationally-recognized quality measures. It also drives improvements in care by collaborating with the hospital community.