Are health care providers measured in aggregate or on an individual basis?

BlueHPN health care providers are measured individually and at an aggregate network level. Quality is measured across all aspects of care delivery (e.g., inpatient, outpatient) and within each provider type (e.g., primary care, specialist, hospital or health system). This approach was established because:

• Individual performance results allow us to identify opportunities for improvement and to recognize higher-value care
• Aggregating quality results allows us to understand BlueHPN market level performance in comparison to our BlueCard PPO healthcare provider population