CommercialReimbursementMedium impact
Official Outcome Incentive Award Performance and Participation Fee Notice (Aug. 1, 2022)
CareFirst BlueCross BlueShield·Family Medicine, Internal Medicine, General Practice +1 more·Provider News
Effective date
Aug 1, 2022
We identified it
Jun 20, 2026
Summary
CareFirst BlueCross BlueShield has released 2021 Outcome Incentive Award (OIA) results for their Patient-Centered Medical Home (PCMH) Program, effective August 1, 2022 through July 31, 2023. Primary care providers can view their incentive awards and participation fee status in SearchLight, with panels potentially losing fees if they don't meet engagement and quality thresholds.
Action Required
By August 1, 2022: Primary care providers enrolled in CareFirst PCMH Program must log into SearchLight via Provider Portal to review 2021 OIA results and ensure compliance with engagement scorecard (70/100 minimum) and clinical quality scorecard (65% minimum) to maintain participation fees. Contact Practice Consultant with questions about OIA results.