Medicare AdvantageAdministrativeMedium impact
PEAQSM Provider Performance Insights Reports Are Now Available
BCBS Illinois·IL·General
Effective date
Aug 28, 2026
We identified it
Aug 29, 2026
Summary
Blue Cross Blue Shield of Illinois has released 2026 Provider Performance Insights (PEAQ) reports that are now available for eligible Illinois providers. The PEAQ program has updated its efficiency measurement methodology to use Blue Cross and Blue Shield Association data, with primary care providers evaluated on total fee-for-service costs and specialists on episode-based costs. Results from 2026 reports will influence online directory search results and provider profiles in 2027.
Action Required
By September 30, 2026: Providers in PEAQ specialties who met the minimum member volume threshold should access their 2026 Provider Performance Insights reports via Availity Essentials to review their efficiency, appropriateness, and quality metrics. Billing and practice management teams should review reports to understand how their practice compares to peers on total fee-for-service costs (primary care) or episode-based costs (specialists) and identify areas for performance improvement, as 2026 results will impact online directory placement and provider profiles starting in 2027. Ensure Availity account access is current; contact provider representative or email PEAQ Inquiries if technical assistance is needed. While this is informational rather than billing-rule based, practices should monitor performance metrics to proactively address cost and quality concerns before 2027 directory/profile updates take effect.