CommercialAdministrativeLow impact

New Data on Quality Measures for Reporting Year 2024

Q: Who is affected by this change?

This affects BCBS Texas Family Medicine, Internal Medicine, General Practice, Pediatrics, Cardiology, Endocrinology +2 more providers in TX on Commercial, Exchange plans.

BCBS Texas·TX · Family Medicine, Internal Medicine, General Practice +5 more·General

Effective date

Not stated

We identified it

May 3, 2026

Days to comply

—

Summary

Blue Cross Blue Shield Texas released 2024 quality measure performance data showing improvements across HEDIS measures like blood pressure control, cancer screenings, and diabetes management for commercial HMO, PPO, and marketplace plans. This is informational data about member outcomes and does not change billing requirements or procedures.

Action Required

Action needed

No immediate action required. Billing team can review quality measure data for awareness of insurer priorities around preventive care services like mammograms, colonoscopies, blood pressure monitoring, and diabetes management. Consider discussing care gap opportunities with providers to support quality improvement initiatives.

Related policy hubs

BCBS Texas policies TX policy changes Family Medicine Internal Medicine General Practice Pediatrics Cardiology Endocrinology Oncology OB-GYN