Medicare AdvantageAdministrativeLow impact
Health equity indicators added to BCBSRI “Gaps in Care” reporting
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Oct 1, 2023
We identified it
Jun 19, 2026
Summary
BCBSRI has added new health equity indicators to their Gaps in Care reporting for providers participating in the PCP Quality Incentive Program (PQIP). The reports now include demographic data (race, ethnicity) for all members and additional disability/income status data for Medicare Advantage members to help providers track care equity across patient populations.
Action Required
No immediate action required for billing team. Quality team should review updated Gaps in Care reports from BCBSRI that now include health equity indicators in columns AV-BB. Contact QualityHEDIS@bcbsri.org with questions about the new reporting format.