CommercialAdministrativeMedium impact
A commitment to improve our members’ health
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
BCBSRI has updated their 2020 PCP Quality Incentive Program with new composite scoring methodology and aligned Medicare Advantage targets with CMS Star Rating cut points. The program rewards primary care providers for improving quality of care and closing gaps in care for both Commercial and Medicare Advantage members.
Action Required
Primary care providers should review the 2020 PQIP booklet to understand new composite scoring methodology and updated quality measure targets. Contact PQIP@bcbsri.org with questions about program requirements and performance expectations.