CommercialAdministrativeLow impact
Specialist performance ratings to be made available to all cardiologists and orthopedists
Blue Cross Blue Shield of Rhode Island·RI · Cardiology, Orthopedics·Physician
Effective date
May 1, 2019
We identified it
Jun 20, 2026
Summary
BCBSRI is implementing a new specialist performance rating program for network cardiologists and orthopedists. The ratings will be based on cost efficiency, practice pattern variation, and quality metrics, with results shared through a web-hosted event and individual performance reports.
Action Required
No immediate billing changes required. This is an informational policy about performance ratings that will be shared with cardiologists and orthopedists through a future web event. Monitor for upcoming communications from BCBSRI about the scheduled presentation.