CommercialAdministrativeMedium impact
PCP performance ratings delivered to all PCPs; available to BCBSRI members soon
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
May 15, 2019
We identified it
Jun 20, 2026
Summary
BCBSRI has delivered performance ratings to all participating PCPs and will make these ratings available to BCBSRI members on their website starting mid-May 2019. These ratings will serve as the foundation for tiered-network products launching in late 2019, which may affect patient access and referral patterns.
Action Required
By mid-May 2019: Front desk staff should be prepared to explain PCP performance ratings to patients who may ask about provider ratings they see on BCBSRI website. Providers can request formal rating reviews by emailing ProviderRequests@bcbsri.org. Monitor for potential changes in patient volume as ratings become public and tiered networks are implemented in late 2019.