CommercialAdministrativeMedium impact
Hints for HEDIS® (and more)
Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Physician
Effective date
Feb 1, 2019
We identified it
Jun 20, 2026
Summary
BCBS Rhode Island has published updated guidance for HEDIS quality measures and the 2019 PCP Quality Incentive Program, providing tools and best practices to help practices identify and close care gaps for quality improvement.
Action Required
Primary care practices should: 1) Review the 2019 PQIP booklet received from BCBSRI, 2) Use monthly Gaps in Care reports to contact patients due for exams, 3) Implement pre-visit planning processes including scheduling, financial readiness, and clinical preparation, 4) Turn on HEDIS alerts in EHR systems or contact software vendor to add these prompts, 5) Assign a staff member as HEDIS point of contact, 6) Contact Quality Concierge Team at QualityHEDIS@bcbsri.org or (401) 459-1005 for support with gap closure and reporting.