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Medicare AdvantageAdministrativeLow impact

2019 PCP Quality Incentive Program

Blue Cross Blue Shield of Rhode Island·RI · Family Medicine, Internal Medicine, General Practice +1 more·Provider Update
Effective date
Feb 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

BCBSRI's 2019 PCP Quality Incentive Program offers up to $9 million in quality incentives for primary care providers who meet performance benchmarks aligned with CMS Star Ratings and NCQA Quality Compass measures. The program now uses a composite scoring methodology with Star ratings to help providers understand their performance relative to peers.

Action Required

Action needed
Primary care providers should contact their quality concierge team representative or email PQIP@bcbsri.org to obtain the 2019 PQIP booklet and understand specific quality measures and performance targets. Review the composite scoring methodology and Star rating system to optimize incentive payments.