BlueCompare for Physicians - Quality Component
BlueCompare adds quality related performance information to Provider Finder® for BlueChoice® network through the following program:
Evidence Based Measure (EBM) - The EBM evaluation uses Blue Cross and Blue Shield of Texas (BCBSTX) claims and enrollment data to calculate performance against indicators that cover significant areas of care in diabetes, cardiovascular disease, preventive care and other health services. Performance on the indicators is attributed to physicians based upon their involvement in treating the qualifying patients. Where there are indicators for a specialty and sufficient data is available, physicians at or above the threshold will be recognized with a blue ribbon. When the physician practices in a group, the EBM information reflects the performance of all the physicians in the same specialty within that group.
BCBSTX displays EBM Performance Reports in a secure portal online at txproviderportal.com . Login information was mailed to physicians (with reportable data) or to the group practice’s administrator. For assistance with logging in, please follow the instructions provided on txproviderportal.com. Also, you can contact either your group practice administrator (if applicable) or your local Professional Provider Network office for assistance.
EBM Opt Out
A physician can opt out and choose to not display the EBM information in Provider Finder for calendar year 2015 by filling out the opt out form.
BlueCompare Inquiries and Reviews
BCBSTX makes every effort to ensure our network providers understand the practice information listed in our BlueCompare Web tool. If you are not satisfied with your BlueCompare Evidence Based Measures (EBM) information, you have the right to request a formal review.
We invite you to become familiar with the BlueCompare consumer information tool by viewing more BlueCompare information in Provider Finder.
The BlueCompare tool is provided for informational purposes only. BlueCompare information is available to assist members and non-members in the selection of a health care provider. It is not intended to be a recommendation to consumers. Selection of a health care physician is a personal choice, and consumers should not base decisions solely on Evidence Based Measures designations displayed in BlueCompare. BlueCompare is based on BCBSTX BlueChoice and BlueOptions PPO claims and membership data and may not be indicative of the physician's overall practice.