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Physician Efficiency, Appropriateness, and Quality (PEAQ) Program Methodology

December 27, 2019

At Blue Cross Blue Shield of Texas (BCBSTX) we do everything in our power to stand with our members in sickness and in health.

We take the quality and affordability of the care provided to our members very seriously. As a part of this commitment, one of BCBSTX’s core objectives as a health plan is to maximize and improve the value of care our members receive.

To further this commitment, we are implementing our BCBSTX Physician Efficiency, Appropriateness, and Quality (PEAQ) Program as of Jan. 1, 2020. The current methodology for the PEAQ Program can be found here . This program will evaluate provider performance in a transparent and multidimensional way. Measurement periods may vary for each of the three components of the PEAQ program.

Our goal is to measure and maximize physician efficiency, appropriateness, and quality. This includes initiatives designed to improve member health, increase transparency around provider quality, and promote the efficient use of member and employer dollars by guiding members to high-quality, affordable care.

Watch our provider website for updates to the PEAQ methodology. Comments and feedback are welcome and can be submitted to your local Blue Cross Blue Shield Network Representative or emailed to PEAQ_Analytics.