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

Revised Oct. 8, 2020*

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. To further this commitment, back on Dec. 27, 2019, we implemented our BCBSTX Physician Efficiency, Appropriateness, and Quality (PEAQ) Program as of Jan. 1, 2020.

Our goal is to measure and maximize physician efficiency, appropriateness, and quality. As of Sept. 1, 2020 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.

Since January, we’ve made updates to the methodology for the PEAQ Program to include news about appropriateness, vendor selection and related measures. The updated methodology can be found here . We plan to release program results to physicians in 2021 through Availity. Physicians can register for Availity at availity.com Learn more about third-party links.

Watch our provider website for further 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.

*Corrected typo within the PEAQ Methodology to no longer reference Bridges To Excellence as a NCQA program.