PEAQ - Physician Efficiency, Appropriateness, & Quality Program

The PEAQ^SM Program evaluates physician performance in a transparent and multidimensional way. A goal of PEAQ is to work with the physician community to maximize physician efficiency, appropriateness, and quality of care.

PEAQ's guiding principles include:

• Metrics - Selecting meaningful measures of health care efficiency, appropriateness, and quality
• Transparency - Equipping physicians with meaningful information about efficiency, appropriateness of care, and quality
• Collaboration - Sharing with physicians to ensure measurement transparency and clinical relevance
• Continuous Improvement - Reevaluating our methodology and measures regularly based on feedback and recent clinical evidence
• Insights - Providing physician-level insights on how to improve overall patient care
• Member Focus – Helping our members identify physicians who are right for them

The three components of the PEAQ program are:

• Efficiency
• Appropriateness
• Quality

For more information, view our PEAQ video and the most current version of the PEAQ Methodology below:

Methodology:

Physician Performance Insights 

PPI reports show how a physician was evaluated and where they rank in comparison to peers. PPI reports also include actionable insights to improve future performance. BCBSTX initially developed PEAQ with input from practicing physicians and continues to collaborate with physicians to improve the program. 

The PPI reports available in July 2024 are located on Availity^® Essentials for qualified providers in the following specialties:

Viewing PPI Report: Log in to Availity Essentials to view your PPI report under Payer Spaces. If you are not registered for Availity, sign up here at no cost. Refer to the PEAQ Availity User Guide for information on how to access and view the report. Then use the PEAQ Report User Guide for an explanation of details on the report.  

Questions? Refer to the PEAQ FAQs or email PEAQ Inquiries for information about PEAQ, including results and methodology. To request a formal reconsideration proceeding, complete the Reconsideration Request Form and email it to PEAQ Inquiries. Reconsideration requests are allowed for 45 days after reports have been delivered to providers. We will answer requests beyond the reconsideration request period, but scores will already be finalized.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations, or warranties regarding third party vendors and the products and services they offer.