Provider Quality Measurement

Fundamentally, BlueAlliance & BlueAlliance Care+ help health care organizations transition:

From: The current industry standard fragmented care model and fee-for-service payments
To: Coordinated, effective and quality care by implementing a patient-centered medical home model.

The higher the quality performance, the higher the monetary rewards.

Quality Measures

The following measures are used for assessing quality of BlueAlliance & BlueAlliance Care+ providers. Based on provider feedback, the quality measures for BlueAlliance & BlueAlliance Care+ are aligned to the greatest extent possible.

For each provider model, there are minimum thresholds, target thresholds, and stretch goals, to incentivize better performance for higher pay.