November 8, 2023
What is PEAQSM?
The Physician Efficiency, Appropriateness, and Quality program measures a physician’s performance around efficiency (cost), appropriateness, and quality to achieve more optimal patient outcomes and effective care delivery. Physicians that meet inclusion requirements, such as working specialty and patient minimums, are provided with reports that show how their performance compares to peers’ performance within the same working specialty with regional adjustments. All Illinois physicians practicing within the PEAQ working specialties and report timeframe are included in PEAQ.
Coming This Month: Physician Performance Insight Reports
PEAQ PPI reports show how a physician is evaluated and where they rank in comparison to peers. Reports also include observations to improve future performance. You must be a registered Availity® Essentials user to gain access to PEAQ PPI reports. To register online, go to the Availity website and look for the New to Availity? Get Started link in the top right corner.
PEAQ PPI PDF reports are coming in November to Availity Essentials for qualified physicians in the following specialties:
| Medical | Surgical | Primary Care |
Cardiology |
Cardiothoracic Surgery |
Family Medicine |
New in 2024: Top Performing Physician Designation in Provider Finder®
Insights culled from PEAQ data influence Provider Finder sorting results for self-funded Administrative Services Only groups. PEAQ data can also impact employer insights. Beginning in early 2024, our Provider Finder will identify providers who are highly rated for quality, cost-efficient care, and appropriate treatment plans, based on PEAQ results. These providers’ profiles will display a Top Performing Physician designation to help inform our members and connect them with care. Within Provider Finder, the Provider Profile pages will show summaries of PEAQ performance scores. PEAQ-related information is not presently available in Provider Finder for any HMO networks.
For more information, visit the BCBSIL PEAQ page.
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 BCBSIL. BCBSIL makes no endorsement, representations, or warranties regarding third party vendors and the products or services they offer.