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​Focus on reducing risk adjustment and Stars care gaps for out-of-area group Medicare Advantage PPO members

November 26, 2019

Beginning January 1, 2020, the Blue Cross and Blue Shield Association, an association of independent Blue Cross® and Blue Shield® Plans, will begin a phased rollout of a new approach for care management for out-of-area group Medicare Advantage members.

The new arrangement will enhance the way Blue Plans support Medicare Advantage group members who live outside their designated service area.

In the first phase, other Blue Plans will engage Independence to connect with you, our providers, to close risk adjustment and Stars care gaps for their members living in our service area. In turn, we will share monthly reports with providers who render services to those out-of-area Medicare Advantage PPO members who have gaps in care and who receive care in the Independence service area.

How to retrieve and use the reports

Providers who are registered for the Provider Engagement Analytics and Reporting (PEAR) portal can retrieve their monthly reports through IndexProTM. IndexPro is our new online, self-service, and on-demand reporting tool for participating providers. It delivers access to timely data and actionable incentive program reports, delivered through a secure connection.

Providers who are not yet registered for PEAR will receive their monthly reports by mail until their portal registration is completed.

We ask that you review the information in the reports and work with your patients to close the gaps in care.

Learn more

Independence will regularly share updates on this new program through Partners in Health UpdateSM articles.

If you have questions about the program or how to access the reports, please email us at provider_communications@ibx.com.

Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association


This content was prepared for the Provider News Center and may not be reproduced in any way without the express written permission of Independence Blue Cross. Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association.
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Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.