For eligible primary care providers (PCP), Independence is making changes to
the elective feedback process as well as changes regarding access to certain
value-based program reports for measurement year 2019 for the Quality
Performance Measure (QPM) score program or Quality Program as part of the
Quality Incentive Payment System (QIPS) program, the Preventive and Quality
Improvement Program (PQIP), and the Primary Care Advancement Model (PCAM).
Process changes
The following changes have been applied to the QPM score program/Quality
Program for measurement year 2019:
- No opt-in for elective feedback. Practices no longer need
to submit an email request to participate in the feedback process. If your
practice wants to participate in elective feedback, you can simply download the
reports from IndexProTM, accessible through the Provider Engagement
Analytics and Reporting (PEAR) portal, and complete the necessary information.
Feedback reports will no longer be printed and mailed. You will be notified by
mail when the feedback reports, along with your preliminary score report, are
available for download.
- Adolescent immunizations. The adolescent immunizations
measure has been added as part of the elective feedback process. This measure
joins the three cancer screenings and diabetic measures.
- Discontinuation of return labels. Providers who
participate in elective feedback will be responsible for returning the
completed reports, along with the necessary member medical records, to
Independence at their own expense. UPS labels will no longer be provided.
Detailed instructions will be sent in the early part of the second quarter.
Report availability
Independence is transitioning all QIPS program, PQIP, and PCAM reports to
IndexPro. IndexPro will be the primary source of QIPS program, PQIP, and PCAM
reports going forward. A letter is being sent to eligible PCPs with more
information on how to access the reports.
As a reminder, IndexPro registration is also a prerequisite for the QIPS
program, PQIP, and PCAM as outlined in the measurement year 2019 program
manuals. If you are not registered for IndexPro, you will not be eligible to
receive incentive payments for the QIPS program, PQIP, or PCAM.
If your practice has not registered for the PEAR portal, please review the
registration instructions outlined in the PEAR portal
section.
Once you have registered for the PEAR portal, you will be contacted to
schedule training.
Note: If you are part of an Integrated Delivery System, you will
need to contact your Organization Administrator for access to IndexPro and
permission to view the reports.
Learn more
The manuals for the QIPS program, PQIP, and PCAM for measurement year 2019
have been updated to reflect these changes. They are available on the
Independence Plan Central page of the NaviNet® web portal
(NaviNet Open) in the Current Publications section under Archive of Value-Based
Program Manuals.
If you have questions about these changes, please contact Jennifer Dombrowski.
If you have any clinical questions, please contact your Network Medical
Director.
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