Reduce risk adjustment and Stars Program care gaps for out-of-area group Medicare Advantage PPO members

November 5, 2020

Last year, the Blue Cross Blue Shield Association, an association of independent Blue Cross® and Blue Shield® Plans, began a phased rollout of a new approach for care management for out-of-area group Medicare Advantage members. The arrangement enhances the way Blue Plans support Medicare Advantage group members who live outside their designated service area.

Independence will work with you to close risk adjustment and Medicare's Five-Star Quality Rating Program (Stars Program) care gaps for out-of-area group members living in our service area. 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 & Reporting (PEAR) portal can retrieve their monthly reports through IndexProTM. IndexPro is our 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 the PEAR portal will receive their monthly reports by mail until their portal registration is completed. Visit www.ibx.com/pnc/pearportal for more information on the registration process.

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

Learn more

If you have questions about the program, please email us at provider_communications@ibx.com​.

If you have questions about IndexPro, please submit them using the PEAR portal inquiry form.  

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