​​​​​​​​Value-based programs​

Independence Blue Cross (Independence) offers value-based programs that reward participating practices that provide quality, cost-effective care to their patients, our members. As Independence introduces new value-based programs to the network, this page will be updated.

NeP4V program

The nephrology pay for value (NeP4V) program focuses on chronic kidney disease (CKD) and end-stage renal disease (ESRD) members. The NeP4V program is the first incentive-based model offered to nephrology practices in the Independence network. The NeP4V program will give nephrology practices an opportunity to earn incentives for continually improving the quality of medical care and service they provide Independence Commercial and Medicare Advantage members with advanced CKD (stages 4 and 5) and ESRD.

NeP4V program resources

NeP4V program manual - Measurement year 2021​

QIPS program

For over 25 years, Independence has promoted high-quality, accessible, and cost-effective care through its Quality Incentive Payment System (QIPS) program. The QIPS program is Independence's Total Care-designated program and offers primary care practices incentives for providing quality health care and effectively managing the care of their HMO and PPO populations, including the management of BlueCard® PPO members. The QIPS program offers a variety of incentive opportunities to primary care practices including quality improvement, management of the total cost of care, and care efficiency management (e.g., utilization for low level ER visits).

QIPS program resources

Top Quality Practices – Measurement year 2019

QIPS program manual – Measurement year 2020 (Revised 2/2021)

QIPS program manual – Measurement year 2021 (Revised 2/2021)

QIPS opt-in reference guide

Communications