Independence Blue Cross (IBX) offers value-based programs that reward participating practices providing quality, cost-effective care to their patients, our members. As IBX introduces new value-based programs to the network, this page will be updated.
NeP4V program
The nephrology pay for value (NeP4V) program focuses on members with chronic kidney disease (CKD) and end-stage renal disease (ESRD). The NeP4V program is the first incentive-based model offered to nephrology practices in the IBX network. The NeP4V program will give nephrology practices an opportunity to earn incentives for continually improving the quality of medical care and services they provide IBX Commercial and Medicare Advantage members with advanced CKD (stages 4 and 5) and ESRD.
NeP4V program resources:
- NeP4V program manual - Measurement years 2024 & 2025
- NeP4V program: FAQ
You can access these resources on the
PEAR Help Center under Analytics & Reporting – Value-Based Programs.
Note: You must first log in to access these resources.
QIPS program
For over 25 years, IBX has promoted high-quality, accessible, and cost-effective care through its Quality Incentive Payment System (QIPS) program. The QIPS program is IBX's Total Care-designated program, offering 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 Resources - View QIPS program deadlines, helpful QIPS tips, and current QIPS updates. You can also review the quality measures evaluated in the QIPS quality program and access all the QIPS program manuals.
Mental Health Incentive Program
The Mental Health Incentive Program (MHIP), which launched in 2024, is a value-based program for contracted mental health providers who deliver outpatient and office-based professional services including psychotherapy and/or medication management. The MHIP assesses the performance of our mental health providers to ensure they deliver quality, accessible, and cost-effective care to our members.
The MHIP is comprised of two separate and distinct programs utilizing quality metrics for:
- mental health outpatient/professional practices
- mental health inpatient facilities
Learn more on our Behavioral Health page and review the MHIP guide in the PEAR Help Center under Analytics & Reporting – Value-Based Programs. Note: You must first log in to access this guide.