We are continuing the analysis to find ways to enhance our high performance network, including review and consideration of new national evaluation standards that have been established by organizations such as the National Committee for Quality Assurance (NCQA) and the National Quality Forum (NQF) for reporting physician performance. In the future, changes may be implemented in the way we determine provider eligibility for the BlueChoice Solutions network.

While we are assessing these changes, there will be no Solutions evaluation performed in 2009 to determine eligibility for the 2010 BlueChoice Solutions network. The BlueChoice Solutions network in 2010 will not change and will remain the same as the existing 2009 network. This means there will be no removals or additions to the 2009 and 2010 BlueChoice Solutions networks, other than for normal provider turnover and addition activity. Thus, our members should experience minimal network disruption in both years.  

Normal provider turnover and addition activity are defined as follows:

We will continue to have normal disruption from BlueChoice network activity. For example, if a physician or professional provider cancels their BlueChoice contract, then they will also be removed from BlueChoice Solutions.

We will continue to add the following providers to the BlueChoice Solutions 2009 and 2010 networks: providers that join an existing BlueChoice Solutions group and providers that practice in a specialty that was not modeled.