Updated PEAQSM Methodology Is Now Available

05/29/2024

An updated methodology is now available for our Physician Efficiency, Appropriateness, and QualitySM program. The methodology explains how PEAQ evaluates physician performance. It is titled PEAQ 4.0 on our PEAQ page,

What’s New

We regularly evaluate PEAQ’s three components (efficiency, appropriateness and quality) and refine the methodology based on new clinical data and input from practicing physicians. The updated methodology includes:

  • Updated efficiency measurements
  • New specialty (psychiatry)
  • The Quality Practice Score, which indicates performance in certain specialties based on set measurements and indicators

How It’s Used

The updated methodology is the foundation for future Physician Performance Insights reports. PPI reports show how physicians compare to their peers and include information on improving performance. Beginning in August, Provider Finder® will include summaries of performance ratings from PPI reports to help our members make informed care decisions.

PPI reports are available in Availity® Essentials. If you don’t yet have an Availity account, register here.

For more details about PEAQ, visit our PEAQ page or email PEAQ Inquiries.

Availity is a trademark of Availity, LLC, a separate company that operates a health information network to provide electronic information exchange services to medical professionals. Availity provides administrative services to BCBSTX. BCBSTX makes no endorsement, representations or warranties regarding third party vendors and the products and services they offer.