Quality-based programs

The Provider Quality Reports use Blue Cross NC claims data to rank performance according to nationally accepted standards and measures. These new monthly reports replace all previous gap care reports and are designed to help point out patient care gap areas. These areas can range from telling when a patient is overdue for a screening to determining when a follow-up visit to the doctor's office is needed. Most importantly, the reports will help you improve patient care and keep your patients healthy.

The Blue Distinction® Centers and the Blue Distinction® Centers+ designations (BDC and BDC+) recognize medical facilities providing a high level of specialty care within specialty areas. Blue Distinction Centers+ Designation recognizes medical facilities for providing a high level of specialty care at lower cost. Find facilities for a variety of procedures, such as cardiac care and spine surgery.

The Hospital Quality Program is focused on improving the quality of hospital care available to our members. The program is designed to evaluate hospital performance using a standard set of nationally-recognized quality measures. It also drives improvements in care by collaborating with the hospital community.