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Cost and Quality

Regence believes that cost and quality data is the kind of fundamental information members need to inform their health care decision-making. Regence has launched a series of online tools designed to give our members information about cost, quality and other dimensions that they have identified as important. We have launched the three features that are included below to our member Web site, myRegence.com.

As part of this effort, Regence is committed to ensuring our community of more than three million members to have access to:

  • Reliable and relevant cost and price information
  • Comprehensive quality information developed and delivered through a community model
  • An online environment where they can support, dialogue and engage with other members
  • Broad self-reporting by providers about their practice philosophy, areas of specialty, recognition and achievements, etc.
  • The ability to share their experiences with provider visits and to view survey results and comments posted by other members

By providing useful quality and cost information to our members, we are creating a culture where patients learn to access and experience value in health care.

Physicians, other health care professionals and facilities can also find and compare hospital quality information in the My Advisor section of myRegence.com. Log on using the guest pass code PROVIDER to view this data.

In addition, Blue Distinction Center Finder, a Web-based tool, is available to help you locate Blue Distinction Centers® and Blue Distinction Centers+ nationwide.

  • Blue Distinction Centers are hospitals recognized for their expertise in delivering specialty care.
  • Blue Distinction Centers+ are hospitals recognized for their expertise and efficiency in delivering specialty care.

Blue Distinction Centers are available for:

  • Bariatric surgery
  • Cardiac care
  • Complex and rare cancers
  • Knee and hip replacement
  • Spine surgery
  • Transplants

Blue Distinction Centers+ are expanding into all specialty areas, and are currently available for:

  • Spine surgery
  • Knee and hip replacement

The Blue Distinction designation is based on rigorous, clinically meaningful selection criteria.

Learn more about Description of information
Blue Physician Recognition (BPR) The BPR Program is designed to reinforce Blue Plans’ commitment to quality by providing more meaningful and consistent information on physician quality improvement and recognition on the Blue National Doctor & Hospital Finder.
Collaboratives

Regence makes quality measures available on a community basis by partnering with community collaboratives. Community collaboratives are organizations that bring data from broad sources together to create quality performance measures that can be used by all in the community.

Cost Estimator

Using the Treatment Cost Estimator, members are able to access network average cost for a range of treatment options and conditions and view out-of-pocket expense estimates for these same conditions and treatment options.  In addition, providers can now access out-of-pocket expense estimates for members through Provider Center.

Medicare Advantage star ratings Use this toolkit to learn more about how providers can support star ratings
Patient Feedback The Member Review feature gives Regence members the ability to provide feedback on their experiences with the health care system.
Physician Quality Measurement (PQM) The goal of the PQM Program is to provide physician performance measurement information to Blue Plan members to raise their awareness of clinical quality measures used by providers across Blue Plans.
Risk Adjustment Program Learn about requirements and best practices for risk adjustment in your office.

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