Are providers in BlueHPN measured individually or as part of a group?

Providers in BlueHPN are measured both individually and at an aggregate network level. Quality is evaluated across different settings of care - such as inpatient and outpatient services - and within each provider type, including primary care providers, specialists, hospitals, and health systems.

Measuring performance at the individual level helps identify opportunities for improvement and recognize higher-value care. Measuring results in the aggregate allows us to understand how BlueHPN performs at the market level and compare that performance to the broader BlueCard PPO provider population.