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Quality & Performance

Our vision at Blue Cross Blue Shield of Massachusetts is to make quality health care affordable. We are dedicated to developing and executing quality initiatives in partnership with our providers. Through member engagement tools and programs, we focus on providing the highest quality service possible for the members we serve. Our quality program consists of innovative initiatives, performance programs, reports and data, and product design focused on transparency.

Each year, Blue Cross Blue Shield of Massachusetts sets a quality improvement agenda, monitors its progress and evaluates its effectiveness.


Performance Programs
Get information on nationally recognized measures for these programs
Get an overview of our HMO, PPO, and Medicare Advantage value-based contracts
Find out about this program's goals and measures, and get tools to report your facility's performance
Access resources and measures for hospitals who participate in this program
Learn the measures and requirements for this annual program
Learn the measures and requirements for this program especially for child psychiatrists

Quality Indicators
Learn about our Blue Distinction Specialty Care and Total Care programs
Find out more about this program from the Centers for Medicare & Medicaid Services
Read about tools for measuring patient experience and outcomes
See how we can demonstrate quality together
Learn about the importance of accurate claims and documentation data

Health Equity
See how we’re partnering with Massachusetts provider organizations to address inequities in health care
Gain additional knowledge, skills, and practices to enhance equitable care for your LGBTQ+ patients
Learn ways to infuse cultural competency into your practice

Reports & Data
Get information about reports and data provider groups receive
Find out about reports and data we share with hospitals for this program
Access data and reports for primary care providers (PCPs)

Transparency & Product Design
Learn how we provide members with information on the cost of care and the quality of providers in our networks
Learn the methodologies we use to tier physicians and hospitals