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CareFirst.com Providers & Physicians Pay for Performance Program - CareFirst Quality Rewards (CQR)
Pay for Performance Program - CareFirst Quality Rewards (CQR)

For More Information 
Visit the Media Center section of CareFirst.com to read the CareFirst Quality Rewards (CQR) program news release.

CareFirst Quality Rewards (CQR), a pay-for-quality program, is designed in collaboration with our customers, national health care industry organizations and network physicians, to reward physicians for effective and affordable health care delivery.

Currently, voluntary participation is limited to the specialties listed below. Other physician specialties will be invited in coming years.

  • Family Practice
  • Internal Medicine
  • Internal Medicine Subspecialties
  • Pediatrics

Physicians must be active in the following networks to participate. Physicians must also have sufficient claims volume to support the measurement of affordability.

  • CareFirst BlueChoice
  • GHMSI (Select Preferred Provider (SPP) and Participating)

Note:

  • We will accept physician-submitted data on NCQA recognition, Joint Commission accreditation, and Maintenance of Certification Part IV on a continuous basis.
  • We will update a physician's most recent CQR Assessment Report on a continuous basis for the above new achievements only.
  • If a doctor earns a new reimbursement rate, it will be effective 90 days after we are notified of the achievement.

For more information about the CQR program click below:

The following documents are offered to physicians who want more information about how CareFirst administers:

Solution Center
Need Claim Status or Eligibility?
Phone Numbers and Claim Addresses
Provider Manuals
Register for a Seminar - Professional, Institutional, Dental
Find a Doctor
Find My Provider Representative -
Professional, Institutional, Dental
Credentialing
Update Practice InformationPDF
Thomas/Love Settlement
Center for Provider Education & Training
Pay-for-Performance Program - CareFirst Quality RewardsNew
Disease Management
National Provider Identifiers (NPI)
Options Discount Program -
Alternative Therapies, Vision, Hearing and More
Health and Wellness -
My Care First
(En Español)
HIPAA
News & Updates

Federal Employee Benefit Changes for 2009

Changes Regarding Dental Implant Documentation

Jamaican Members Still ActiveNew

Dental Fee Schedule Modification - Effective 1/1/09

CMS Introduces Initiative for Electronic Health Records

Elimination of Rounding Rules Effective September 25

Enhancements to CareFirst Direct

Receive News Via E-mail

News Flash Archives

Prescription Drug News

Nutritional Supplements and Over-the-Counter FDA Safety Information

Newsletters

Latest News

 

 
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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.

CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.

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