Quality Programs

Blue Physician Recognition

The Blue Physician Recognition (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 site and FEP online directory. A BPR indicator will be used to identify physicians, groups and/or practices who have demonstrated their commitment to delivering quality and patient-centered care by participating in local, national, and/or regional quality improvement programs as determined by the local Blue Plan.

Blue Cross and Blue Shield of Nebraska is recognizing primary care physicians who are participating in the Primary Blue Patient Centered Medical Home with a BPR indicator.

Primary Blue Medical Home

Primary Blue is Blue Cross and Blue Shield of Nebraska’s patient centered medical home program. A patient centered medical home is a medical office or clinic where a team of health care professionals’ work together to provide a new and expanded type of patient cares.

It's primary mission is to:
  • To give the patient timely access to a personal primary care physician
  • To establish a continuous relationship between the patient and a personal primary care physician
  • To have the majority of the patient’s health care needs met in one office
  • To have the patient’s care coordinated and monitored in a proactive manner
BCBSNE believes the patient centered medical home can:
  • Improve the health of individuals.
  • Increase patient satisfaction.
  • Reduce hospitalizations and emergency room visits, and decrease overall healthcare costs.

Primary Blue focuses on chronic disease management (diabetes, congestive heart failure, coronary artery disease, hypertension, metabolic syndrome and asthma), as well as preventive services (BMI recording, colorectal cancer screening, breast cancer screening, cervical cancer screening, and immunizations).

Blue Cross and Blue Shield of Nebraska is recognizing physicians who are participating in the Primary Blue Patient Centered Medical Home with a BPR indicator.

Please contact a BCBSNE Health Network Consultant to submit application.

Radiology Quality Initiative (RQI)

Blue Cross and Blue Shield of Nebraska developed the RQI Program, administered by American Imaging Management® (AIM), to promote the most appropriate use of advanced imaging services provided to members. The program aligns with the goals of the Nebraska Health Care Reform Task Force - to promote high quality, affordable health care coverage and utilize best practices and practice guidelines to help reduce unnecessary medical expense.

AIM will be closed on the following holidays in 2013:

Monday, Jan. 21  Martin Luther King, Jr. Day 
Monday, May 27 Memorial Day
Thursday, July 4 Independence Day 
Monday, Sept. 2 Labor Day
Thursday, Nov. 28  Thanksgiving Day
Friday, Nov. 29 Day after Thanksgiving 
Wednesday, Dec. 25 Christmas Day