BlueCard® is a national program that enables members of a Blue Cross and/or Blue Shield Plan (Blue Plan) to obtain health care services while traveling or living in another Blue Plan's service area. Regence is part of the BlueCard national program.
We believe that sharing cost and quality data with our members helps them make more-informed health care decisions. Our member website includes several online tools designed to give our members the information they need. Our cost and quality programs include:
This program is designed to reward providers who ensure that identified medical care or diagnosis gaps for Medicare Advantage patients are addressed and closed each year. Learn about member gap reports, calculating incentives and receiving payment.
Risk adjustment is designed to encourage insurers to compete on quality and efficiency, preserve consumer choice and improve quality of care for patients. Risk scores for members are calculated differently for Medicare and commercial members, but the information required from providers and office staff is the same.