Primary Care FFS+ support

This page contains educational resources to help ensure your success as a provider with Blue Shield’s Primary Care FFS+ program

FFS+ Program overview

Primary Care Fee-for-Service Plus Incentive Program (FFS+)

This document explains the FFS+ Program using easy-to-understand graphics and examples. Review this document in its entirety or use the clickable table of contents to navigate to the content you need.

 Program overview (PDF, 2.4 MB)

Primary Care Reimagined: Fee-for-Service Plus Incentive Program webinar

This webinar provides a deep dive into the Primary Care Fee-for-Service Incentive Program.

 Recorded webinar (8 min)

Primary Care Reimagined: Who to contact

 Program contact list (PDF, 6 MB)

Value-based reporting platform training

Value-Based Reporting User Guide

The FFS+ Value-Based Reporting platform is a flexible, user-friendly data interface designed to help you optimize patient care and track financial and quality progress. This user guide provides step-by-step instructions for how to work in the system. Review in its entirety or click the links in the table of contents to go directly to the information you need.

 User guide (PDF, 2.2 KB)

Value-Based Reporting Tutorials

View these quick videos to learn how to track progress to goals and generate reports from the Value-Based Reporting platform.

  Performance overview and navigation (5 min)
  Member attribution reporting (10 min)
  Financial and performance incentive reporting (10 min)

FFS+ Value-Based Reporting FAQ

This document provides answers to basic questions about the Primary Care Hybrid Payment Model Value-Based Reporting tool. Use the table of contents to navigate directly to the information you need.

 FAQ (PDF, coming soon)

Performance measures and coding support

HEDIS Supplemental Data Submission Requirements

Supplemental data are additional HEDIS clinical data about a member, beyond claims data, received by a health plan. These data are used to close care gaps and give practices credit for the care provided to members. Example: Use of procedure codes for reporting a clinical result, such a cancer screening results or immunizations.

Coming soon: HEDIS Supplemental Data tool kit

Coding Tip Sheets

These tip sheets provide information about how to code appropriately so your practice receives credit for the work you do with your patients to improve their health and meet HEDIS measure requirements

 Controlling high blood pressure coding tip sheet (PDF, 33 KB)
 Diabetes poor control coding tip sheet (PDF, 41 KB)
 Weight assessment and counseling for nutrition and physical activity coding tip sheet (PDF, coming soon)