Blue Distinction ® Centers For Substance Use Treatment and Recovery. Quality primary care doctors. Care providers have met national criteria based on provider commitment to deliver value-based care to a population of Blue members. Blue Distinction Centers+ (BDC+) also met cost measures that address consumers' need for . On January 1, 2020, the Blue Cross and Blue Shield Association (BCBSA) is launching a new designation — Blue Distinction Centers (BDC) for Substance Use Treatment and Recovery. The Blue Distinction Program integrates performance measures focusing on appropriateness of care and patient safety into a national framework for improving hospital-based care delivery. The BCBSA has opted to expand the BDC and BDC+ designations to Ambulatory Surgical Center (ASC) facilities, effective January 1, 2020. * Once you have started your provider search above, you can refine your results on the left side of the screen to look for a Blue . Blue Distinction ® BCBSOK, in partnership with the Blue Cross and Blue Shield Association, has developed Blue Distinction Centers. cancer care. Call collect 1-804-673-1177 from outside the U.S. Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. Blue Distinction is a nationwide program that will create an unprecedented level of healthcare transparency with two goals: engaging consumers to enable more informed healthcare decisions and collaborating with providers to improve quality outcomes and affordability. 2 - 39 Blue Distinction® Centers for Bariatric Surgery Both Blue Distinction Centers and Blue Distinction Centers+ have proven track records for delivering expert skill in quality care, treatment, and overall results. 4. These providers will surface first in searches and our cost . Blue Distinction Center. 1310. Publication Date: 2020-04-08. Pittsburgh, PA 15222. Attachments is an online tool in the Availity Provider Portal that allows you to submit electronic predetermination of benefits requests handled by Blue Cross Blue Shield of Montana (BCBSMT). To find providers designated as Blue Distinction Centers and Blue Distinction Centers+, please note: Physicians are designated under the Blue Distinction Centers for Fertility Care program, only. The Availity benefit response will include applicable coverage for the service selected. In this Section. Blue Distinction Program M - 2 . complex and rare cancers, knee and hip replacement, spine surgery, and transplants on the Blue Distinction website. The Availity benefit response will include applicable coverage for the service selected. Blue Distinction Centers+ are providers recognized for their expertise and cost-efficiency in delivering specialty care. The impact to Minnesota providers differs depending on the member's Home Plan. Choose a dental network from the list below to search for a dentist. In this Section. Pay My Bill. . Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction® or other providers. or non‐covered charges resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. Areas of Care . At Blue Shield of California, we know that when members and their healthcare providers have determined together that bariatric surgery is an appropriate course of treatment, access to quality bariatric surgery care is vital. Starting Sept. 1, 2020, the Availity Eligibility and Benefits Inquiry results will include informational Blue Distinction ® Center (BDC) messaging for the below specialty care categories when the patient's policy has a Blue Distinction component. We'll identify Blue Distinction Specialty Care providers in our existing Find a Doctor online tool. Your search results will be filtered to only show Blue Distinction Total Care providers! Blue Distinction ® Centers and Blue Distinction ® Centers+ have a proven record of delivering specialty care and results. The Blue Distinction Program integrates performance measures focusing on appropriateness of care and patient safety into a national framework for improving hospital-based care delivery. 3. cardiac care. "The Blue Distinction for Maternity Care designation recognizes healthcare providers that demonstrate a commitment to delivering high quality care to their patients safely, efficiently and in a cost-effective manner," said Dr. Thomas Fenter, Chief Medical Officer for Blue Cross & Blue Shield of Mississippi. Quality is key: only those providers that first meet Blue Distinction Centers' nationally established, objective quality criteria are considered for designation as a Blue Distinction Center+. The Blue Distinction Program. Blue Distinction Program M - 2 . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). For more information on Blue Distinction Centers, please visit the Blue Distinction for Providers area of www.bcbs.com. Launched in 2015, Blue Distinction ® Total Care (BDTC) identifies physicians, group practices, and hospitals participating in local value-based programs designed to improve health outcomes and lower cost trends through better coordination of care. These providers will surface first in searches and our cost . 3. Note: When selecting a Blue Distinction Center, please confirm the Blue Distinction Center facility or provider is in your health plan network. We'll identify Blue Distinction Specialty Care providers in our existing Find a Doctor online tool. These centers demonstrate better overall patient satisfaction and a lower percentage of early elective deliveries. Find a doctor or hospital. Provider Quality Reports The Provider Quality Reports use Blue Cross NC claims data to rank performance according to nationally accepted standards and measures. Blue Distinction Centers (BDC) met overall quality . . Find a provider or hospital recognized by Blue Cross and Blue Shield for changing health care to be more patient-focused, coordinated and, in many cases, affordable. EPO managed health care plans provide for the payment of benefits only when the member utilizes providers in the BlueChoice Network. The following topics are covered in this section. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. To learn more about the program, selection criteria, and designated centers in . Topic Page . Blue Distinction Centers+ (BDC+) also met cost measures that address consumers' need for affordable healthcare. A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction ® is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare. Members of the Spring Valley Hospital Orthopedic Services team. Blue Distinction Centers offer quality care, treatment expertise and better overall patient results. (412) 544-1258. gabrielle.thomas@highmarkhealth.org. The two levels of recognition allow you and your doctor to pick the option that best meets your needs. Phone: 315-785-4000. Blue Distinction ® is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare. Blue Distinction Centers. Blue.Distinction.Centers@bluecrossmn.com. Blue Distinction. before making an appointment. Federal Employee Program (FEP) Blue Cross and Blue Shield of Illinois, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association. For questions about your BCBSTX health plan, call Customer Service at the number on the back of your ID card. When it comes to our members, anything less than the best is not an option. 4. Blue Distinction Centers+ - Health care facilities recognized for expertise and cost efficiency in delivering specialty care. The goal is to help consumers find quality specialty care on a consistent basis while enabling and encouraging health professionals to improve the overall quality and delivery of healthcare . Throughout this provider manual there will be instances when there are references unique to Blue Choice PPO, Blue High Performance Network, Blue Edge, EPO and the Federal Employee Program. 120 Fifth Avenue, Suite F893. The two levels of recognition allow you and your doctor to pick the option that best meets your needs. Total Care+ providers also met a goal of delivering quality care at a lower total cost relative . Blue Distinction ® Centers and Blue Distinction ® Centers+ have a proven record of delivering specialty care and results. Blue Cross & Blue Shield of Mississippi recently announced the designation of Baptist Memorial Hospital-North Mississippi in Oxford as a Blue Distinction Center of . Click on the box labelled "is BDTC Certified". for Specialty Care. Enter the provider information, location, and specialty and then click on the radio button to see doctors and hospitals in your plan and enter ICI in the space provided. Blue Distinction . Directory of Blue Distinction® Centers/Centers+ Fof Maternity Care Provider quality resources are tools and resources to help providers understand and improve patient care and outcomes, . . Get timely provider information including policy, benefits, coding or billing updates, education, and more—delivered directly to your email. Beginning Feb. 15, 2018, providers can upload and submit the necessary medical records to BCBSOK using the Medical Attachment option in the Claims & Payments menu through the Availity Web portal. Claim Inquiry Resolution (CIR) Tool. Blue Distinction Centers. Blue Distinction ® is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare. Blue Distinction Centers. . On average, Blue Distinction Centers+ are also 20 . before making an appointment. This new program offers our members access to BDCs that offer high-value, high-quality care in a bundled fee arrangement. Note: While all Blue Distinction® Centers provide the highest quality care, not all have a quality designation for every type of care. 0. Hays, Kansas - Blue Cross and Blue Shield of Kansas has recognized HaysMed, part of The University of Kansas Health System, as a Blue Distinction Center+ for Cardiac Care as part of the Blue Distinction Specialty Care program. Be sure to check your coverage manual to find out if you must go to a Blue Distinction Center for certain procedures to be covered. Blue Distinction Centers offer quality care, treatment expertise and better overall patient results. Blue Cross®, Blue Shield® and the Cross and Shield Symbols are registered service marks of the Blue Cross and . A Local Blue Plan may require additional criteria for providers located in its own service area; for details, contact your Local Blue Plan. Blue Distinction programs are designed to recognize doctors, hospitals, and health care facilities for their outstanding quality of care in specialty areas. The Blue Distinction Specialty Care Program is a Blue Cross Blue Shield Association program that recognizes hospitals and other health care providers that meet strict quality and cost-efficiency standards.. Blue Distinction Centers are available for: Bariatric surgery ; Cancer care; Cardiac care ; Cellular Immunotherapy - CAR-T On January 1, 2020, the Blue Cross and Blue Shield Association (BCBSA) is launching a new designation — Blue Distinction Centers (BDC) for Substance Use Treatment and Recovery. Blue Distinction focuses on high-volume, high-risk and high-cost areas of specialty care, including: Bariatric Surgery centers provide a full range of bariatric surgical care services, including inpatient care, post . June 9, 2021. The goal is to help consumers find quality specialty care on a consistent basis while enabling and encouraging health professionals to improve the overall quality and delivery of healthcare . Click on the box labelled "is BDTC Certified". Blue Distinction Centers for Bariatric Surgery. Starting Sept. 1, 2020, the Availity Eligibility and Benefits Inquiry results will include informational Blue Distinction ® Center (BDC) messaging for the below specialty care categories when the patient's policy has a Blue Distinction component. NUWAY's facilities in Minneapolis, St. Paul, Duluth, and Rochester, are among the first to receive the designation under the Blue Distinction Specialty Care . The Blue Distinction Program. For more information, Minnesota providers may contact . Blue Distinction Centers are nationally designated providers that show expertise in delivering improved patient safety and better health outcomes, based on objective . The goal is to help consumers find quality specialty care on a consistent basis while enabling and encouraging health professionals to improve the overall quality and delivery of healthcare . However, if you need to confirm the specific BDC benefit . The two levels of recognition allow you and your doctor to pick the option that best meets your needs. Doctors who go above and beyond are recognized as part of Blue Distinction Total Care. For more information on Medicare certified facilities, please contact our Customer Service Department at 1-877-883-9577 (TTY/TDD 1-800-662-1220 ), 8:00 a.m. - 8:00 p.m. Monday - Friday. before making an appointment. These new monthly reports replace all previous gap care reports and are designed to help point out patient care gap areas. Blue Distinction Specialty Care. For a complete list of Blue Distinction providers nationwide, please visit the Blue Cross ® and Blue . . To find out more, contact your Local Blue Plan. The highest level of patient support at all stages of treatment. Not all Blue Distinction centers are covered by Medicare. Blue Distinction Centers offer quality care, treatment expertise and better overall patient results. 2 - 26 Blue Distinction® Centers for Transplants fertility caregene therapy. Register for Blue Access for Members. Since 2006, the Blue Distinction Specialty Care program has helped patients find quality specialty care in the following areas, while encouraging health care professionals to improve the care they deliver: bariatric surgery. Effective January 1, 2021, the Blue Cross Blue Shield Association added kidney transplants to their suite of transplant specialties within the Blue Distinction Center (BDC) program. Not all Blue Distinction centers are covered by Medicare. . Blue Cross and Blue Shield of Texas (BCBSTX) offers self-funded clients with more than 500 employees EPO plans. These areas can range from telling when a patient is overdue for a screening to determining when a follow-up . "The Blue Distinction program gives Highmark Blue Cross Blue Shield West Virginia members the ability to choose their providers based upon reliable quality and safety information. Blue Distinction Centers (BDC) met overall quality measures for patient safety and outcomes, developed with input from the medical community. Provider quality resources are tools and resources to help providers understand and improve patient care and outcomes, . Blue Distinction ® Centers and Blue Distinction ® Centers+ for Maternity Care demonstrate expertise and a commitment to quality care for vaginal and cesarean section deliveries. The following topics are covered in this section. Cross and Blue Shield Association nor any Blue Plans are responsible for damages or non-covered charges resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. * Once you have started your provider search above, you can refine your results on the left side of the screen to look for a Blue . The following communication provides details for providers on the kidney transplant process . The goal is to help consumers find quality specialty care on a consistent basis while enabling and encouraging health professionals to improve the overall quality and delivery of healthcare . Each Blue Distinction provider has established quality and cost targets, uses analytics to improve their medical practice, and focuses on health care rather than sick care in order to achieve this designation. To encourage the consistent approach to using data for the improvement of hospital care, the Blue Cross Blue Shield Association (BCBSA) in partnership with . This designation is awarded by BCBSA to hospitals that apply and have proven to . These doctors focus on patient health and the quality of their practice. Blue Distinction Centers+ are healthcare facilities and providers recognized for their expertise and efficiency in delivering specialty care. Launched in 2015, Blue Distinction ® Total Care (BDTC) identifies physicians, group practices, and hospitals participating in local value-based programs designed to improve health outcomes and lower cost trends through better coordination of care with providers receiving value-based payments associated with both quality and cost outcomes rather than traditional fee-for-service payments. Blue Distinction Center® and Blue Distinction Center+ designations recognize physicians, hospitals and other health care facilities delivering the following types of specialty care: Bariatric surgery; Cardiac care; September 1, 2020. Find a Dentist. Additionally, they demonstrate better overall patient outcomes. The Availity benefit response will include applicable coverage for the service selected. Trademarks are the property of their respective owners. These network providers, including physicians, specialty care providers, hospitals, and other health . If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Starting Sept. 1, 2020, the Availity Eligibility and Benefits Inquiry results will include informational Blue Distinction® Center (BDC) messaging for the below specialty care categories when the patient's policy has a Blue Distinction component. Anthem Blue Cross® Blue Shield® Nevada has designated Spring Valley Hospital as a Blue Distinction Center+ (BDC+) for Knee and Hip Replacement, part of the Blue Distinction Specialty Care program.Blue Distinction Centers are nationally designated healthcare facilities that show a commitment to delivering high-quality patient . knee and hip replacements. Blue Distinction ® Centers met overall quality measures for patient safety and outcomes, developed with input from the . If you are a Medicare member you must receive services at a Medicare certified facility. 2 - 51 Blue Distinction® Centers for Maternity Care Each Center's structures, processes and care outcomes have been rigorously evaluated against national measures and found to meet high standards of quality. Before referring your Blue patients to any hospital, check our . Blue Distinction is a national quality label awarded by the Blue Cross and Blue Shield Association to recognize select doctors, hospitals and other health care facilities for delivering safe . BDTC-designated providers receive value-based payments associated with both quality and cost outcomes rather than traditional fee-for-service payments. Enter the provider information, location, and specialty and then click on the radio button to see doctors and hospitals in your plan and enter ICI in the space provided. That's why we built Blue Distinction — our designation program for specialty care. Blue Distinction improves the quality of care . * EyeMed Vision Care is an independent company that administers the vision benefits for Blue Cross and Blue Shield of Texas. Blue Distinction Centers for Transplants are designated facilities within the Blue Cross and Blue Shield of North Carolina network that demonstrate a commitment to quality care, resulting in better overall outcomes for Transplant patients. A number of Louisiana hospitals have been designated Blue Distinction Centers by the Blue Cross and Blue Shield Association. Your search results will be filtered to only show Blue Distinction Total Care providers! cellular immunotherapy. Blue Distinction Specialty Care focuses on hospitals and other healthcare facilities that excel in delivering safe, effective treatment for specialty procedures, such as knee and hip replacements, cardiac care, bariatric (weight loss) surgery and transplants. Blue Distinction Centers. If you are a Medicare member you must receive services at a Medicare certified facility. Blue Distinction is a national designation given by Blue Cross Blue Shield (BCBS) companies to recognize providers that demonstrate expertise in delivering quality specialty care—safely, effectively and cost-efficiently. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from Blue Distinction or other provider finder information or care received from Blue Distinction or other providers. Find a Blue Distinction CenterExternal Site. Throughout this provider manual there will be instances when there are references unique to Blue Choice PPO, Blue High Performance Network, Blue Edge, EPO and the Federal Employee Program. Blue Distinction Center® and Blue Distinction Center+ designations recognize physicians, hospitals and other health care facilities delivering the following types of specialty care: Bariatric surgery; Cardiac care; December 1, 2021. Blue Distinction Centers+ (BDC+) also met cost measures that . Blue Distinction is a program offered by the Blue Cross Blue Shield Association that recognizes the highest quality providers and doctors. Individual outcomes may vary. Now more than ever, members need real facts so they can make smart choices about their health care. NUWAY® today announced that its programs have been named Blue Distinction® Centers for Substance Use Treatment and Recovery by Blue Cross and Blue Shield of Minnesota. Facilities designated as Blue Distinction Centers for Specialty Care meet overall quality measures for patient safety and outcomes. Blue Distinction ® is a designation awarded by the Blue Cross and Blue Shield companies to medical facilities that have demonstrated expertise in delivering quality healthcare. Changes Effective January 1, 2020 . The centers feature: Doctors, nurses, and staff with a great deal of specialized experience. Blue Distinction is a program offered by Blue Cross Blue Shield Association (BCBSA) that is used to recognize high-quality healthcare facilities and providers who demonstrate expertise in delivering quality specialty care safely, effectively and cost-efficiently. Each Blue Distinction provider has established quality and cost targets, uses analytics to improve their medical practice, and focuses on health care rather than sick care in order to achieve this designation. Learn More. . Blue Distinction Centers (BDC) met overall quality measures, developed with input from the medical community. Continue to new site Cancel Topic Page . It also provides a pathway for exceptional Providers to demonstrate their value, and delivers the kind of transparency necessary for members to make informed value . Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated . Blue Distinction Centers are nationally designated providers that show expertise in delivering improved patient safety and better health outcomes, based on objective measures that were developed with input from the medical community and leading accreditation and quality organizations. "Blue Distinction Specialty Care providers demonstrate better quality overall, including 27 percent lower readmission rates 90 days after treatment when compared to providers who have not earned . Find network doctors and hospitals throughout the U.S. at the Independence Administrators online provider directory.. Facilities that have attained the Blue Distinction ® designation will be marked in the online provider finder with this Blue Distinction logo. Blue Distinction ® Centers and Blue Distinction ® Centers+ have a proven record of delivering specialty care and results. 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