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BCBSIL Clinical Quality Committee Looks to Expand Membership

Posted August 21, 2015

Blue Cross and Blue Shield of Illinois (BCBSIL) would like to invite independently contracted Providers participating in Blue Cross Community Options* to become a member of our Clinical Quality Committee (CQC) (Utilization Management Committee/Peer Review Committee).

The CQC is responsible for oversight of the clinical programs including evaluation of the utilization review plan, the care management plan, performance improvement plans, and the quality improvement plan. It also provides reviews and recommendations to the Quality Improvement Committee for approval of utilization review guidelines and Clinical Practice Guidelines and is responsible for the evaluation of clinical metrics, including HEDIS®

The committee is seeking Blue Cross Community Options providers from all specialties who are willing to participate in its quarterly meetings in Chicago and serve a one-year term. BCBSIL will offer an honorarium for your time and participation (and will provide for parking expenses).

If you have questions or would like to receive information about joining the committee, contact Kevin Kirk at 312-653-2539 or by email at Kevin_Kirk@bcbsil.com. Or, contact your Provider Network Consultant. 

*Blue Cross Community Options include Blue Cross MMAI (Medicare-Medicaid Plan), Blue Cross Community ICP, or Integrated Care Plan, and Blue Cross Community Family Health Plan (FHP). 

HEDIS is a registered trademark of the NCQA.