Contact Us
Plans and Services Health and Wellness About Wellmark Member Employer Broker Provider
Home Provider Quality and Transparency
» Working with Wellmark.com 
» News
» BlueCard®
» Claims and Payment
» Medical Policies and Authorizations
» Health Management
» Credentialing and Contracting
» Medical, Dental, and Pharmacy
» Communications and Resources
» Quality and Transparency
» Health Care Reform for Providers
printer friendly Printer-Friendly Page
Physician Quality Measurement Program

Physician Quality Measurement (PQM) program is complementary to Blue Physician Recognition program. By assisting members in selecting a provider through the display of clinician performance measurements, supporting data and local comparison scores on the Blue National Doctor & Hospital Finder, PQM gives patients information they need to make informed health care decisions.

 

How Does the Program Work?

PQM incorporates HEDIS® provider measures to provide opportunities to assess current practice and identify areas for improving the delivery of health care. They can also be used to compare the performance of physicians and other clinicians in a geographical area.

 

The data displayed is based on the individual provider score.

 

Wellmark selected the Cancer Screening Category and displays data for the Breast Cancer Screening and the Cervical Cancer Screening Measures. Specifically, the guidelines for these two measures are:

  • Breast Cancer Screening: Percentage of women 52-74 years of age who had a mammogram to screen for breast cancer.
  •  

  • Cervical Cancer Screening:  Percentage of women 21-64 years of age who had one or more Pap tests to screen for cervical cancer.


Quick Links

» Authorization Table
» Credentialing Submission Tracker
» Drug Information
» Education
» Find a Doctor or Hospital
» Forms
» Health Care Reform
» ICD-10
» Medical Policies
» Provider Guides
» WINS
FacebookTwitterInstagrampinterestLinked InYou Tube