Login
Hassle-free Administration.


Login
Medical Policy, Clinical UM Guidelines, and Pre-Cert Requirements
View requirements for Local Plan and BlueCard Out-of-Area members.

Enter
Find a Doctor
Search our online provider directory when you need a doctor, hospital or other health care provider.

Enhanced Personal Health Care Program – Medical Panels

PW_E185668
The Program introduces the concept of the Medical Panel to encourage broad-based practice participation across markets while helping to ensure that patient access needs are met and physician performance assessment is statistically valid. The Medical Panel structure will support collaborative learning and community accountability for quality and affordability. As outlined in the Program Description Medical Panels will also serve as the basis for establishing Savings Pools, which contribute to the amount a practice receives under the Incentive Program. 
Formation of Medical Panels 
Medical Panels can be composed of individual physician practices or a group of practices. During a period of time prior to the start date of the Measurement Period, you may have the opportunity to submit your preference for your Medical Panel to us. If such opportunity is available, this page will include a form for submission of Medical Panel preferences, as well as a list of practices that have been selected for participation in the Program. Prior to the Measurement Period start date, Empire will assign Medical Panels for participating practices, and this information will be available on the secure provider portal. You will have an opportunity to review your Medical Panel assignment at that time. If you are satisfied with your assigned Medical Panel, or you do not submit your preference to us within the timeline indicated on the Empire provider portal, you will remain in your assigned Medical Panel for the duration of the Measurement Period. Empire will make reasonable efforts to consider all preferences submitted in a timely manner; however, we cannot guarantee that all preferences will be accommodated. Empire reserves the right to make all final determinations on Medical Panel formation. 
CPC Specific Terms: The opportunity to submit Medical Panel preferences may not be available under the CPC Initiative because all practices participating in the CPC Initiative may need to be combined to form a Medical Panel. If this is the case, the list of physician practices identified above may not be available via the Empire provider portal. This will be determined prior to the start date of the Measurement Period. 
©2014 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.