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Blue Cross Blue Shield of Michigan (BCBSM)

Physician Group Incentive Program (PGIP)

 

 

In 2008, JPA was invited to join BCBSM Incentive Plan. The purpose of the program is to incent Physician Groups to transform their practices into Patient Centered Medical Homes (PCMH). Incentive dollars are earned by the Physician Group (JPA) from Self Assessments measuring capability increases and from percent change in Quality measures.

Text Box: Pay For Performance
Text Box: Patient Centered Medical Home
Text Box: Quality Institute
Text Box: Preferred Vendors
Text Box: Benefits of Membership
Text Box: Request Membership
Text Box: Membership Directory
Text Box: About JPA

The PGIP Program has organized its initiatives and qualification standards into (5) general categories.  In 2010, JPA has selected several of the initiatives to emphasize. The selected initiatives are in blue below. Please click on an initiative for more information.

SERVICE-FOCUSED INITIATIVES

Pharmacy Initiative/Generic Dispensing Rate—PCMH Quality Measure

Radiology Management Initiative/Radiology High Tech Utilization—PCMH Quality Measure

Emergency Department Utilization/Emergency Department Initiative—PCMH Quality Measure

Inpatient Utilization

Michigan Anticoagulation Quality Improvement Initiative

 

CORE CLINICAL PROCESS-FOCUSED INITIATIVES

Evidence Based Care Initiative—PCMH Quality Measure

LEAN Clinical Redesign for PCMH CQI—PCMH Quality Measure

Patient Provider Partnership Initiative—PCMH Capability 1.0

Performance Reporting Initiative—PCMH Capability 3.0

Individual Care Management Initiative—PCMH Capability 4.0

Preventative Services Initiative—PCMH Capability 9.0

Linkage to Community Services Initiative—PCMH Capability 10.0

Extended Access Initiative—PCMH Capability 5.0

Test Tracking and Follow-up—PCMH Capability 6.0

Self-Management Support—PCMH Capability 11.0

Coordination of Care—PCMH Capability 13.0

Specialist Referral Process—PCMH Capability 14.0

Transitions of Care

 

IMPROVEMENT CAPACITY INITIATIVES

Establish Process Improvement Teams

Establish Analytics and Reporting Staff

 

CONDITION-FOCUSED INITIATIVES

Improve Oncology Practice Performance

Chronic Kidney Disease

Michigan Oncology Clinical Treatment Pathways

End Stage Renal Disease

 

CLINICAL INFORMATION TECHNOLOGY INITIATIVES

Patient Registry Initiative—PCMH Capability 2.0

E-Prescribing Initiative —PCMH Capability 8.0

Patient Web Portal Initiative—PCMH Capability 12.0