Performance Indexes

BCBSM Pay For Performance (P4P)

P4P recognizes short-term acute-care hospitals for achievements and improvements in quality, cost efficiency, and population-health management.

The BCBSM 2023 Hospital Pay for Performance Peer Groups 1-4 guide is publicly accessible and updated annually.

CQI performance makes up a proportion of the available annual P4P payment.

Report Attestation Form links

2023 PCI Report Attestation form

2023 VS Report Attestation form

BMC2 Performance Index Score cards detail annual P4P targets

2024 Scorecards

2023 Scorecards

2022 Scorecard

2021 Scorecard

2020 Scorecard

2019 Scorecard

For information about archived Performance Indexes and Scorecards, contact bmc2.info@umich.edu

Learn more about the BMC2 Peer Review Process

BSBSM Value Based Reimbursement (VBR)

Blue Cross Blue Shield of Michigan has developed a Value-Based Reimbursement model that encourages physicians to provide cost-efficient care at both hospital and population levels.

For physicians being scored on PCI measures

Practitioners are grouped by their affiliated physician organization. The POs are evaluated on each measure individually and must achieve the performance target on all three measures to be considered eligible to receive the CQI VBR.

For practitioners being scored in VS measures

Practitioners are grouped by their affiliated hospital based on where the practitioners perform the greatest number of procedures. The hospitals' affiliated practitioners must achieve target at the hospital level both measures listed above to be considered eligible to receive the CQI VBR.

CQI VBR selection process

For a practitioner to be eligible for CQI VBR, they must:

  • Meet the performance targets set by the coordinating center
  • Be a member of a PGIP physician organization for at least one year
  • Have contributed data to the CQI’s clinical data registry for at least two years, including at least one year of baseline data

Practitioners may receive up to 103 percent of the Standard Fee Schedule for performance in a single CQI. Practitioners who participate in BMC2-PCI and Michigan TAVR are eligible to receive up to 105 percent of the Standard Fee Schedule.

BMC2 VBR Goals

Contact BMC2 for information on archived P4P Scorecards and VBR Goals at bmc2.info@umich.edu