BMC2 Performance Index Score cards detail annual P4P targets
- Revised 2021 P4P (10/14/21)
- PCI and VS Sites
- PCI-only Sites
- VS-only Sites
- 2021 Performance Index Supporting Documentation
For information about archived Performance Indexes and Scorecards, contact email@example.com
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
- 2023 PCI and VS Goals
- 2022 PCI and VS Goals
- 2021 PCI and VS Goals
- 2021 PCI Goals Revised
- 2020 PCI Goals
- 2020 Vascular Surgery Goals
Contact BMC2 for information on archived P4P Scorecards and VBR Goals at firstname.lastname@example.org