Here’s what you need to know about 2018 Skilled Nursing Facility Pay-for-Performance program

In 2018, Blue Cross Blue Shield of Michigan freestanding and hospital-based skilled nursing providers will have the opportunity to earn incentive rewards through the Skilled Nursing Facility Pay-for-Performance program. The SNF P4P is part of a health information exchange through the Michigan Health Information Network notification service.

The goal of the SNF P4P is to:

• Enhance the population-based model of health.
• Promote a team-based approach.
• Engage a strong commitment to the care continuum.
• Help ensure that a patient’s caregivers receive timely notification of an admission, discharge, transfer or emergency room visit.
• Improve coordination of care and outcomes.
• Reduce the likelihood of an unplanned readmission.

Program details and reward
Blue Cross will recognize SNFs that are successful in fully implementing the MiHIN admission, discharge and transfer process. We’ll also recognize facilities that implemented the process during previous program years and continue to meet participation expectations.

Providers achieving the program expectations and deadlines will be eligible to receive an additional 2 percent reward for either six or 12 months following the incentive’s effective date.

SNFs that don’t meet the SNF P4P program requirements or choose not to participate will forfeit the incentive opportunity.

Important dates

Additional information