Hospital Pay for Performance

Blue Cross Blue Shield of Michigan has two hospital pay-for-performance programs which were developed to improve quality and cost within hospitals. The peer groups 1-4 program is designed for large and medium-sized acute care hospitals. The peer group 5 program is specifically designed for small rural hospitals.

Pay-for-Performance forms for large and medium-sized hospitals (peer groups 1–4)

If you’re a large or medium-sized hospital you may qualify to be rewarded for quality and efficiency. Through the pay-for-performance program, a top-performing hospital can earn up to an additional 5 percent of its inpatient and outpatient operating payments. Here is some more information:

Pay-for-Performance forms for small rural hospitals (peer group 5)

If you’re a small rural hospital that provides your community with access to high-quality health care, you may qualify for a peer group 5 pay-for-performance program. Here is some more information:

If you have questions about our hospital pay-for-performance program, please contact us.

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