An Organized System of Care is a community of caregivers with a shared commitment to quality and cost-effective health care delivery for a defined population. Organized Systems of Care are responsible for the care and treatment provided to a patient population attributed to the community's primary care physicians. They use coordinated care processes to achieve benchmark performance in quality and cost. Organized Systems of Care identify the populations they serve, tracking and assessing performance and establishing performance goals.
Blue Cross Blue Shield of Michigan is working collaboratively with physician organizations and hospitals across the state to develop Organized Systems of Care. Organized Systems of Care take Blue Cross Blue Shield of Michigan's Patient-Centered Medical Home program to the next level, expanding it to include hospitals, specialists and other providers within the community of caregivers. Each Organized System of Care will work to coordinate services across the health care continuum for a defined patient population.
Both the Organized Systems of Care and Patient-Centered Medical Home programs are an integral part of Blue Cross Blue Shield of Michigan's Physician Group Incentive Program.
Apply to join the Physician Group Incentive Program as an Organized System of Care
The Physician Group Incentive Program has an open enrollment period each year to accept applications for new Organized Systems of Care. In 2015, this period begins April 15 and ends May 29. If we approve your application, your organization will become a PGIP-contracted OSC on Jan. 1, 2016.
Organizations interested in participating in the Organized Systems of Care initiatives and receiving funding from the Physician Group Incentive Program must complete an Organized Systems of Care application and an Organized Systems of Care agreement.
The Physician Group Incentive Program Organized Systems of Care application, Organized Systems of Care agreement and Organized Systems of Care program standards for the program year are available on the PGIP Collaboration site (under the OSC tab), or you can contact us for more information.