Value-Based Reimbursement

Blue Cross Blue Shield of Michigan has developed a Value-Based Reimbursement model with two areas for earning. This approach encourages hospitals to work with physicians to provide cost-efficient care at both hospital and population levels.

We’re moving away from the fragmented, fee-for-service system to one that rewards collaboration and improvements.

Learn more with the population health management summary (PDF) and frequently asked questions (PDF).

Program details

There are two opportunities for hospitals to earn rewards with Value-Based Reimbursement.

  1. Hospital infrastructure funding (PDF)
  2. Population-based performance (PDF)

Find out more about these two steps in the Value-Based Reimbursement Overview (PDF).

This program also provides a population insights report. The report gives you information about patient populations that you can use to:

  • Identify physician partners
  • Better understand current population-based performance
  • Begin conversations between hospitals and their physician partners

Take a look at the Population Insights Reporting (PDF) to see what kind of information you'll have access to.