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May – June 2014

Blue Cross Blue Shield of Michigan

4 more Michigan health systems participate in value-based reimbursement model
Four more Michigan health systems have agreed to participate in Blue Cross Blue Shield of Michigan’s value-based hospital reimbursement model, bringing the total number of hospitals involved in this payment model to 45. Read more.

Dr. George KipaA message from Steve Anderson
Value-based reimbursement arrangements reward hospitals, doctors for improving health care quality, cost
I’m pleased to have the opportunity to share my thoughts with you in this inaugural issue of Hospital and Physician Update. Read more.

Quality consortium develops anticoagulation toolkit
The Michigan Anticoagulation Quality Improvement Initiative has created an online toolkit to give health care practitioners up-to-date, reliable, easy-to-use information about anticoagulation therapy and to share best practices. Read more.

PGIP primary care physicians who perform well on HEDIS® quality measures can earn new fee uplift
All primary care physicians in the Physician Group Incentive Program will have the chance to earn a new 5 percent fee uplift, effective July 1, 2014. Read more.

Most specialty types can receive fee uplifts
All specialty types (except anesthesiology) will be eligible for a fee uplift in 2015. Read more.

Not in PGIP? Here’s your chance
We’ll be accepting applications from physician organizations that would like to join our Physician Group Incentive Program from July 1 through Aug. 29, 2014. Read more.

We heard from physician office staff in recent survey
Blue Cross Blue Shield of Michigan recently released the results of a survey of physician office staff about their interactions and experiences with Blue Cross Blue Shield of Michigan. Read more.

We heard from hospitals in recent survey
Blue Cross Blue Shield of Michigan recently released the results of a survey of hospital patient account managers and directors from acute care facilities in Michigan. Read more.

Clinical quality corner
Appropriate colorectal cancer screening saves lives
This is part of a yearlong series of columns and accompanying tip sheets that focus on specific Healthcare Effectiveness Data and Information Set measures. For this issue, we’re focusing on the HEDIS® measure that looks at the percentage of adults ages 50 to 75 who received appropriate screening for colorectal cancer. Read more.

Focus on pharmacy
Education, training, drug monitoring can help curb drug overdose epidemic
Did you know?

  • Drug overdose deaths are the second leading cause of unintentional deaths in the U.S.
  • In Michigan, the drug overdose mortality rate tripled between 1999 and 2010.
  • Drug overdoses are the No. 1 cause of unintentional deaths in Michigan.

Read more.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.