Hospital and Physician Update Banner
May – June 2015

Blue Cross Blue Shield of Michigan

Blue Cross, U-M launch 2 new quality initiatives

Blue Cross Blue Shield of Michigan recently announced two initiatives in partnership with the University of Michigan Health System: one focused on genetic testing and one on emergency care. Read more.

A message from Dr. David Share
Transforming health care: The meaning behind the money

Dr. David Share

Dr. David Share

For nearly 10 years, we’ve been on a journey — moving from a fee-for-service approach to patient care to a fee-for-value model to reduce health care costs and improve quality. You may have heard me talk about how our Physician Group Incentive Program, Patient-Centered Medical Home Program, Organized Systems of Care and Collaborative Quality Initiatives are helping to speed that transformation. Read more.


The business of health care

What are customers looking for in a health care plan?

Dr. David Share

Harvey Lee

This is the second article in a new series that offers a behind-the-scenes look at what goes into the creating and selling of a health care plan in today’s ever-changing health care industry. For this edition of Hospital and Physician Update, we reached out to Blue Cross-contracted agent Harvey Lee from Total Benefit Systems Inc. for insight into what customers are looking for in a health care plan. Read more.


What you need to know about our Quality Improvement program

At Blue Cross Blue Shield of Michigan, we continually implement, monitor, measure and evaluate strategies to improve the quality of care delivered to our members. Read more.

Clinical quality corner
Asthma and COPD: a growing problem
Did you know?

  • The total combined cost of asthma and chronic obstructive pulmonary disease — two chronic lung diseases — is more than $100 billion per year in the U.S. alone.
  • Asthma affects more than 18 million people here in the U.S. and more than 300 million people worldwide — and its numbers are growing.
  • COPD, now the fourth leading cause of death worldwide, is expected to be the third leading cause in the next 20 years. Both diseases are thought to be largely under-diagnosed in the clinical setting.
Read more.

Update: Medicare Part D prescriber requirement
As we told you previously, providers and other health care professionals who write prescriptions for Medicare Part D members have until June 1, 2015, to apply for approved prescriber status with the Centers for Medicare & Medicaid Services or submit a valid opt-out affidavit. We wanted to clarify that those who have previously applied to meet this requirement and have received confirmation of their registration from CMS are not required to take additional action to fulfill this requirement. 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.