Hospital and Physician Update Banner
July – August 2016

Blue Cross Blue Shield of Michigan

New product is latest development in our efforts to make health care more affordable
In a column last year, I told you we’d be launching a new product that would give our members lower out-of-pocket costs for choosing doctors who participate in our Organized Systems of Care program. That time has come. Read more.

Blue Cross® Personal Choice PPO takes health care value to a whole new level
An innovative new product called Blue Cross Personal Choice PPO gives members high-quality care with an opportunity for lower out-of-pocket costs when they work through our Organized Systems of Care. Read more.

We’re changing our Medicare Supplemental plan rates
Blue Cross Blue Shield of Michigan has filed new Medicare Supplemental, or Legacy Medigap, rates with the Michigan Department of Insurance and Financial Services. We mailed a letter to our participating health care providers July 6 explaining the rate filing. Read more.

Study highlights inappropriate antibiotic use
Nearly one-third of the antibiotics prescribed in the U.S. are not appropriate for the conditions being treated, according to study findings published in the May 3, 2016, issue of the Journal of the American Medical Association. Read more.

Blue Cross® Health & Wellness programs can help you help your patients
Our wellness and care management programs can help your patients get healthy, stay healthy and better manage their health conditions. The programs address your patients’ individual needs, so we encourage you to refer patients who need extra support to the appropriate Blue Cross health and wellness program. Read more.

Reminder: Deadline for participating in PGIP or becoming PGIP-contracted OSC
As you’ve heard us say before, you can help change the face of health care in Michigan — and earn higher levels of reimbursement — by participating in our Physician Group Incentive Program. Read more.

Tip sheets provide quick look at our value-based reimbursement structure
To make it easier for you to understand our new value-based reimbursement structure, we’ve developed two tip sheets: one for primary care physicians and one for specialists. Read more.

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