Hospital and Physician Update
March – April 2025

PGIP, Blueprint allocations to change July 1

Starting July 1, 2025, the Physician Group Incentive Program and Blueprint for Affordability allocations will change to further our support of value-based opportunities for professional health care providers.

The Blueprint allocation will be reduced from 1.5% to 1%. PGIP allocation will increase from 6% to 6.5%. The total allocation percentage will remain the same.

This will be applied to all provider specialties associated with medical doctors, doctors of osteopathy, chiropractors, podiatrists and fully licensed psychologists.

Providers contractually agree in their participation agreements to allocate a portion of their reimbursement to PGIP. As a reminder, all funds allocated are distributed to eligible organizations that participate in PGIP to support physician practice and system transformation. Blue Cross Blue Shield of Michigan doesn’t retain any money for administrative costs.

Visit our Value Partnerships webpage to learn more about PGIP.

Note: Claims for Blue Cross and Blue Shield Federal Employee Program® members are excluded from the PGIP allocation.

Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.