Haven’t joined PGIP yet? Here’s your chance!

Blue Cross Blue Shield of Michigan health care practitioners can help change the face of health care in Michigan — and earn higher levels of reimbursement — by participating in our Physician Group Incentive Program.

Here’s how it works:

• PGIP rewards physician organizations for improving health care delivery by working with its member practitioners on more than 20 initiatives.
• PGIP practitioners have the opportunity to be reimbursed in accordance with the Value-Based Reimbursement Fee Schedule. The fee schedule reimburses at greater than 100 percent of the standard fee schedules.

Program requirements

Practitioners

To be eligible to participate in PGIP, a practitioner must:

• Participate in the Blue Cross PPO (TRUST network) or Traditional lines of business.
• Be a medical doctor, doctor of osteopathy, doctor of chiropractic or doctor of podiatric medicine. Fully licensed psychologists are also eligible to participate in the program.

Primary and specialty care practitioners must join a PGIP participating physician organization to be eligible for the program.

Currently, there are more than 40 POs throughout the state participating in PGIP. Here’s a current list of PGIP physician organizations. Practitioners should contact a physician organization directly to discuss its specific criteria.

If you’re an individual practitioner with questions, contact your provider consultant. Not sure who your provider consultant is? Visit our Contact Us page to find out.

New physician organizations

To be eligible to join PGIP as a PO, you must:

• Be composed of 75 or more Blue Cross participating practitioners. Fifty of those practitioners must practice as primary care physicians, i.e., internal medicine, pediatrics, family practice or general practice.
• Be able to coordinate and facilitate practice improvements and program administration on behalf of its member practitioners.
• Be a partnership, association, corporation, individual practice association or other legal entity with its own taxpayer identification number.
• Be able to receive and distribute income via electronic fund transfer.
• Have contractual authority to represent your practitioners for this program.

 Applying for consideration as a PO

To participate in the 2017 program year as a new PO, you must submit a completed application by Aug. 31, 2016.

To learn more about PGIP, visit bcbsm.com/providers and valuepartnerships.com.