Skilled Nursing Facility Pay-for-Performance program offers opportunities to earn incentive rewards

Blue Cross Blue Shield of Michigan freestanding and hospital-based skilled nursing providers can earn incentive rewards in 2017 by participating in the health information exchange through the Michigan Health Information Network notification service.

The goal of the Skilled Nursing Facility Pay-for-Performance program is to:

• Enhance the population-based model of health.
• Promote a team-based approach.
• Engage a strong commitment to the care continuum.
• Ensure that a patient’s caregivers receive timely notification of an admission, discharge, transfer or emergency room visit.
• Improve coordination of care and outcomes.
• Reduce the likelihood of an unplanned readmission.

Program details and rewards
Blue Cross will recognize skilled nursing facilities that fully implement the MiHIN admission, discharge and transfer use case. We’ll also recognize participants who implemented the use case in 2016 and continue to meet participation expectations.

Providers who meet expectations and deadlines will be eligible to receive an additional 1 percent reward for either six or 12 months following the incentive’s effective date.

Skilled nursing facilities that don’t meeting the program requirements or choose not to participate will forfeit the incentive opportunity.

Important dates

Additional information

• Program guides will be published online in the skilled nursing facility provider manual during December, before the beginning of the program year.

If you have questions, please contact your provider consultant.