Here’s what you need to know about 2019 Michigan Skilled Nursing Facility Pay-for-Performance Program

In 2019, Blue Cross Blue Shield of Michigan freestanding and hospital-based skilled nursing providers can earn incentives for participating in a health information exchange through the Michigan Health Information Network notification service as part of the Michigan Skilled Nursing Facility Pay-for-Performance Program.

The goals of the program are to:

• Enhance the population-based model of health.
• Promote a team-based approach.
• Engage a strong commitment to the care continuum.
• Help 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 reward

Blue Cross will recognize SNFs that are successful in fully implementing the MiHIN admission, discharge and transfer process. We’ll also recognize facilities that implemented the process during previous program years and continue to meet program expectations.

Providers achieving the program expectations and deadlines will be eligible to receive an additional 3 percent reward for either six or 12 months following the incentive’s effective date.

SNFs that don’t meet the SNF P4P program requirements or choose not to participate will forfeit the incentive opportunity.

Important dates

Additional information
See the program guides in the SNF provider manual.