We’re requesting input from facilities by Oct. 31

Per our Participating Hospital Agreement, effective July 1, 2021, the Contract Administration Process was revised to allow for nonbinding input from all participating hospitals. As outlined in the PHA, hospitals are invited to provide input on various programs and initiatives within CAP.

We’re requesting that facilities submit their input to Liz Bowman at ebowman@bcbsm.com by Oct. 31, 2021.

After input is received, Blue Cross has 30 calendar days to respond to facility input. 

Transparency requirement
In a related development, Blue Cross Blue Shield of Michigan will be posting its allowed amounts publicly in 2022, as required by law. Blue Cross will also share similar financial information with entities that have entered into risk contracts for attributed member populations.

In addition, the following information will be shared with those entities: 

• Volume of admissions at each facility for members attributed to such entities  
• Readmission rates at a facility level to include the new HEDIS “All Cause Readmission” definition that now includes both admissions and observations.
• Other quality and utilization data, as necessary

**HEDIS^®, which stands for Healthcare Effectiveness Data and Information Set, is a registered trademark of the National Committee for Quality Assurance.