Medicare Plus Blue members will be able to select a primary care provider in Blue Cross’ member portal

Blue Cross Blue Shield of Michigan is enhancing the current claims-based attribution model by giving Medicare Plus Blue℠ members in Michigan the ability to choose a primary care provider in the member portal. Planned for early 2023, this optional tool will take priority over the current claims-based attribution model for members who choose to use it.

Feedback shows that the current attribution model, which is a retrospective model based on claims look-back, can sometimes cause a significant delay in attributing a member to a health care provider, depending on a member’s claims history. This member selection enhancement tool will allow for quick and current alignment between the primary care provider and the member in Blue Cross’ data systems and enable greater efficiency with data sharing and other operations.

This tool is optional and there’ll be no requirement or incentive for a member to use it to choose a primary care provider. Choosing a primary care provider in the portal won’t affect a member’s benefits or claims payments, nor will it limit which providers a member can see for care. Those who don’t select a primary care provider in the portal will be attributed based on claims, per the current model.