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April 2023

We’re updating our ambulatory surgery facility incentive model for CQI participation

In mid-2023, Blue Cross Blue Shield of Michigan and Blue Care Network will make updates to the ambulatory surgery facilities Collaborative Quality Initiatives model. We’ll introduce additional incentives for ASFs that participate in more than one CQI, as well as a performance-based incentive.

We introduced these changes to the participating ASFs in March 2023 and plan to roll out a portion of the new incentives in June 2023. Details of these changes will be updated in the ASF CQI Program guide by June 2023. 

Background

In late 2020, Blue Cross introduced the first incentive model for ambulatory surgery facilities participating in our CQIs. This incentive, introduced as a 1% facility fee increase, supports ASF’s clinical data abstraction and reporting, as well as the development of a quality initiatives infrastructure to support CQI operations and implementation of quality initiatives interventions. Qualifying ASFs participating in either the Michigan Arthroplasty Registry CQI, known as MARCQI, or the Michigan Spine Surgery Improvement Collaborative, known as MSSIC, are eligible to receive this incentive.

Additional information

For more information, refer to our provider manual or reach out to your provider consultant. To access the provider manual through our provider portal:

  1. Log in to availity.com.**
  2. Click on Payer Spaces on the Availity® menu bar.
  3. Click on the BCBSM and BCN logo.
  4. Click on Provider manuals under the Resources tab.

ASFs that are interested in participating in the CQI program can email CQIprograms@bcbsm.com for additional details.

Availity is an independent company that contracts with Blue Cross Blue Shield of Michigan and Blue Care Network to offer provider portal services.

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2022 American Medical Association. All rights reserved.