Chiropractors invited to join new quality reward program

Blue Cross Blue Shield of Michigan is offering all participating chiropractors the opportunity to join a new quality reward program related to imaging of low back pain. 

For the 2025 measurement year, the performance around the HEDIS^® metric of Use of Imaging Studies for Low Back Pain (LBP) will be evaluated for engaged chiropractors, with the opportunity to earn a value-based reimbursement of 5% on eligible PPO professional claims for the pay period of Sept. 1, 2026, through Aug. 31, 2027.

Value-based reimbursement offers health care providers the opportunity to earn greater than the standard professional fee schedule, based on achieving goals related to high-quality performance. For this value-based reimbursement opportunity, all participating Blue Cross chiropractors are eligible.

Achievement based on a target score or on improvement will be evaluated at the regional level to ensure all chiropractors may participate. Analytics will be performed by the Michigan Data Collaborative.

Chiropractors must opt-in by June 30, 2025, to be eligible.

For more details, enrollment steps and contact information, visit the chiropractic quality rewards website.

Notes:

• Participation doesn’t guarantee the chiropractor will earn the value-based reimbursement.
• Health care providers on corrective action (for example, prepayment utilization review) will lose value-based reimbursement.
• The program is subject to change, with advance notification.

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