Hospital Pay-for-Performance Programs
Blue Cross Blue Shield of Michigan has two hospital incentive-based programs. We call them pay-for-performance, or P4P. Both programs recognize hospitals that excel at care quality, cost-efficiency and population health management.
The peer group 1-4 program rewards large and medium-sized hospitals. The peer group 5 program rewards small and rural hospitals.
Large and medium-sized hospitals (peer groups 1–4)
Large or medium-sized hospitals can earn up to an extra 5 percent toward their operating costs. Here’s some more information:
- 2018 Hospital Pay for Performance Program (PDF)
- 2018 MVC Technical Document (PDF)
- 2018 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2017 Hospital Pay-for-Performance Program (PDF)
- 2017 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2017 Pay-for-Performance Alternative Readmission Activities (PDF)
- 2017 CEO Attestation Form (PDF)
Small rural hospitals (peer group 5)
Small hospitals can show value to their community by meeting expectations for care access, quality and effectiveness. Here’s some more information:
- 2018-2019 PG5 Pay-for-Performance Program (PDF)
- 2018-2019 CAH Performance Thresholds (PDF)
- 2018-2019 Non-CAH Performance Thresholds (PDF)
- 2017-2018 PG5 Pay-for-Performance Program (PDF)
- 2017-2018 CEO Attestation Form (PDF)
- 2017-2018 Community Service Plan (PDF)
- 2017-2018 Population Health Champion Attestation (PDF)