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 or medium-sized hospitals can earn up to an extra 5 percent toward their operating costs. Here’s some more information:

• 2015 Hospital Pay-for-Performance Program (PDF)
• 2014 Collaborative Quality Initiatives Performance Index Guide (PDF)
• 2014 CEO Attestation Form (PDF)
• 2014 Hospital Pay-for-Performance Program (PDF)

Small hospitals can show value to their community by meeting expectations for care access, quality and effectiveness. Here’s some more information:

• 2014-2015 PG5 Pay-for-Performance Program (PDF)
• 2014-2015 CEO Attestation Form (PDF)
• 2014-2015 Community Service Plan (PDF)
• 2014-2015 Population Health Management Attestation (PDF)
• 2014-2015 CAH & Non-CAH Performance Thresholds (PDF)
• 2013-2014 PG5 Pay-for-Performance Program (PDF)