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:
- 2020 Hospital Pay for Performance Program (PDF)
- 2020 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2020 MVC Technical Document (PDF)
- 2019 Hospital Pay for Performance Program (July Update) (PDF)
- 2019 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2019 CEO Attestation Form (PDF)
- 2018 Hospital Pay for Performance Program (PDF)
- 2018 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: