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:
- 2016 Hospital Pay-for-Performance Program (PDF)
- 2016 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2016 Pay-for-Performance Program Alternative Readmission Activities (PDF)
- 2016 Pay-for-Performance Michigan Value Collaborative Technical Document (PDF)
- 2016 CEO Attestation Form (PDF)
- 2015 Hospital Pay-for-Performance Program (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:
- 2016-2017 PG5 Pay-for-Performance Program (PDF)
- 2016-2017 CAH Performance Thresholds (PDF)
- 2016-2017 CEO Attestation Form (PDF)
- 2016-2017 Community Service Plan (PDF)
- 2016-2017 Population Health Champion Attestation (PDF)
- 2015-2016 PG5 Pay-for-Performance Program (PDF)
- 2015-2016 CAH Performance Thresholds (PDF)