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:
- 2021 Hospital Pay for Performance Program (PDF)
- 2021 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2020 Hospital Pay for Performance Program (PDF)
- 2020 Collaborative Quality Initiatives Performance Index Guide - Revised (PDF)
- 2020 Collaborative Quality Initiatives Performance Index Guide (PDF)
- 2020 CEO Attestation Form (PDF)
- 2020 MVC Technical Document (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:
- 2021-2022 Pay for Performance Program Guide (PDF)
- 2020-2021 Pay for Performance Program Guide (PDF)
- 2020-2021 Pay for Performance Program Dashboard (PDF)
- 2019-2020 Performance Thresholds (PDF)