The Michigan Blues’ PCMH program is a two-part program developed with physician partners. The first phase involves implementing PCMH features and tools to transform physician practices. Through financial support from the Blues’ Physician Group Incentive Program, physicians across the state are working toward PCMH designation by implementing various PCMH features into their practices.
The second phase involves designation as a PCMH practice (designation is reviewed annually). The Michigan Blues currently have the nation’s largest network of designated medical home physicians. According to an April 2015 Health Affairs article, "over 5,000 physician practices joined and remained in the Physician Group Incentive Program for the period 2008–11 and beyond. Collectively, these physician practices have established 1,551 patient-centered medical homes."
"Participating primary care physicians are eligible for up to 20 percent increased reimbursement in their office visit (evaluation and management) fees through the patient-centered medical home components of the program. They may also bill for care coordination and care management services provided by ancillary providers.
There is also an opportunity to earn an additional 5 percent in evaluation and management fees for achieving high performance on quality measures. Primary care providers include family practice, pediatric, general practice, adolescent medicine, and internal medicine physicians. To be eligible for the higher office visit fees, physician practices must implement a substantial proportion of a set of defined patientcentered medical home capabilities and achieve target levels on identified cost and quality metrics"
Medical Care Research and Review (August 2015)
BCBS of Michigan Press Release (July 2015) based on 2015 claims data of patients who visit BCBSM PCMH-designated practices
Blue Cross Blue Shield of Michigan (July 2014)
Blue Cross Blue Shield of Michigan (July 2013)
Managed Healthcare Executive (December 2011)
Health Affairs (April 2015) study included over 3.2 million people under age 65 enrolled for at least twelve continuous months during the study period (2008–2010 for quality measures)
Health Services Research (July 2013)
Blue Cross Blue Shield of Michigan (July 2014)
BCBS of Michigan Press Release (July 2015)
Health Affairs (April 2015) study included over 3.2 million people under age 65 enrolled for at least twelve continuous months during the study period (2008–2011)
Health Services Research (July 2013)
Health Affairs (April 2015) study included over 3.2 million people under age 65 enrolled for at least twelve continuous months during the study period (2008–2010 for quality measures)
Statistically significant improvement in 3 of 7 quality measures for preventive care (adolescent well care, adolescent immunization, and wellchild visits at ages 3–6)
JAMA Internal Medicine (February 2015) (Three-year study of 2,218 practices)
Health Services Research (July 2013)
JAMA Internal Medicine (February 2015) (Three-year study of 2,218 practices)
Blue Cross Blue Shield of Michigan (July 2014)
Health Services Research (July 2013)