Blue Cross Blue Shield of Michigan (BCBSM) has a hospital incentive-based program called pay-for-performance, or P4P.  The program recognizes hospitals that excel at care quality, cost-efficiency, and population health management.

 

P4P are incentives based on participation and performance in quality and outcome measures. Each CQI coordinating center develops a performance index and scores each hospital participant.

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• Payment is made in July and tied to the score received based on the previous year’s performance (e.g., 2017 P4P reimbursement will be dispersed in July 2018)

• A hospital can earn up to 40% of its P4P payment as a result of its participation, depending on how many CQIs they participate in