Performance Indexes

For information about archived Performance Indexes and Scorecards, contact bmc2.info@umich.edu

BSBSM Value Based Reimbursement (VBR)

Blue Cross Blue Shield of Michigan has developed a Value-Based Reimbursement model that encourages physicians to provide cost-efficient care at both hospital and population levels.

For physicians being scored on PCI measures

Practitioners are grouped by their affiliated physician organization. The POs are evaluated on each measure individually and must achieve the performance target on all three measures to be considered eligible to receive the CQI VBR.

For practitioners being scored in VS measures

Practitioners are grouped by their affiliated hospital based on where the practitioners perform the greatest number of procedures. The hospitals' affiliated practitioners must achieve target at the hospital level both measures listed above to be considered eligible to receive the CQI VBR.

CQI VBR selection process

For a practitioner to be eligible for CQI VBR, they must:

• Meet the performance targets set by the coordinating center
• Be a member of a PGIP physician organization for at least one year
• Have contributed data to the CQI’s clinical data registry for at least two years, including at least one year of baseline data

Practitioners may receive up to 103 percent of the Standard Fee Schedule for performance in a single CQI. Practitioners who participate in BMC2-PCI and Michigan TAVR are eligible to receive up to 105 percent of the Standard Fee Schedule.

BMC2 VBR Goals

• 2025 PCI and VS Goals
• 2024 PCI and VS Goals
• 2023 PCI and VS Goals
• 2022 PCI and VS Goals
• 2021 PCI and VS Goals
• 2021 PCI Goals Revised
• 2020 PCI Goals
• 2020 Vascular Surgery Goals

Contact BMC2 for information on archived P4P Scorecards and VBR Goals at bmc2.info@umich.edu