This page contains information specific to our BCBSM funded sites. For more information on the BCBSM Collaborative Quality Initiatives, visit the Value Partnerships website.
Pay-for-Performance Program (P4P)
The Blue Cross Blue Shield Michigan (BCBSM) Hospital Pay-for-Performance (P4P) Program recognizes short-term acute care hospitals for achievements and improvements in quality, cost efficiency, and population-health management. The program will pay hospitals, in aggregate, an additional 5% of statewide inpatient and outpatient operating payments – nearly $190 million statewide.
Your hospital’s P4P score for each CQI is determined by its performance on specific measures related to that CQI. The measures and corresponding weights tied to each measure are referred to as the hospital’s CQI Performance Index scorecard. Some measures are related to program participation and engagement, such as meeting attendance and timely data submission. Other measures are performance-based and related to quality and clinical process improvement and outcomes, such as reductions in morbidity or surgical complications.
For more information on BCBM Pay-for-Performance Program, see their website.