Evaluating Blue Cross Blue Shield of Michigan's Physician Group Incentive Program

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To encourage providers to work together to assume joint responsibility for their patients' care, Blue Cross Blue Shield of Michigan, in cooperation with the Michigan State Medical Society, has implemented a physician group incentive program (PGIP). Groups of physicians are evaluated on population-based cost and quality measures and provided incentives through a pay-for-performance program. For physicians to be financially successful, they have to join together, using the patient-centered medical home model, to achieve high performance on cost and quality. This project will document: 1) how the PGIP was developed and implemented; 2) the change in participating physician groups' organizational structures and systems of care; 3) the effect on providers' perceptions regarding practice transformation, costs, and quality; and 4) the impact on utilization, costs, quality, and relationships between physicians and payers.

Grant Details

Grantee Organization:
Regents of the University of Michigan
Principal Investigator:
Christy Lemak, Ph.D.
Award Amount:
$405,868.00
Approval Date:
April 13, 2010

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