Improving the Performance of Primary Care Physicians in Caring for High-Need, High-Cost Patients


The Physician Group Incentive Program (PGIP), launched by Blue Cross and Blue Shield of Michigan in 2005, encourages providers to work together to assume joint responsibility for their patients’ care. A previous Commonwealth Fund–supported evaluation by the research team found that, over a three-year period, the program was associated with lower health spending and improved quality of care. This project will identify strategies that can help to ensure that a large-scale improvement initiative such as PGIP produces consistent, positive results across all participating care providers. The research will focus on primary care practices with a large proportion of high-need, high-cost patients, as the capacity to improve is likely greatest in these practices.

Grant Details

Grantee Organization:
Regents of the University of Michigan
Principal Investigator:
Christy Harris Lemak, Ph.D.
Award Amount:
Approval Date:
November 12, 2013

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