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

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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:
$344,298.00
Approval Date:
November 12, 2013

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