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Earlier this year, The Physician Alliance nominated specialty physician members participating in Blue Cross Blue Shield of Michigan's (BCBSM) Physician Group Incentive Program (PGIP) for their value-based reimbursement (VBR).
BCBSM recently announced that 96.9 percent of nominated specialists were selected to receive the 2023 specialist VBR!
This impressive number highlights the commitment and hard work of specialty practices in implementing patient-centered medical home neighborhood principles to improve patient care.
2023 value-based reimbursement by the numbers:
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96.9% of TPA PGIP specialty physicians nominated by TPA earned a value-based reimbursement
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14% of TPA PGIP specialty physicians receive a 5% VBR
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81% of TPA PGIP specialty physicians receive a 10% VBR
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95.6% of all TPA specialty physicians in PGIP are receiving a VBR
Physicians selected by BCBSM for the specialist value-based reimbursement received a letter in March 2023 (from The Physician Alliance) informing of the VBR percentage amount.
For additional detailed documentation regarding the specialist value-based reimbursement, including your practice's final results report and a report data dictionary, log into The Physician Alliance member portal. If you need assistance accessing the portal or information on the eligibility and nomination process for the VBR, please contact your practice resource member.
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