Blue Cross Blue Shield of Michigan 2025 Commercial PPO Quality Improvement Program Description (PGIP/VBR)

Other · Blue Cross Blue Shield of Michigan · 2025

BCBSM's Physician Group Incentive Program pays value-based reimbursement above standard fee schedules, with incentive payments only for measures meeting NCQA Quality Compass 75th/90th percentile benchmarks; Childhood Immunization Status (Combo 10) is among the incentivized measures.

Value Based Reimbursement (VBR) is reimbursement above the standard fee schedule.

BCBSM 2025 QI Program Description (PDF); excerpt page not recorded

BCBSM's Physician Group Incentive Program pays value-based reimbursement above standard fee schedules, with incentive payments only for measures meeting NCQA Quality Compass 75th/90th percentile benchmarks; Childhood Immunization Status (Combo 10) is among the incentivized measures. Payment amounts per measure are not isolated in the document; the record establishes rate-linked incentive payments, not a per-shot 'quota.'

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