SPECIAL SUBGROUP for Primary Care Practices
At a Glance...
Provider delivered care management has moved beyond your individual
practice volumes to subgroup level utilization and quality outcomes.
It is imperative that practices work together to attain performance thresholds.
Up to 6% additional value-based reimbursement is at risk.
•Team attendance is HIGHLY encouraged and will be financially rewarded
•$500 stipend for team attendance consisting of a physician, care manager, & administrator
•$125 stipend per person if team composition is fewer than identified above
•Come prepared to discuss best practices so performance thresholds can be met at the subgroup level
Enhance understanding of BCBSM’s new model for PDCM VBR 2019
Discuss subgroup and provider level data and impact to VBR
Evaluate data related to target measures
Develop a plan to address areas of opportunity for cost and quality improvement
Identify ways in which to monitor the impact of the interventions implemented