News

Earlier this year in March, to improve the efficiency and effectiveness of access to communications and delivery of clinically pertinent information, MPP updated our website at mclarenpp.org to incorporate access to clinical education with individual user profiles for providers. Providers were asked to create their own user profile, including log-in and password, to get access to the members section of the website. If you have completed this, no further action is needed. If not, please go to mclarenpp.o...

FINANCIAL SUPPORT FOR MILLIONS OF HEALTH CARE PROVIDERS NATIONWIDE Up to 2% of patient revenue regardless of a previous disbursement.   Many health care providers are experiencing significant financial hardships in the COVID-19 pandemic. Congress provided $175 billion in relief funds to the U.S. Department of Health and Human Services (HHS) to deliver financial relief to hospitals and other health care providers, including those on the front lines of the coronavirus response. Since March, HHS, thro...

McLaren High Performance Network, LLC received a final MIPS score of 96.9 out of 100 for performance year 2019. This score was calculated based on performance in Quality, Advancing Care Information, and Improvement Activities. CMS categorizes any score greater than 75 as exceptional performance . Based on this performance, eligible providers in the McLaren High Performance Network will receive a 1.58% positive payment adjustment in Calendar Year 2021. The 2021 MIPS payment adjustments vary between -7% a...

Persivia’s CareSpace TM will assist McLaren to achieve even greater success in our value-based care models. The platform combines care coordination, real-time quality and utilization analytics and reporting, enhanced patient and provider engagement, and bundle payment management tools. Here are some of the clinical functionality we will realize following implementation: Automated Care Coordination work flows to improve efficiencies; allowing staff to spend more time managing patients Risk stratification...

PCP Value Based Reimbursement (VBR) & 2019-2020 Patient Centered Medical Home (PCMH) Designations The BCBSM Value-Based Reimbursement (VBR) program provides for fee schedule uplifts for PCMH, quality performance, cost, and provider delivered care management (PDCM), up to a total of 150% of the fee schedule. PCMH 15% Quality 5%-15% Cost 10% PDCM 5% Advanced PDCM 5% _____ Total = 150% Key Achievements: 89% of MPP’s participating primary care physicians are eligible for a VBR 21% received a VBR for exc...

McLaren Physician Partners (MPP) provides two physician update presentations annually. Historically, attendance at these meetings was required to receive 10 points on the Clinical Integration (CI) scorecard for Specialist Physicians. We understand that there are a multitude of reasons why one may not be able to attend a live presentation. In an effort to adopt a digital strategy, become more user friendly, and to accommodate physicians’ busy schedules, we are presenting our biannual updates via live web...

McLaren High Performance Network, LLC received a perfect MIPS score of 100 out of 100 for performance year 2018. This score was calculated based on performance in Quality, Advancing Care Information, and Improvement Activities. CMS categorizes any score greater than 70 as exceptional performance. Based on this performance, eligible providers in the McLaren High Performance Network will receive a 1.68% positive payment adjustment in Calendar Year 2020. The 2020 MIPS payment adjustments vary between -5% a...

MPP is pleased to announce a new Medicare Advantage HMO agreement has been signed with Reliance ACO. Our includes McLaren hospitals and active MPP providers in the following regions: McLaren Flint McLaren Lapeer McLaren Macomb McLaren Oakland McLaren Port Huron Karmanos Cancer Center The new contract with Reliance is effective January 1, 2020. Pursuant to your Master Membership Agreement with MPP, active members will be included in the provider network unless written notification of your intent to opt o...

MPP is pleased to announce a new Gain Sharing Agreement has been signed with Humana. We have expanded our existing MPP agreement for Medicare Advantage to include all regions. Our current agreement now includes all McLaren hospitals and active MPP providers in the following regions: McLaren Bay and Bay Special Care (LTACH) McLaren Caro McLaren Central McLaren Flint McLaren Greater Lansing McLaren Lapeer McLaren Macomb McLaren Oakland McLaren Northern McLaren Port Huron McLaren Thumb Region Karmanos Canc...

McLaren Physician Partners (MPP) is pleased to announce the release of the MPP Clinical Integration Payment 2 of 2 for 2018. This payment is based on physician performance on quality measures and value-based payments received from August 2018-January 2019. The total distribution amount is $3,167,210. As we transition to value-based payments, our top performing physicians have received the following in the 2018 Payment 2: Summary of MPP 2018 Payment 2 Max Min Median PCP $33,187 $100 $4,942 SPC $1,191 $65...