News

September 15, 2023   Making Standard of Care, The STANDARD Statin Therapy for Patients with Diabetes Statin Therapy for Patients with Cardiovascular Disease   Adults 40–75 years of age with diabetes, who do or do not have clinical atherosclerotic cardiovascular disease (ASCVD), should be started on a statin for primary and secondary prevention of ASCVD regardless of lipid status. Statin Therapy for patients with cardiovascular disease, male patients ages 21-75, and female patients ages 40-75 i...

September 13, 2023 MPP KEY STAFF MEETING McLaren Physician Partners (MPP) provides Virtual Key Staff presentations quarterly.   Please join us for our next live webinar:   Wednesday, September 27 th, 2023 12:00 PM   Please invite any staff who would benefit from the information being presented. Best Practices and Topics to be Discussed Include : MPP Care Coordination-Remote Patient Monitoring Medicaid Redetermination Pre-Visit Planning with Persivia CareView Cards CPTII Coding Statin Use ...

September 1, 2023 COPD SCREENING AND TREATMENT   BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) affects around 15 million people in the U.S. and costs more than $32 billion annually. Chronic lower respiratory diseases, including COPD, are the fourth leading cause of death in the U.S. and the third leading cause of death worldwide. GOLD ( Global Initiative for Chronic Obstructive Lung Disease) 2023 defines COPD as a  heterogeneous lung condition characterized by chronic respiratory sy...

August 15, 2023   Long COVID   It has been over 3 years since the pandemic started. As we get more experience with this situation, we are able to improve our diagnoses, treatments and recommendations. Unfortunately, there still is much to be learned. Approximately 10% of individuals infected with COVID-19 developed symptoms that may be defined as “Long COVID.” Many of these symptoms are also present in other chronic conditions and typically routine imaging and blood tests come back as normal. ...

August 14, 2023   McLaren ACO Members Receive CMS Payment Bonus   McLaren High Performance Network, LLC (MHPN) received a final MIPS Quality score of 98.53 out of 100 for performance year 2022.  This score was calculated based on performance in Quality, Advancing Care Information, and Improvement Activities. CMS categorizes any score greater than 89 as exceptional performance.   Based on this performance, eligible providers in the McLaren High Performance Network will receive a 7.36 ...

August 8, 2023   Blue Cross Blue Shield Specialist Value Based Reimbursement Updates   Blue Cross Blue Shield is updating their Specialist VBR for roll out March 2025.  However, the data collection for these changes starts July 1, 2023 through June 30, 2024.  Specialist VBR currently uses three core metric sets (Global Quality Index, Cost of Care PMPM and Cost Difference), and when applicable specific metric sets for certain specialties. In 2025, in addition to the original three cor...

July 15, 2023 COLONOSCOPY GUIDELINES FOR 2023 RECOMMENDATION: Adults who are at average risk for colorectal cancer (CRC) used to start having regular colonoscopies when they turned 50. Now the timeline has changed. The American Cancer Society and The U.S. Preventive Services Task Force recommend that colorectal cancer screenings begin at age 45. This is due to the increased death rates from CRC with Colorectal cancer expected to cause about 52,550 deaths in 2023, according to the American Cancer Society...

July 13, 2023   Clinical Integration Payment 2 for 2022   McLaren Physician Partners (MPP) is pleased to announce the release of the MPP Clinical Integration (CI) Payment 2 of 2 for 2022. This payment is based on physician performance on cost and quality measures and includes value-based payments received from August 2023 to January 2023.   The total distribution amount is $5.9 million. As we transition to value-based payments our top performing physicians have received the following in t...

June 15, 2023 2023 American Diabetic Association Standard of Care Selected Updates The American Diabetes Association (ADA) provides an update to their Standards of Care (SOC) every year to include developments in research and published literature. Selected 2023 SOC updates that may change practice delivery include: Patients diagnosed with type 2 diabetes mellitus (T2DM) should be treated with a medication known to reduce cardiorenal risk (SGLT2 inhibitor, GLP-1 RA) if they have established or are at hig...

June 15, 2023   An Introduction to the McLaren ACO   CMS is requiring Physician Accountability for Cost, Quality, and Patient Satisfaction. The goal of our ACO is to support our providers with the people, processes and technology to effectively and efficiently improve patient outcomes and quality of care in our communities.   We are looking for engaged, high quality and cost-efficient providers to partner with us to further develop our preferred provider network for value-based care deliv...