McLaren Physician Partners
Membership

Physician Experience

MPP is a joint venture partnership between the McLaren Healthcare System and our Physician members. Our focus is on providing resources to physician offices which provide value and assist with engagement, clinical integration, contracting and quality.  We are dedicated to our members’ success.  It is the reason why our physicians are Michigan’s leaders in care and excellence.  Experience the many benefits of MPP membership.

  • Established in 1994
  • MPP Staff provides on-site administrative support in the physician office.
  • Practice Coaches assist with improving HEDIS measures
  • Disease Registry, E-Prescribing support and implementation
  • Web site offers  all Payer Performance Management, Patient Gaps in Care, Quality Metrics reports
  • Clinical Integration Program - Evidence based guidelines, HEDIS Quality measures, Physician incentives, Infrastructure and support.
  • Managed care contracts - fee for service contracts with performance targets based on clinical goals, shared savings. (Transition to population management)
  • Clinical Integration $POOL$ for PCPs and Specialists
  • MPP is aligning performance incentives across managed care contracts to allow physicians to focus on Quality Improvement efforts.
  • BCBSM Physician Incentive Program (PGIP)
  • MPP provides education, assistance and direction in attaining BCBSM Patient Centered Medical Home(PCMH) Designation and/or NCQA PCMH Certification and PCMH-Neighborhood designation  for Specialists
  • Preferred health insurance rates with McLaren Health Plan.
  • Physician Payer enrollment process
  • Exclusive member only price discounts on supplies and equipment
  • Preferred Malpractice Rates
  • All Payer quality and medical management programs, Physician Quality Scorecards.
  • Transparency

MPP Mission is “through its members will be the best value in health care as defined by quality outcomes and cost”.   Practice unit process improvement  and working within a community of providers are capabilities best supported with hands-on support provided by MPP. The enhanced quality will generate better patient outcomes, manage costs to patients and payers and improve physician satisfaction.  Please contact Nicolemarie Motyka at 248-484-4933, or visit our website at McLarenPP.org for a membership application.

Clinical Integration

Definition:    A structured collaboration among physicians and McLaren hospitals on an active and ongoing program designed to improve the quality and efficiency of health care.  Joint contracting with fee-for-service managed care organizations is a necessary component of this program in order to accelerate these improvements in health care delivery.

  • Value based purchasing requires integration
  • Clinical integration creates value
  • Physician driven
  • Same CI metrics across all payors
  • Culture evolves over time and takes effort
  • CI overcomes barriers to improvement
    • Small physician practices
    • Traditional medical staff structure
    • Fee-for-service reimbursement
  • Joint contracting essential to success
  • Payors fund CI which reimburses extra work required by physicians and staff
  • CI funding is over and above FFS to incentivize physicians
  • Infrastructure necessary to support improvement and process change
  • Drive pay for performance
    • Infrastructure governance, etc.
    • Lean process improvement training for practices
    • Program development
    • Report cards
    • Feedback/coaching
  • Physician hospital alignment

Provider Services

  • Act as a liaison between the McLaren Healthcare System, health plans, physicians, practices and facilities
  • Coordinate health plan orientations
  • Provide Assistance with claim issues
  • Assist in health plan/enrollee/physician grievance resolutions

Quality Patient Care and Medical Practices

McLaren Physician Partners participates in quality improvement programs with the following health plans:

  • Blue Cross Blue Shield of Michigan Patient-Centered Medical Home Initiative
  • Blue Care Network Health e-Blue Initiative

Resource Development and Practice Efficiency

McLaren Physician Partners participates in the following programs: