News

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...

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. Medications One of the following medications must have been dispensed. Note: The active ingredients are limited to oral formulations only. Drug Category Medications Statin medications * Lovastatin * Fluvastatin * Pravastatin * Simvastatin * Rosuvastatin * Atorvastatin * Pitavastatin ...

Produced by the National Kidney Foundation, Inc. All rights reserved. Renal dysfunction is a potentially pivotal development in diabetes, and microalbuminuria is generally the first clinical sign of renal complication. Screening for albuminuria may be the most effective way to identify patients early who are at increased risk for renal events. Produced by the National Kidney Foundation, Inc. All rights reserved. Produced by the National Kidney Foundation, Inc. All rights reserved. If you have any questi...

Pap tests in women aged 21-29 and 30 – 65 years of age In average risk women, annual cervical cytology screening has been shown to offer no advantage over screening performed at 3-year intervals, without HPV co-testing, for age 21-29 or 5-year intervals, with HPV co-testing, for age 30-65. However, a well-woman visit should occur annually to discuss prevention practices, recognizing risk factors for disease, identifying medical problems, and establishing the clinician–patient relationship. Women who hav...

MAPS This facility utilizes the Michigan Automated Prescription System In partnership with the state of Michigan to assist in the prevention of prescription drug abuse, diversion, overprescribing, and overdispensing of controlled substances, and to ensure the health and safety of our community. michigan.gov/mimapsinfo For members 18 years and older, the rate per 1,000 receiving prescription opioids at a high dosage for at least 15 days during the measurement year (average morphine equivalent dose [MED] ...

DID YOU KNOW?? McLaren Physician Partners (MPP) will be publishing the Standards of Medical Care in several key clinical areas on a semimonthly basis. These rigorously reviewed recommendations are evidence based recommended practices meant to guide preventive care and treatment. These guidelines are the basis for care quality for the National Committee for Quality Assurance HEDIS measures. This ensures that clinicians have the key information needed to provide better healthcare, leading to improved outc...