News

Merit-based Incentive Payment System (MIPS) performance is important to you and your practice to avoid a negative payment adjust from Medicare. Important Deadlines: December 31, 2020:  Promoting Interoperability Hardship Applications due March 31, 2021: MIPS data submission ends There are two free resources available to you: The QPP Resource Center® for the Midwest web portal is a source for the education and resources you need to be successful under this new Medicare payment program. The Resource ...

MPP is pleased to announce a new Value Based Contract has been signed with AETNA for their Medicare Advantage insurance product encompassing all McLaren regions in Michigan. This new product offers provider gain sharing based on attaining quality and cost of care performance metrics. Our current agreement now includes all McLaren hospitals and all active McLaren Medical Group providers in the following regions: McLaren Bay McLaren Bay Special Care (LTACH) McLaren Caro McLaren Central McLaren Flint McLar...

2020 PCP Value Based Reimbursement (VBR) & 2020-2022 Patient Centered Medical Home (PCMH) Designations The BCBSM Value-Based Reimbursement (VBR) program offers additional revenue for initiatives such as: PCMH, Clinical Quality (CQI) performance, cost, and provider delivered care management (PDCM). This provides an opportunity to earn up to a 168% of the BCBSM fee schedule. As of 2020, a practice MUST be PCMH designated for the physician to achieve additional VBR opportunities. We are excited to shar...

Every patient aged 18-85 with a diagnosis of hypertension during the measurement year should have a controlled blood pressure reading documented. Controlling high blood pressure is an important step in preventing heart attacks, stroke and kidney disease, and in reducing the risk of developing other serious conditions. Control is being defined as: Systolic <140 and Diastolic <90 . This metric will be weighted heavily in the Clinical Quality Metrics for commercial and Medicare populations. Documenta...

2019 was the third performance year for MHPN in our 3-year Track 1 MSSP (Medicare Shared Savings Program) contract with CMS. Track 1 ACOs have gainsharing opportunity only and no downside risk. The 2019 results are in: MHPN generated total savings of $37.1 million and received $17.3 million from CMS as our share of those savings. MHPN achieved the 6th highest generated total savings in the nation compared to the other 541 ACOs . Our quality score remains high at 93.35%. Collectively, in our first 3 year...

McLaren Physician Partners (MPP) provides physician update presentations bi-annually in the Spring and Fall.  This year we are offering two viewing options for full participation credit on your Clinical Integration scorecard.  Please join us October 21, 2020 @ 5:30 PM for our live webinar presentation or view the on-demand webinar posted on the MPP website. Whether you are a specialist or primary care physician our objective is to keep you abreast of what is happening in Population Health at t...

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...

For McLaren Physician Partners to improve the efficiency and effectiveness of access to communications and delivery of clinically pertinent information, we are updating our website to incorporate access to clinical education with individual logins for providers. This, in turn, will allow for claiming Continuing Medical Education Credits (CME) after participating in the Clinical Integration (CI) Education Series, as permitted. Using this digital strategy, it will allow for providers to access and complet...